Notice of Privacy Practices
Effective Date: September 1st, 2025
Herald Health Nursing Solutions DBA Mercure
Phone: (415) 969-3070
Email: care@mercure.life
This HIPAA Privacy Notice describes how your medical information may be used and disclosed, and how you can get access to this information as required by the Health Insurance Portability and Accountability Act (HIPAA) and its implementing regulations. Please review it carefully.
How We May Use and Disclose Your Health Information
We may use and share your health information for the following purposes without additional written authorization:
Treatment: To provide, coordinate, or manage your care. Example: sharing information with labs for test results or with a pharmacy to send prescriptions.
Payment: Although Mercure does not bill insurance directly, we may use your insurance information when ordering labs, sending prescriptions, or coordinating with pharmacies.
Healthcare Operations: For activities necessary to run our practice, such as quality assessment, staff training, or auditing.
Business Associates: We may share information with companies that provide services for us (such as our electronic health record, communication tools, or lab partners). These companies are legally required to protect your information.
Other uses and disclosures will require your written authorization, unless permitted or required by law. Examples include certain public health activities, law enforcement requests, or responding to a court order.
Your Rights
You have the right to:
Access: Ask to see or get a copy of your health records.
Amend: Ask us to correct information you believe is inaccurate or incomplete.
Accounting: Receive a list of certain disclosures we have made of your information.
Restrictions: Request limits on how we use or disclose your information (though we are not required to agree to all requests).
Confidential Communications: Request that we contact you in a specific way (e.g., by text only, or not at your work email).
Paper Copy: Request a paper copy of this notice at any time.
Our Duties
We are required by law to maintain the privacy of your health information.
We must give you this Notice of Privacy Practices and follow its terms.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
Communications
We may contact you via phone, text, email, secure messaging, mail, or patient portal for scheduling, follow-up, or sharing health information, unless you request otherwise. Standard messaging and data rates may apply.
Complaints
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:
Mercure Privacy Officer
Herald Health Nursing Solutions DBA Mercure
Phone: (415) 969-3070
Email: care@mercure.life
U.S. Department of Health and Human Services
Office for Civil Rights (OCR)
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: (877) 696-6775
You will not be penalized for filing a complaint.
Changes to This Notice
We may change this notice at any time. The revised notice will apply to all information we maintain and will be available on our website or from our office.
Acknowledgment and Consent
☐ I acknowledge that I have received and reviewed a copy of Mercure’s Notice of Privacy Practices and agree to the terms of this HIPAA Privacy Policy.
Name: _______________________________ Date: _______________
Signature: ____________________________