At Matrix Medical Network, we take the security of our website and your data extremely seriously. Matrix Medical Network does not capture and store any personal information about individuals who access our website(s), except where you voluntarily choose to give us your personal details. In cases related to delivery of services and consent to communicating utilizing alternative methods, the information you give us is used by Matrix Medical Network and approved vendors to provide information on provision of care. Matrix Medical Network does not store cookies on your computer that last any longer than your browsing session, and these are only used to provide essential functionality to the site.
The Matrix Medical Network site(s) only monitors the IP addresses of visitors to the site to assess the popularity of pages, IP addresses are not linked to any personal information, and visitors will remain anonymous.
If you have voluntarily given us information, you have the right to know about the personal information we hold about you, and you have a right to have your data corrected or deleted. Please address all your requests and/or queries about our data protection policy to firstname.lastname@example.org.
Individual Health Plan Member Privacy Rights
You have the right to a copy of all the personal information we have collected as part of your relationship with Matrix Medical Network. You also have the right to have your data corrected or deleted.
The following is a brief description of the various individual rights you have as a member of Matrix Medical Network and the appropriate form to invoke one of these rights.
Consent the Release of Protected Health Information
This form grants Matrix permission to share your information to trusted individual(s) who you choose. Download the form here.
Pediatric Consent Form
This form grants consent to the care and associated physical assessment of a minor conducted during a Matrix in-home visit and is to be completed by the minor’s parent or guardian. The form can also be used to allow an alternate family member or caretaker to be present during the visit, if the minor’s parent or legal guardian will not be present. Download the form in English here. Download the form in Spanish here.
Revocation of Consent for Release of Protected Health Information
This form terminates previously granted permission for Matrix to release or disclose your protected health information to other individuals named on the form. Download the form here.
Request for Accounting of Disclosures
You may request a list of disclosures Matrix of your protected health informational. Disclosures made for payment, treatment and healthcare operations are excluded from this process.
Request Amendment to your Protected Health Information.
You may request a correction to Matrix-created protected health information that you feel is inaccurate or incomplete.
Request for Restriction of your Protected Health Information
You may limit or restrict disclosures of your protected health information to others such as a family member, friend, spouse, doctor, or any other party.
Request Termination of Restriction
You may request the withdraw of a previously requested restriction of your protected health information.
You can consent that Matrix communicate with you about your protected health information or other matters utilizing SMS (text messaging).
Your participation is completely voluntary and by consenting to this method of communication, you agree to receive recurring SMS/text messages from and on behalf of Matrix through your wireless provider to the mobile number you provided. The wireless carriers transmitting SMS messages are not liable for delayed or undelivered messages. You agree to provide us with a valid mobile number, and if you get a new mobile number, you will need to sign up for the program with your new number.
You may opt out of this method of communication at any time. Text the single keyword command STOP and no further messages will be sent to your mobile device, unless initiated by you. Message and data rates may apply. You are solely responsible for all charges related to SMS/text messages, including charges from your wireless provider.
HIPAA Privacy Complaint
You may issue a concern if you believe your privacy rights may have been violated.
If you have any questions about these policies or would like to learn more about how to obtain additional copies of your records, you may call 1-877-561-7335 or email email@example.com.