This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.
Effective Date: May 12, 2026Blessings Telehealth Services LLC is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of this Notice.
PHI means any information about you, including demographic data, that can reasonably be used to identify you and relates to your past, present, or future physical or mental health condition, the provision of healthcare to you, or the payment for that healthcare.
We may use and disclose your PHI for the following purposes without your separate authorization:
We share your PHI with caregivers, coaches, nurses, doctors, hospitals, and other healthcare providers involved in your care. Example: A caregiver shares your daily care notes with our care coordinator and your primary physician.
We use and disclose PHI to bill for services and obtain payment from you, your insurance company, Medicaid, Medicare, or other payers. Example: We send a claim to your insurance company that includes your name, services provided, and diagnostic codes.
We use PHI for activities like quality assessment, employee training, licensing, accreditation, and business management. Example: We may review caregiver visit notes to ensure quality of care standards are met.
For uses or disclosures beyond those described above, we will obtain your written authorization. You may revoke any authorization at any time in writing, except to the extent we have already taken action in reliance on it.
Specifically, we will always obtain your written authorization for:
You have the right to inspect and obtain a copy of your PHI. We will provide the records within 30 days. You may be charged a reasonable, cost-based fee for copies.
If you believe information in your record is incorrect or incomplete, you may request that we amend it. We may deny your request in certain limited circumstances, with a written explanation.
You have the right to request a list of certain disclosures we have made of your PHI (other than disclosures for treatment, payment, healthcare operations, or those you authorized).
You may request that we restrict how we use or disclose your PHI. We are not required to agree to all requested restrictions, but we must agree to your request to restrict disclosure to a health plan if you have paid out-of-pocket in full for the services.
You may request that we communicate with you about medical matters in a specific way or at a specific location (for example, only by mail, or to a particular phone number). We will accommodate reasonable requests.
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
You have the right to be notified following a breach of your unsecured PHI. We will notify you within 60 days of discovering such a breach.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Contact our Privacy Officer in writing or by phone using the information below.
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Online: www.hhs.gov/ocr/complaints/
Privacy Officer: Blessing Adjei
Blessings Telehealth Services LLC
Rensselaer County, NY
Phone: (518) 588-1048
Email: privacy@blessingstelehealthservices.com
By signing our consent form or receiving services from Blessings Telehealth Services LLC, you acknowledge that you have received and reviewed this Notice of Privacy Practices.