Information That We Collect
We may ask you for, or you may voluntarily submit, personally identifiable information when you are using our services. We may also obtain identifiable information from third parties in order to improve our service and for the use of business and health care operations. This information may be collected directly, from third and first parties, or passively with technologies such as Uniform Resource Locators (URLs), cookies as well as other third-party technologies. The personally identifiable information and health information could include, but is not limited to:
- Your Name
- Your Contact Information (including, without limitation, address, phone number, and email address);
- Birth Date
- Selected Provider
- Requested health Services
- Consultation Types
- Your IP Address
- Billing information – such as your credit card or check information, your health plan information, your healthcare benefits, and your employer information.
- Browser and Device Information – we collect information on how you use our website as well as the type of browser used, connection type, connection speed, and device type.
- Location Information – We may use cell towers, IP address, GPS, or similar technology to collect your real location so that we can match a licensed provider that is authorized to provide services in your state that you are physically located.
- Health Information that you provide to us and health information obtained or prepared by TIESENGA SURGICAL ASSOCIATES and other healthcare professionals. This information may include your medical, surgical and health history, lab results and testing, diagnostic and x-ray images, examination notes, therapy records, health status, current and prior medications and any other health related information.
- Any other information that you input on our website or mobile applications.
How we protect patient privacy:
The security of your personally identifiable information is very important to us. When we collect your personally identifiable information online, we use reasonable efforts to protect it from unauthorized access. We strive to keep confidentiality with your personal and health information with safeguards such as encryption, authentications, physical and other technical means to secure your data and continually seek methods that help protect your personal and health information. However, due to the inherent open nature of the Internet, we cannot guarantee that your personally identifiable information will be completely free from unauthorized access by third parties such as hackers and your use of our Service demonstrates your assumption of this risk. We have put in place reasonable physical, electronic, and managerial procedures to safeguard the information we collect. Only those employees who need access to your information in order to perform their duties are authorized to have access to your personally identifiable information. For more information on protecting your privacy, please visit www.ftc.gov/privacy.
How we may disclose your information
TIESENGA SURGICAL ASSOCIATES, S.C. may disclose your personal and health information for normal business activities that fall in the following categories: Treatment, Payment, and Operations.
Treatment – Your health information that you provide is kept on record for a set period of time as required by law. This may include but not limited to medications, reactions to medications or therapies, diagnosis, lab or test results and any additional information that we may learn about your medical condition through our online services. This information may be disclosed to medical professionals such as physicians, nurses, and other related entities such as laboratories in order to provide necessary health care services.
Payment – Services and supplies that you receive when TIESENGA SURGICAL ASSOCIATES, S.C. is providing care are documented. This information may be shared with you, your insurance provider, and any other third party that will render payment to us. We may also notify your health care plan about any new and upcoming treatments and/or services that require prior approval by your health care plan.
Operations – Your personal and health information may be used to carry out the following operations but not limited to:
To improve the quality of the services that we provide, for business management, conduct research, and for training purposes.
To comply with local state and federal laws that require disclosure.
Carry out Public Health activities such as tracking diseases and or medical devices.
Comply with federal and state health activities
Respond to subpoena law enforcement or judicial orders and any other related processes.
Assist government functions such as intelligence protective services and national security.
Inform Correctional Institutions if you’re an inmate.
Inform veteran and Military authorities if you are an active or reserve member
Recommend alternative treatments
Inform you about health-related services and products
Communicate with other companies or organizations for payment Healthcare operations as well as treatment
Communicate with other and other providers related entities
Provide your data to third-party companies who we do business with such as our technology providers.
For research purposes to help improve our health care applications.
Healthcare professional responsibilities – Health Care responsibilities include the following:
Tell you if there has been a breach that compromises your health or personal information.
Provide this privacy notice of our duties and our practices regarding privacy.
Maintain the privacy of your health information
Your Federal Rights:
You are entitled by law to the following:
Request that we communicate with you at a specific address or telephone number
Request to restrict on how your health information is disclosed to others. We may or may not be required to comply with your request
Inspect or copy certain parts of your health information. We may or may not be required to comply with your request.
Request amendments to your health information that is incomplete or inaccurate.
Request an accounting of certain disclosures of your health information for the last six years.
(Fees may apply for this type of request)
Analytics and Conversion Tracking:
We may collect information about your computer, including your IP address, operating system and browser type, for system administration and in order to create reports. This is statistical data about our users’ browsing actions and patterns and does not identify any individual.
Like many services, the Analytics Service uses first-party cookies to track visitor interactions as in our case, where they are used to collect information about how visitors use our site. We then use the information to compile reports and to help us improve our site.
Cookies contain information that is transferred to your computer’s hard drive. These cookies are used to store information, such as the time that the current visit occurred, whether the visitor has been to the site before and what site referred the visitor to the web page.
The Analytics Service collects information anonymously. They report website trends without identifying individual visitors. You can opt out of the Analytics Service without affecting how you visit our site. For more information on opting out of being tracked by Google Analytics across all websites you use, visit https://tools.google.com/dlpage/gaoptout.
We may also use Google conversion tracking and/or similar services to help us understand your and other users’ use of the Service.
We may use de-identified information collected for any purpose without restriction.
Age Restriction – Children under the age of 18
Children under that age of 18 are not allowed to create account nor do we knowingly allow individuals under the age of 18 to access our sites.
Automatically Collected Information:
When you access the Service or open one of our HTML emails, we may automatically record certain information from your system by using cookies and other types of tracking technologies. This “automatically collected” information may include Internet Protocol address (“IP Address”), a unique user ID, device type, device identifiers, browser types and language, referring and exit pages, platform type, version of software installed, system type, the content and pages that you access on the Service, the number of clicks, the amount of time spent on pages, the dates and times that you visit the Service, and other similar information. Depending on the law of your country of residence, your IP address may legally be considered personally identifiable information.
Your Disclosures In Blogs And Other Social Media:
You should be aware that personally identifiable information which you voluntarily include and transmit online on the Service or in a publicly accessible blog, chat room, social media platform or otherwise online, or that you share in an open forum such as an in-person panel or survey, may be viewed and used by others without any restrictions. We are unable to control such uses of your personally identifiable information, and by using the Service or any other online services you assume the risk that the personally identifiable information provided by you may be viewed and used by third parties for any number of purposes.
As a convenience to you, we may provide links to third-party Services from within our Service. We are not responsible for the privacy practices or content of these third-party sites. When you link away from our Service, you do so at your own risk.
How to submit a complaint:
To file a complaint directly with TIESENGA SURGICAL ASSOCIATES, S.C. or to receive more information about this privacy, please contact us:
Phone Number: (312) 598-1800
Address: 1950 N Harlem Ave. Elmwood Park, IL 60707
If you believe that your health information privacy rights have been violated, you may submit a compliant to the Secretary of Human and Health Services.
A compliant can be filed online at: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf ,
By phone: toll-free at: 1-800-368-1019, TDD: 1-800-537-7697
By mail at:
Secretary of Health and Human Services
200 Independence Avenue SW.
Washington, D.C., 20201
For questions or concerns relating to privacy, we can be contacted at email@example.com