Gentle Journey Midwifery

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Keywords: . midwife; . home birth; homebirth; water birth; waterbirth; VBAC; HBAC; midwifery; midwives; midwifes; midwife in gainesville; midwife in ocala; midwife in jacksonville; midwife in amelia island; midwife in fernandina; midwife in yulee; midwife in middleburg; midwife in north florida; midwife in n fl; midwife in ne fl; midwife in ne florida; midwife in north east florida; midwife in north central florida

Call or text:   (352) 372-4784 Serving Gainesville and surrounding areas.

Notice of Privacy Policies
Effective January 01, 2018



Birth & Wellness Center of Gainesville, LLC is committed to protecting the confidentiality of information, maintaining its integrity and preserving all clients’ rights to privacy. This notice describes how health information about you may be used and disclosed and how you can access this information. Please review it carefully. If you have questions about this notice, please contact the Privacy Officer, Gina Morgan, at 352.372.4784.

Each time you visit a healthcare provider, a record of your visits is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, a plan for future care and billing-related information. This notice applies to all of the records of care generated by the Birth & Wellness Center of Gainesville.

OUR RESPONSIBILITIES: We are required by law to maintain the privacy of your health information and provide you with a description of our privacy practices. We will abide by the terms of this notice.

USES & DISCLOSURES: The following categories describe examples of the way we use and disclose health information.

For Treatment: We may use health information about you to provide your treatment or services. We may disclose health information about you to midwives, doctors, student midwives, or other personnel who are involved in your care. For example, a doctor treating you for an infection may need to know how many weeks pregnant you are in order to prescribe appropriate medicine. We may also provide your baby’s pediatrician with health information to assist him or her in taking care of your newborn baby.

For Payment: We may use and disclose health information about services you have received to bill and collect payment from you, your insurance company or third party payer. For example, we may need to give your insurance company information about the number of prenatal visits you have made. We may also tell your health plan about treatment you are going to receive (such as ultrasounds, massage, or acupuncture) to determine whether your plan will cover it.

For Health Care Operations: Members of the midwifery staff or quality improvement team may use information in your health record to assess the care and outcome in your case and others like it. The results will be used to provide for continued improvement in the quality of care for all our clients. For example, we may combine health information about many clients to evaluate the need for new services. We may disclose information to midwives, doctors, and student midwives for educational purposes. We may combine the health information we have with other birth centers to see where we can make improvements. We may remove information that identifies you from this set of health information to protect your privacy.

We may also use and disclose health information:

To business associates we have contracted with to perform a service and bill for it

To remind you that you have an appointment

To assess your satisfaction with our services

To post a birth announcement in our office & on our website

To invite you to group activities or parties

To tell you about new services

To contact you as part of fund-raising efforts

To keep you informed of developments relating to midwifery and out of hospital birth

For conducting training programs or reviewing competence of health care professionals

When disclosing information, appointment reminders and billing/collection efforts, we may leave messages on your answering machine or voice mail

Photography: Pictures of Birth Center clientele are often used for birth announcements, web site postings, advertisements, and brochures. If a photograph is taken of you, you will be asked permission to publish it before it is used publicly.

Business Associates: When some services are contracted, we may disclose your health information to a hired

business associate so that they can perform the job we’ve asked them to do and bill you, your insurance company, or a third-party payer for services rendered. For example, when you are sent for laboratory testing, your health information is given to the laboratory. To protect your health information, however, we require the business associate to safeguard your information appropriately.

Research: We may disclose information to researchers when an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information has approved their research and granted a waiver of the authorization requirement.

Future Communication: We may communicate to you via newsletters, mail outs or other means regarding health related information, community based initiatives or activities, information regarding midwifery and out of hospital birth, parenting groups and other topics of interest to families in the area.

Law Enforcement/Legal Proceedings: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena. As required by law, we may also use and disclose health information to the following types of entities, including but not limited to:

Food and Drug Administration

Public health or Legal Authorities charged with preventing or controlling disease

Correctional institutions

Workers Compensation Agencies

Health Oversight Agencies

Military Command Authorities

National Security & Intelligence Agencies

YOUR HEALTH INFORMATION RIGHTS: Although your health record is the physical property of the healthcare provider or facility that compiled it, you have the right to:

Inspect & Copy: You have the right to inspect and obtain a copy of the health information that may be used to make decisions about your care. Usually this includes medical and billing records. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health information, you may request that the denial be reviewed. Another licensed healthcare professional chosen by the Birth Center will review your request and the denial. The person conducting the review will not be the person who denied your request. We ill comply with the outcome of the review.

Amend: If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the Birth Center of Gainesville. We may deny your request for an amendment and if this occurs, you will be notified of the reason for the denial.

An Accounting of Disclosures: You have the right to request an accounting of disclosures. This is a list of certain disclosures we make of your health information for purposes other than treatment, payment or healthcare operations where an authorization was not required.

Request Restrictions: You have the right to request a restriction or limitation on the health information we disclose or use about you for treatment, payment or healthcare operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your care. We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment.

Request Confidential Communications: You have the right to request that we communicate with you about healthcare matters in a certain way or certain location. For example, you can ask that we contact you at home instead of work. Your request must be made in writing and include a mailing address where you will receive bills for services and correspondence about payments. Please realize, we reserve the right to contact you by other means and at other locations if you fail to respond to any communication from us that requires a response. We will notify you in accordance with your original request prior to attempting to contact you by other means or at another location.

I have read and understand this agreement. I have been given a copy to keep and another copy has been put in my records.

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Client’s Signature Client’s Printed Name Date


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Witness Signature Witness Printed Name Date