Legal
Privacy Practice Notice
Revive You PLLC — Arlington Heights, Illinois
Effective: October 2026
Our Commitment to Your Privacy
Revive You PLLC ("we," "us," or "our") is committed to protecting the privacy and security of your personal and health information. This Privacy Practice Notice describes how we collect, use, disclose, and safeguard information obtained through our medical practice, website, and related communications.
This Notice applies to all patients, website visitors, and individuals who contact us by phone, text, email, or through our online forms. By using our services or website, you acknowledge the practices described in this Notice.
1. Information We Collect
Patient & Health Information
When you become a patient or request medical services, we collect protected health information (PHI) as defined under HIPAA, including your name, date of birth, address, phone number, email address, insurance information, medical history, diagnoses, treatment records, prescriptions, and other health-related data necessary to provide care.
Website Contact Forms & Appointment Requests
When you submit a contact form or appointment request through our website, we collect the information you provide, which may include your name, email address, phone number, and the nature of your inquiry. This information is used solely to respond to your request and coordinate your care.
Cookies & Website Analytics
Our website may use cookies and similar tracking technologies to improve your browsing experience and understand how visitors interact with our site. We may use analytics tools (such as Google Analytics) that collect anonymized data about page visits, session duration, and traffic sources. You may disable cookies through your browser settings; however, some features of the site may not function properly as a result.
Communications
When you contact us by phone, text message, or email, we may retain records of those communications to provide continuity of care and respond to your inquiries. By providing your phone number or email address, you consent to receive communications from us related to your care, appointments, and account.
2. How We Use Your Information
- Treatment: To provide, coordinate, and manage your medical care and related services.
- Payment: To bill for services rendered, process insurance claims, and collect payment.
- Health Care Operations: For quality improvement, staff training, compliance, and administrative functions.
- Appointment Reminders: To send reminders about upcoming appointments via phone, text, or email.
- Communications: To respond to your inquiries submitted through our website or by phone/email.
- Legal Compliance: To comply with applicable federal and Illinois state laws and regulations.
- Website Improvement: To analyze website usage and improve the functionality and content of our site.
3. How We Share Your Information
We do not sell your personal or health information. We may share your information in the following circumstances:
- With other healthcare providers involved in your treatment, as permitted or required for continuity of care.
- With health insurance companies and payers for billing and payment purposes.
- With business associates (such as our electronic health records platform, Jane App) who assist us in operating our practice, under written agreements requiring them to protect your information.
- As required by law, including court orders, subpoenas, or requests from public health authorities.
- In emergency situations to prevent serious harm to you or others.
- With your written authorization for any other purpose not described in this Notice.
4. HIPAA & Illinois Privacy Law
As a healthcare provider, Revive You PLLC is subject to the Health Insurance Portability and Accountability Act (HIPAA) and its implementing regulations. We maintain appropriate administrative, physical, and technical safeguards to protect the privacy and security of your protected health information (PHI).
We also comply with applicable Illinois privacy laws, including the Illinois Personal Information Protection Act (PIPA) and the Illinois Mental Health and Developmental Disabilities Confidentiality Act where applicable. Illinois residents have additional rights regarding their personal information as described below.
5. Your Rights as a Patient
You have the following rights regarding your health information:
- Right to Access: You may request a copy of your medical records and health information.
- Right to Amend: You may request corrections to inaccurate or incomplete information in your records.
- Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI.
- Right to Request Restrictions: You may request that we limit how we use or disclose your PHI, though we are not always required to agree.
- Right to Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
- Right to a Paper Copy: You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
- Right to Opt Out of Marketing: We will not use your information for marketing purposes without your written authorization.
6. Third-Party Services
We use third-party platforms to operate our practice and website, including Jane App for appointment scheduling and electronic health records, and website analytics tools. These providers are contractually obligated to protect your information and may only use it as directed by us.
Our website may contain links to third-party websites. We are not responsible for the privacy practices of those sites and encourage you to review their privacy policies before providing any personal information.
7. Telehealth Services
If you receive telehealth services through our practice, your health information transmitted during those sessions is subject to the same HIPAA protections as in-person visits. We use secure, HIPAA-compliant platforms for telehealth communications. You should ensure you are in a private location during telehealth visits to protect your own privacy.
8. Data Security
We implement reasonable administrative, technical, and physical safeguards to protect your personal and health information from unauthorized access, use, or disclosure. However, no method of electronic transmission or storage is 100% secure. If you have reason to believe your information has been compromised, please contact us immediately.
9. Required Disclosures
We are required by law to maintain the privacy of your health information, provide you with this Notice of our legal duties and privacy practices, and notify you following a breach of unsecured protected health information. We are required to abide by the terms of this Notice currently in effect.
10. Changes to This Notice
We reserve the right to change this Privacy Practice Notice at any time. Changes will apply to health information we already hold as well as information we receive in the future. We will post the updated Notice on our website and make it available in our office. The effective date at the top of this Notice indicates when it was last revised.
11. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us directly or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
To file a complaint with HHS: visit www.hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019.
12. Contact Us
For questions about this Privacy Practice Notice, to exercise your rights, or to file a complaint, please contact us:
Revive You PLLC
4256 N Arlington Heights Rd, Suite 204
Arlington Heights, IL 60004
Phone: 847-250-0214
Email: [email protected]