Notice of Privacy Practices

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Your Information. Your Rights. Our Responsibilities.

This notice is provided by Weekend Health of Texas, PA, Weekend Health of New Jersey P.C., Weekend Health of Pennsylvania, P.C., Brantley T. Jolly, M.D., Prof. Corp. (“WW Clinic Entities”) in connection with the services provided through WeightWatchers Clinic. This notice describes how “health information” protected under the Health Insurance Portability and Accounting Act of 1996 (“HIPAA”) processed by the WW Clinic Entities about you may be used and disclosed and how you can get access to this information. Please review it carefully.

If you have any questions about this notice or want information about exercising any of your rights, you may contact hello@joinsequence.com.

What Health Information Is Protected

This notice applies to the health information created, received, or maintained by the WW Clinic Entities in connection with providing you health services that is information, including demographic data, that relates to physical or mental health or conditions, the provision of health care to you, or the payment for the provision of health care to you.

This notice does not apply to information collected from site visitors that is not PHI.

Your Rights & Choices

When it comes to the health information that we collect about you, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your information

• You can ask to get a copy of your information. Ask us how to do this.
• We will provide a copy or a summary of your information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your health information

• You can ask us to correct information about you that you think is incorrect or incomplete. Contact us as described above to make this request.
• We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail or electronic communications to a different address.
• We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

• You can ask us not to use or share certain information for treatment, payment, or our operations. While we will try to honor all reasonable requests, we may say “no,” particularly if it would impact our ability to provide our services to you.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

• You can ask for a list (accounting) of the times we’ve shared your information for six years prior to the date you ask, with whom we shared it, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy by mail.

Choose someone to act for you

• If you have given someone medical power of attorney if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we follow that person’s instruction.

File a complaint if you feel your privacy rights are violated

• You can complain if you feel we have violated your privacy rights by contacting us using the information above.
• You can also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
• We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

Tell us your choices about what we share

• You have the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
  • If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

• Unless you give us written permission:

  • We never share your information for marketing purposes.
  • We never sell your information to third parties.

Our Uses & Disclosures

How do we typically use or share your information? We typically use or share your information in the following ways.

Provide you with treatment

• We can use and share your information to provide you with treatment services.

  • Example: We may share your information with other professionals who are treating you or to coordinate additional treatment.
  • Example: We may share information in connection with different treatment offerings included within our services.

Run our organization

• We can use and share your information to run our organization, improve our service, and contact you when necessary.

  • Example: We use information about you to manage your treatment and services, and to monitor and improve the quality and effectiveness of our programs
  • Example: We may allow our customer service provider to view your information in order to assist you.
  • Example: We may use your information to further our understanding of weight management.

Bill for your services

• If applicable, we can use and share your information to bill and receive payment from employers, health plans or other entities paying for your participation in full or in part.

  • Example: We may give information to your employer or group health plan so it will pay for all or part of our services.
  • Example: We may also disclose your information to additional vendors who provide services to your health plan to help you receive additional benefits.

Reminders and related benefits and services

• We may use and disclose your information to contact you with important information.

  • Example: We may contact you to let you know about a treatment update.
  • Example: We may contact you about other WW services or products that are integrated within our treatment services.

Certain aspects of our services and offerings may be provided through other organizations. We’ll require them to protect the privacy and security of your information.

How else can we use or share your information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: https://www.hhs.gov/hipaa/for-individuals/index.html

Help with public health and safety issues

• We can share information about you for certain situations such as:

  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to anyone’s health or safety

Conduct Research

• We can use or share your information for certain health research if we follow certain requirements.

Comply with the law

• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Address workers’ compensation, law enforcement, and other government requests

• We can use or share information about you:

  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law

Respond to lawsuits and legal actions

• We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

• We are required by law and/or our own policies to maintain the privacy and security of your health information.
• As required by law, we will let you know if a breach occurs that may have compromised the privacy or security of certain protected information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind using the contact information above under the section titled “Your Information. Your Rights. Our Responsibilities.”

For more information see: https://www.hhs.gov/hipaa/for-individuals/index.html

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all health information we have about you. If we make a material change to this notice, the new notice will be distributed to you.

Last Updated on May 3, 2024

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