Notice of Privacy Practices
This notice describes how health information about you may be used and disclosed, and how you can access this information.
About Our Services
Iskander Nursing Inc., doing business as RNscrub Foot Care, provides routine, preventative foot and nail care delivered by licensed Registered Nurses in private homes, senior communities, and care facilities.
Our services are non-diagnostic and non-invasive. We do not diagnose or treat medical conditions and we do not prescribe medication. When we identify a finding that requires medical evaluation or treatment, we refer you to a podiatrist or physician.
Our Commitment to Your Privacy
We are committed to protecting the privacy of your health information. This notice describes our privacy practices, our duties regarding the information we hold about you, and your rights concerning that information. We follow the terms of the notice currently in effect.
RNscrub Foot Care is a private-pay nursing practice. We maintain records of the care we provide in order to deliver quality nursing foot care, support continuity of care, and meet professional documentation standards. We apply the safeguards described in this notice to all patient information we hold, consistent with applicable federal and California privacy requirements, including the California Confidentiality of Medical Information Act, and with the confidentiality obligations of our nursing licensure.
Information We Collect
To provide safe foot care we collect only what is relevant to your care, which typically includes:
- Your name, date of birth, address, and contact information
- Relevant medical history such as diabetes, circulatory conditions, neuropathy, and anticoagulant use
- Medications relevant to foot care and safety
- Your physician or podiatrist, and any referring provider
- Assessment findings, care provided, and education given at each visit
- An emergency contact and any authorized representative
We do not collect Social Security numbers, and we do not store full payment card numbers.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose your health information. We apply the minimum necessary standard, meaning we use or share only the minimum amount of information needed to accomplish the purpose.
Providing Your Care
We use your health information to provide nursing foot care and to coordinate your care with other providers. For example, when referring you to a podiatrist, or communicating with your primary care physician about a concern identified during a visit.
Payment
We may use and disclose your information to obtain payment for services. As a private-pay practice we do not bill health insurance or Medicare, so this is generally limited to invoicing you or an authorized representative and processing card payments through a third-party payment processor.
Practice Operations
We may use your information for internal operations including scheduling, quality improvement, and business management, so that we can maintain and improve the care we provide.
Care Facilities and Authorized Representatives
When we provide care in an assisted living community, nursing home, hospice, or similar setting, we may share relevant information with the facility's clinical staff or your hospice team to coordinate your care. We may also share information with a family member or representative you have authorized to be involved in your care.
As Required by Law
We will disclose your health information when required by federal, state, or local law, including disclosures to public health authorities, to law enforcement in limited circumstances, or in response to a court order or subpoena. As licensed nurses we are mandated reporters and are required by California law to report suspected abuse or neglect of an elder or dependent adult.
Health Oversight and Licensure
We may disclose your information to health oversight and licensing agencies for activities authorized by law, including audits, inspections, licensure review, and investigations.
To Avert a Serious Threat to Health or Safety
We may use or disclose your health information when necessary to prevent or lessen a serious and imminent threat to the health or safety of you, another person, or the public.
With Your Written Authorization
Any other use or disclosure requires your written authorization. This includes any use of your information for marketing, and any use of photographs or identifying details in our materials or online. We do not sell your information. You may revoke an authorization at any time in writing, and we will stop using your information for that purpose going forward.
Your Rights Regarding Your Health Information
You have the following rights with respect to your health information. To exercise any of these rights, contact our Privacy Officer using the information below.
Right to Access Your Records
You have the right to inspect and obtain a copy of the health information we maintain about you. We will provide access within 30 days of your request. A reasonable, cost-based fee may apply for copies.
Right to Request an Amendment
If you believe information we have about you is incorrect or incomplete, you may request that we amend it. We may deny your request in certain circumstances, and if we do, we will explain why in writing.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your health information, covering disclosures made in the six years prior to your request, excluding those made for your care, payment, and practice operations.
Right to Request Restrictions
You may request that we limit how we use or disclose your information, including restricting what we share with a family member or a care facility. We are not required to agree to every restriction, and we will tell you if we cannot.
Right to Confidential Communications
You may request that we communicate with you in a specific way or at a specific location. For example, you may ask that we contact you only by phone, or only at a certain address. We will accommodate reasonable requests.
Right to Be Notified of a Breach
You have the right to be notified if a breach occurs that may have compromised the privacy or security of your information.
Right to a Paper Copy of This Notice
You have the right to receive a paper copy of this notice at any time, even if you have agreed to receive it electronically. Contact us to request one.
How We Protect Your Information
We maintain administrative, physical, and technical safeguards to protect your information. Patient records are kept on access-controlled, encrypted systems, and any paper records carried during visits are secured in transit and stored securely. Access is limited to personnel who need it to provide or support your care.
For calls and text messages we use a communications platform that supports healthcare privacy requirements and with which we have executed a Business Associate Agreement. Any third-party service that handles your information on our behalf is required to protect it under a comparable written agreement.
If you choose to contact us through unencrypted channels such as standard email or SMS, please be aware that those channels may carry privacy risks. We recommend calling us directly when sharing health information.
Our Duties
We are committed to maintaining the privacy of your health information and to providing you with this notice of our privacy practices. We will abide by the terms of the notice currently in effect.
We reserve the right to change our privacy practices and to make the new terms effective for all information we maintain. If we make a material change, we will update this notice and post the revised version on our website with a new effective date. Changes will apply to information we already hold about you as well as information we receive in the future.
In the event of a breach of unsecured health information, we will notify you without unreasonable delay and no later than 60 days after discovering the breach, describing what happened, the types of information involved, steps you can take to protect yourself, and what we are doing in response.
How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. Complaints should be submitted in writing and should describe what occurred and when. You will not be penalized, refused service, or retaliated against in any way for filing a complaint.
File With Our Practice
Contact our Privacy Officer:
Privacy Officer
Iskander Nursing Inc.
dba RNscrub Foot Care
File With HHS
U.S. Department of Health & Human Services
Office for Civil Rights
Toll-free: 1-800-368-1019
TDD: 1-800-537-7697
Contact Us
For questions about this notice, to exercise any of your rights, or to request a paper copy, contact our Privacy Officer: