At Mole Check App, we collect personally identifiable information (“PII”) and non-personally identifiable (“Non-PII”) information from you. Personally identifiable information is information that can be used to identify you personally. Non-personally identifiable information is information that must be combined with other information to identify you personally.
Personally Identifiable Information Collected
You will not be required to provide us any information when you visit our Site or Platform. However, in order to fully use our Site, Platform, or Service, we may collect PII such as your username, postal address, email information, health information, date of birth, credit/debit card information, or cell phone. If we allow you to login through a third party social network, we may collect any information you make available to us via that third party social network login.
Additional PII Collected From Health Counselors
If you wish to use Mole Check App as a Health Counselor we may collect additional personal information including: licensing information, credentials and educational history, insurance information, company information, and other professional information.
Whenever you use our website, we may collect non-identifying information from you, such as your IP address, zip code, gender, browsing history, search history, and registration history, interactions with the website, location, referring URL, browser, operating system, data usage, data transferred, and Internet Service Provider. As we value your privacy, only anonymized interactions will be collected through the Platform or Site. We may also collect information including but not limited to postings you make on the public areas of our website, messages you send to us, and correspondence we receive from other members or third parties about your activities or postings.
By using our Service you agree that we may send you push notifications through your cellphone or mobile device. Please be aware that you may be able to change your notification settings through the Platform’s settings panel. Standard data and text message rates may apply to any notifications. Please review your data and messaging plan to understand any additional charges and fees that you may be responsible for. By using the our Service you agree to let us collect information about your usage of the application. For example, we may collect information about how you use and interact with our Service.
Some of your information will be visible to other users of the Platform to facilitate communication between users. We will never sell your information without your permission; however you agree that we may use your information in the following ways:
Under a federal law called the Health Insurance Portability and Accountability Act (“HIPAA”), some of the demographic, health and/or health-related information that we collect as part of providing the Services or Platform may be considered “protected health information” or “PHI”. HIPAA provides specific protections for the privacy and security of PHI and restricts how PHI is used and disclosed. We use security features to ensure that your PHI is properly protected.
You will be able to access any information contained in your account through our Site. You may edit that information by removing or changing the information listed in your account. If you have any questions or wish to review, change, or access any of your information collected by us, please contact us at email@example.com. Additionally, if you wish to opt out of our data collection practices or would like us to remove any of your information, please contact us at firstname.lastname@example.org. After you have cancelled your account please be aware that we may keep inaccessible copies of your information subject to our data retention policies.
To preserve the integrity of our databases, standard procedure calls for us to retain information submitted by usersfor an indefinite length of time. If required by law, as is the case to comply with the Children's Online Privacy Protection Act (COPPA), we will erase data as necessary. Additionally, if you wish for any data to be removed please contact us at email@example.com.
Although you are entering into an Agreement with Mole Check App to disclose your information to us, we do use third party individuals and organizations to assist us, including contractors, web hosts, and others to allow you to access the Site and Service.
If you decide to provide us with your contact information, you agree that we may send you communications via text and emails. However, you may unsubscribe from certain communications by notifying Mole Check App that you no longer wish to receive these communications, we will endeavour to promoptly remove you from our once we have received that request. We currently do not offer functionality for you to opt out through “do not track” listings. If you wish to opt out of certain communications or information collection, please contact us at firstname.lastname@example.org.
Mole Check App may post links to third party websites on our Site or Service, which may include information that we have no control over. When accessing a third party site through our Site or Service, you acknowledge that you are aware that these third party websites are not screened for privacy or security issues by us, and you release us from any liability for the conduct of these third party websites.
We make reasonable attempts to protect your information by using physical and electronic safeguards. For this reason we use SSL certificates to enhance our Site security and encryption to enhance our application security. However, as this is the Internet, we can make no guarantees as to the security or privacy of your information. For this reason, we recommend that you use anti-virus software, routine credit checks, firewalls, and other precautions to protect yourself from security and privacy threats.
We intend to fully comply with American and international laws respecting children’s privacy including COPPA. Therefore, we do not collect or process any information for any persons under the age of 18. If you are under 18 and using our Site or Service, please stop immediately and do not submit any information to us. In the event that we have inadvertently collected any information from users under the age of 18 please contact us immediately.
In the event that Mole Check App is involved in a bankruptcy, merger, acquisition, reorganization or sale of assets, your information may be sold or transferred as part of that transaction. Please be aware that once the information is transferred your privacy rights may change.
To comply with Private Healthcare Information (PHI), you hereby authorize the office to call you at the number above and leave a message on an answering device or with another person who answers the phone to assist the office in carrying out appointment reminders, lab results, follow ups, medical information, treatment, payments, insurance items and operations.
AUTHORIZATION TO RELEASE INFORMATION: I hereby authorize Dermcheck Dermatology, the clinic who is handling my care, including the physician providing the medical services and the doctor's office and their billers and staff, to release to my insurance company any information required to receive payments in the course of my examination and treatment which could include HIV, communicable disease or drug abuse.
AUTHORIZATION TO PAY: I hereby authorize payment directly to the clinic who is handling my care, including the physician providing the medical services and the doctor's office, for the surgical and/or medical benefits, if any, otherwise payable to me for services. I understand that I am financially responsible for charges not covered by insurance company.MEDICARE RECIPIENTS ONLY
For billing Medicare, I request that payment of authorized MEDICARE benefits be made either to me or on my behalf to the practice for any services furnished to me by the providers. I authorize any holder of my medical information to release to the Center for Medicare and its agents any information needed to determine theses benefits or the benefits payable for related services.
Patient authorizes the doctor to deposit checks received on Patient's account when made out to the patient. I authorize the doctor to initiate a complaint to the Insurance Commissioner for any reason on my behalf. A photocopy of this Assignment shall be considered as effective and valid as original.
We keep a record of the health services we provide you. You may ask to see and copy that records. You may ask to correct that record. You may see your record or get more information about it by contacting this office and asking for Privacy Officer.
I understand that, under the Health Insurance portability & Accountability Act of 1996 ("HIPAA"), I have certain rights to privacy regarding my protected health information. I understand that this information can and will be used to:
I acknowledge that I have received your Notice of Privacy Practices containing a more complete description of the uses and disclosures of my health information. I understand that this organization has the right to change its Notice of Privacy Practices from time to time and that I may contact this organization at any time at the address above to obtain a current copy of the Notice of Privacy Practices. I understand that I may request in writing that you restrict how my private information is used or disclosed to carry out treatment, payment or health care operations. I also understand you are not required to agree to my requested restrictions, but if you do agree then you are bound to abide by such restrictions. I acknowledge the receipt of the Notice of Privacy Practices.
I AGREE to permit the physician and the doctor's clinic the is treating you today to request and obtain or forward previous medical records if deemed necessary to provide me with proper care and treatments
I AGREE to be financially responsible for any cosmetic and non-covered services.
We will not disclose your record to others unless you direct us to do so. If you want us to disclose your records, please contact the doctors office who provided you medical services.
These consents will remain in effect until revoked by me in writing.