Privacy Information

Accommodate Medical Concierge, LLC

Last Updated: [03/03/2024]

Accommodate Medical Concierge, LLC ("we," "us," or "our") is committed to protecting the privacy of individuals who use our services and visit our website. This Privacy Policy outlines the types of personal information we collect, how it is used, and the choices you have regarding your data.

•Information We Collect

• Personal Information: We may collect personal information such as your name, contact details, date of birth, and medical history to facilitate our services.

• Health Information: In the course of providing our services, we may collect health-related information as necessary for the performance of our services.

• Payment Information: If applicable, we may collect payment information to process transactions for our services.

• Automatically Collected Information: We may collect non-personal information automatically, including IP addresses, browser type, and device identifiers, to improve our website and services.

How We Use Your Information

• Service Provision: We use your information to schedule and perform our services, including communication regarding appointment details.

• Payment Processing: If applicable, we use payment information to process transactions for our services.

• Communication: We may use your contact information to communicate with you about appointments, service updates, and relevant information.

• Improving Services: We analyze collected data to improve the quality and effectiveness of our services.

•Information Sharing

• Third-Party Service Providers: We may share your information with third-party service providers who assist us in delivering our services, such as payment processors.

• Legal Compliance: We may disclose your information to comply with legal obligations or respond to lawful requests.

•Your Choices

• Opt-Out: You may opt-out of receiving non-essential communications from us. .

• Access and Correction: You have the right to access and correct your personal information. Contact us to request changes.

•Security

We implement reasonable security measures to protect your information. However, no data transmission over the internet can be guaranteed to be 100% secure.

•Changes to This Policy

We may update this Privacy Policy periodically. Check the "Last Updated" date at the top for the latest version. Contact Us If you have questions about this Privacy Policy or your data, contact us at: Email: AccommodateMedicalConcierge1@outlook.com.

Patient Privacy Acknowledgment and Consent

Notice of Privacy Policy

Patient Privacy Acknowledgment and Consent

Dear Patient,

This notice describes how medical information about you may be used and disclosed and how you can access this information. Please read it carefully and sign to acknowledge your understanding and consent.

I. OUR COMMITMENT TO YOUR PRIVACY

We are committed to maintaining the confidentiality and privacy of your health information. This notice explains how we may use and disclose your health information, as well as your rights and our responsibilities concerning your protected health information (PHI).

II. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

• Treatment:

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services.

• Payment: We may use and disclose your PHI to obtain payment for the services we provide.

• Healthcare Operations: We may use and disclose your PHI for activities necessary to support the business operations of our practice.

• Appointment Reminders: We may contact you to provide appointment reminders or information about treatment alternatives.

• Required by Law: We may use or disclose PHI when required by law.

III. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

• Right to Access: You have the right to inspect and obtain a copy of your PHI.

• Right to Request Amendments: You may request changes to your PHI if you believe it is incorrect.

• Right to an Accounting of Disclosures: You have the right to receive an accounting of certain disclosures of your PHI.

• Right to Request Restrictions: You can request restrictions on how your PHI is used and disclosed.

IV. OUR RESPONSIBILITIES

• Privacy Policy Updates: We reserve the right to revise our privacy practices. If we make any significant changes, we will provide you with a revised notice.

V. ACKNOWLEDGMENT OF RECEIPT AND CONSENT

I have received and reviewed a copy of Accommodate Medical Concierge, LLC., Notice of Privacy Policy.

Patient's Name (Printed): _________________________________________________

Patient's Signature: ____________________________________________ Date: __________ Witness (if applicable): ___________________________ Date: __________

Healthcare Professional's Signature: ___________________________ Date: __________

Refund Policy and Other Terms and Conditions

From the moment a client schedules an appointment with us, we begin incurring expenses associated with that appointment. We incur even more expenses by completing your appointment. As we move through the testing phase of your case, our expenses increase exponentially. By the time results are issued, we’ve spent a significant amount of time, money, labor and resources to ensure a safe, expedient and accurate result.

Our perpetual incurrence of costs associated with our services and the testing process necessitates a precise schedule of policies (see below). As such, we cannot stress enough the importance of asking all your questions and understanding our testing process and policies before booking an appointment. All services and testing requires a financial commitment. And your financial commitment to us is as important as our obligation to deliver quality service to you.

REFUND POLICY: General

All sales are final. No refunds are allowed. For more specific terms, conditions and circumstances regarding refunds, see the following policies.

REFUND POLICY: Scheduling

All appointment scheduling fees are non-refundable. Please contact us and ask all of your questions before booking an appointment. Also, customers who miss their appointment (for any reason) without giving us at least one business day’s notice will be subject to additional scheduling fees and/or advance payment of their service or test fee. In other words, help us keep from wasting our time and yours by giving us a heads-up if you cannot keep your scheduled appointment. All it takes is a quick phone call.

REFUND POLICY: Testing

All sales are final, regardless of condition or outcome of the test, including but not limited to a false positive, miscarriage or pregnancy termination for any DNA testing. It is the patient’s responsibility to confirm their pregnancy and the presence of a fetus before setting an appointment for any test involving this matter. We do provide pregnancy testing services for an additional fee. Should the customer choose to abandon or cease completion of any service or testing for any reason, no refunds will be given. For DNA Testing, should one of the test parties cancel or not show up to the appointment, no refund will be given for any fees paid. If completion of a test is delayed by a customer longer than 30 days after the original appointment date, clients will be subject to recollection of specimens and additional testing fees. Also, no refunds will be given for unforeseen or uncontrollable issues with the testing process or delivery of the results. Lastly, the laboratory may require additional blood or buccal samples from the test parties to complete the testing process; should the mother or father decline to give additional blood or buccal samples for any reason when asked, no refunds will be given for any fees paid.

REFUND POLICY: Results

All results turnaround times are estimated, not guaranteed. Results may be delayed due to a number of factors, including shipping issues, laboratory request for a specimen sample redraw, laboratory request for additional testing time, or other unforeseen or uncontrollable factors. No discounts or refunds shall be given for delayed or inconclusive test results. For confidentiality reasons, regarding DNA Testing, only the test parties are obligated to receive a copy of the test results, regardless of who pays for the test. Anyone else wanting a copy of the results must be approved by the test parties themselves. Lastly, we do not conduct any laboratory testing in our offices. As the authorized specimen collection site for our affiliated laboratory partners, our primary job is to collect biological specimens and deliver them to our lab partner for testing. Therefore, any potential errors arising from the testing process should be discussed with the laboratory. As a client/patient of ours, you agree to hold us harmless from any liability arising from erroneous test results provided by our lab partners.

REFUND POLICY: Payments

In the event of a disputed or returned payment, all interested parties to the test case will be jointly and severally liable for payment of the full test fee, the maximum returned payment fee allowed by law, reasonable attorneys’ fees and court costs associated with collection of full payment of the above mentioned. For counterfeit cash payments or fraudulent credit card payments or disputes, all interested parties to the test case will be jointly and severally held liable and will be prosecuted to the fullest extent of the law.

HIPAA PRIVACY LAWS

Accommodate Medical Concierge, LLC

11811 East Freeway Suite 325

Houston, TX 77029