Privacy policy
"Maintaining the protection of your personal or personal health information is important to Lavender Lane, its affiliated independent contractors, and partnership organizations and is required by law. Our organization is committed to collecting, using, and disclosing personal or personal health information responsibly and ONLY to the extent necessary for the services we provide.
Your consent must be freely given, you need to understand the purposes for which Lavender Lane will collect, use or disclose your personal or personal health information before you give your consent, and understand that you are able to withhold consent or may withdraw your consent as discussed below.
Purposes for the collection, use, and disclosure of your personal or personal health information by Lavender Lane: • To provide assessment, treatment or other services related to your injury or illness, and/or your claim for compensation or benefits. • To obtain payment for the assessment, treatment or other services we provide and determine any entitlement to insurance coverage or other benefits. • To identify treatment outcomes and the extent of services provided and share this information with Lavender Lane, payers (i.e. your insurance company), and referral sources (i.e. your doctor). • Lavender Lane may also collect, use or disclose your personal or personal health information where required by law to do so.
Withdrawing my Consent: I understand that I may withdraw my consent, in whole or in part, at any time upon providing reasonable written notice to my practitioner at the clinic. The practitioner is responsible for informing me of any potential consequences that may result from the withdrawal of my consent, prior to my making such a decision. For example, it may limit the ability of my practitioner to provide my assessment, treatment, or other services. If I withdraw my consent, I understand that this is not retroactive, and does not apply to personal or personal health information already collected, used, or disclosed by Lavender Lane.
Giving my Consent: I acknowledge that I have been made aware of the reasons why my personal and personal health information is needed, and I understand the risks and benefits of consenting or refusing to consent. My consent is indicated by my signature below, and is valid for twelve (12) months from this date or until I withdraw my consent in the manner set out above, whichever comes first."
You will then have the option to consent or not consent. If you have any questions. Please do not hesitate to reach out in the "contact me" section of this website.