Last updated: November 11, 2026
This document is a starting draft and should be reviewed by a healthcare attorney before launch.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
This Notice of Privacy Practices is issued by the affiliated medical practice that provides clinical services under the Mobile IV Therapist name ("the practice", "we", "us"). It applies to the protected health information (PHI) we create or receive when we care for you, including your telehealth exam, treatment orders and nursing visit records.
Our duties
- We are required by law to keep your PHI private and secure.
- We must give you this notice of our legal duties and privacy practices.
- We must follow the terms of the notice currently in effect.
- We must tell you promptly if a breach occurs that may have compromised the privacy or security of your PHI.
- We will not use or disclose your PHI in ways not described here unless you tell us in writing that we may.
How we may use and disclose your health information
The law allows us to use and disclose PHI for the following purposes without your written authorization.
Treatment
We use your PHI to care for you and share it with others who treat you. For example, the provider who completes your exam shares the order with the registered nurse who gives your IV and with the licensed pharmacy that prepares your IV bag.
Payment
We use PHI to collect payment for your care. For example, we may use your name and visit date to process your card payment or to give you a receipt for your HSA or FSA plan. We do not bill insurance.
Health care operations
We use PHI to run the practice and improve care. Examples include quality review, staff training, scheduling, and compliance checks. Mobile IV Therapist, the management company, supports these tasks as our business associate and must protect your PHI under a written agreement.
Appointment reminders and communications
We may contact you by phone, text or email about appointments, follow-up care and aftercare.
Business associates
We share PHI with vendors that help us operate, such as our telehealth and intake platform. They must sign agreements to protect your information.
As required by law
We disclose PHI when federal, state or local law requires it, including to the Department of Health and Human Services if it wants to see that we are following privacy law.
Public health and safety
- Reporting or preventing disease
- Reporting adverse reactions to medications or problems with products
- Helping with product recalls
- Reporting suspected abuse, neglect or domestic violence, as the law requires
- Preventing or reducing a serious threat to anyone's health or safety
Health oversight
We may disclose PHI to agencies that oversee health care, such as licensing boards, for audits, inspections and investigations.
Legal proceedings and law enforcement
We may disclose PHI in response to a court or administrative order, or a subpoena where the law's conditions are met, and to law enforcement in limited situations permitted by law.
Other permitted uses
- To coroners, medical examiners and funeral directors
- For workers' compensation claims
- For special government functions, such as military and national security activities
- To a family member or other person involved in your care or payment, if you agree or do not object, or in an emergency if we believe it is in your best interest
Uses that need your written authorization
We will ask for your written permission before we:
- Use or disclose your PHI for marketing
- Sell your PHI. We do not sell PHI
- Share psychotherapy notes, if we ever had any
- Use or disclose PHI for any purpose not described in this notice
You may revoke an authorization in writing at any time. This stops future uses, but not actions already taken.
Stronger state protections
Some state laws protect medical information more strictly than HIPAA. In California, the Confidentiality of Medical Information Act (CMIA) applies. Where state law gives you more protection, we follow it.
Your rights
You have the following rights regarding your PHI. To use any of them, contact us using the details at the end of this notice. We may ask for your request in writing.
See and get a copy of your record
You can ask to see or get an electronic or paper copy of your medical record. We will provide it, or a summary, within the time the law allows. We may charge a reasonable, cost-based fee. In limited cases we may deny a request, and you may ask for a review.
Ask us to correct your record
You can ask us to amend PHI you believe is wrong or incomplete. We may say no, but we will tell you why in writing within 60 days, and you may file a statement of disagreement.
Get a list of disclosures
You can ask for an accounting of the times we shared your PHI in the six years before your request, who we shared it with and why. This list does not include disclosures for treatment, payment, health care operations, or those you asked us to make. One accounting each year is free.
Ask us to limit what we use or share
You can ask us not to use or share certain PHI for treatment, payment or operations. We are not required to agree if it would affect your care. If you pay for a service out of pocket in full, you can ask us not to share that information with a health insurer, and we will agree unless a law requires us to share it.
Request confidential communications
You can ask us to contact you in a specific way, for example by mobile phone only, or to send mail to a different address. We will agree to all reasonable requests.
Get a paper copy of this notice
You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically.
Be notified of a breach
You have the right to be told if a breach of your unsecured PHI occurs.
Choose someone to act for you
If you have given someone medical power of attorney, or someone is your legal guardian, that person can use your rights and make choices about your PHI. We will confirm their authority first.
How long records are kept
We keep medical records for as long as the law requires. In California, adult patient records are kept for at least 7 years.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact details below.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at https://www.hhs.gov/ocr/complaints.
We will not retaliate against you for filing a complaint.
Changes to this notice
We may change the terms of this notice, and the changes will apply to all PHI we hold about you. The new notice will be posted on mobileivtherapist.com and available on request.
Effective date
This notice is effective November 11, 2026.
Contact
For questions, requests or complaints about this notice or your health information, contact the practice's privacy contact at the email address on our Contact page or the phone number on our Contact page.