Privacy Policy
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Your privacy is important to us. It is Renew Health’s policy to respect your privacy and comply with any applicable law and regulation regarding any personal information we may collect about you, including across our website, renewhealthmaine.com , and other sites we own and operate.
This policy is effective as of 01 February 2026.
HIPAA Notice of Privacy Practices
Renew Health, PLLC
15 Old Kelley Rd.
Orono, ME 04473
Ph: (207) 802-7732
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND
DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
EFFECTIVE DATE: February 01, 2026
Renew Health, PLLC (“Renew Health”, “we”, “our”, “us”) is required by law to maintain the privacy of
your protected health information, to provide you with this Notice of our legal duties and privacy
practices with respect to your protected health information, and to notify affected patients following a
breach of unsecured protected health information. Although we are required to follow the terms of the
Notice currently in effect, we reserve the right to change our privacy practices at any time and to make
the new Notice apply to all protected health information that we maintain. If our privacy practices
change, we will provide you with a revised Notice during your next visit. We also have a copy of this
Notice on our website: https://www.renewhealthmaine.com/
This Notice describes how we may use and disclose your protected health information to carry out
treatment, payment, or health care operations and for other purposes that are permitted or required by law.
It also describes your rights to access and control your protected health information. “Protected health
information” (“PHI”) is information about you, including demographic and genetic information, that
personally identifies you and relates to your past, present, or future physical or mental health or condition
and related health care services. PHI also includes any health information and records provided to Renew
Health by other healthcare providers and facilities who have provided care to you or are involved in your
care.
Authorized Uses and Disclosures of Your Protected Health Information
without Your Authorization
Renew Health may use and disclose your PHI for purposes of treatment, payment, and healthcare
operations, without your authorization. For example:
Treatment: We may use or disclose your PHI to other healthcare providers for treatment purposes and
to arrange for the provision, coordination, and management of healthcare services for you. For
example, Renew Health may disclose health information about you to another health care provider
involved in your care outside of Renew Health to arrange for a referral, treatment or care coordination
or management.
Payment: Unless you pay in full out of pocket for services provided to you and request in writing to
us that your health information not be disclosed to third-party payors for payment purposes, we may
use or disclose PHI about you to your insurance company or other third-party payors such as
Medicare or Medicaid (MaineCare). For example, we may disclose your PHI to an insurance
company as part of a referral to another healthcare provider. We may also disclose information to
third parties to help us bill for our fees.
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Healthcare Operations: We may use or disclose your PHI for healthcare operations purposes, such as
to evaluate the quality of the care and services provided to you or to conduct patient satisfaction
surveys.
Renew Health may also use and disclose your PHI without your authorization in the following additional
circumstances:
As Required or Allowed by Law: We may use and disclose your PHI when required or allowed by
state or federal law.
Business Associates: We may disclose your PHI to business associates performing services on behalf
of Renew Health who have agreed in writing to maintain the privacy of your PHI.
Personal Representatives: We may disclose your PHI to personal representatives, such as your legal
guardian, healthcare power of attorney agent, or healthcare surrogate, who are authorized by law to
make healthcare decisions on your behalf when you lack the capacity to make your own healthcare
decisions.
Persons Involved in Your Care: We may disclose your PHI to your designated primary care giver,
family members, relatives, or close personal friends involved in your care, involved in securing
payment for your care, or for notification purposes, unless you (or your authorized representative)
notify us that you object to and wish to prohibit or restrict such disclosures.
Disaster Relief: We may use and disclose your PHI to public or private entities authorized by law to
assist in disaster relief efforts, provided you have been given the opportunity to agree or to object to
such uses and disclosures.
Public Health Activities: We may use and disclose your PHI to public health authorities for public
health activities, such as to comply with mandatory communicable disease and vital statistics
reporting laws.
Abuse, Neglect, and Exploitation Reporting: We may disclose your PHI to a public health authority
that is authorized by law to receive reports of abuse, neglect, and exploitation of children and of
incapacitated or dependent adults.
Health Oversight Activities: We may use and disclose your PHI to a health oversight agency for
activities authorized by law, such as compliance with health oversight audits, investigations, and
inspections. Oversight agencies authorized to receive your information include government agencies
that oversee the health care system, government benefit programs, and other government regulatory
programs.
Legal and Administrative Proceedings: We may disclose your PHI in judicial or administrative
proceedings when required or authorized by law, for example, in response to an order of a court or
pursuant to a subpoena served by a governmental entity authorized by law to access your health
information.
Law Enforcement: We may disclose your PHI for certain law enforcement purposes so long as
applicable legal requirements are met, such as to report gunshot wounds, or to report crimes
committed on Renew Health’s premises or against our personnel.
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Coroners and Medical Examiners: We may use and disclose PHI to coroners and medical examiners
regarding a deceased patient for identification purposes, or to determine the cause of death or to
perform other duties authorized by law.
Funeral Directors: We may use and disclose PHI to funeral directors consistent with applicable law
as necessary to carry out their duties with respect to making funeral arrangements for a deceased
patient. If necessary to carry out such duties, we may disclose such information prior to and in
reasonable anticipation of a patient’s death.
Organ, Eye or Tissue Donation: We may use and disclose PHI to organ procurement organizations or
other entities for cadaveric, organ, eye, or tissue donation purposes.
Research: We may use and disclose your PHI for research purposes so long as the research and any
uses and disclosures related to such research are approved by an Institutional Review Board or a
Privacy Board, no identifying information is disclosed in any report arising from the research, and
other requirements are met.
Uses and Disclosures to Avert Threats of Harm or Safety: We may use and disclose your PHI when
necessary to avert a direct threat of imminent harm to health or safety.
Specialized Government Functions: We may disclose your PHI for specialized government functions
relating to military, veterans, national security, intelligence, and secret service activities, medical
suitability determinations, inmates and law enforcement custody, when such disclosures are
authorized or required by law.
Workers’ Compensation: We may disclose your PHI when necessary to comply with laws relating to
workers’ compensation or other similar programs that provide benefits for work-related injuries or
illness without regard to fault.
Uses and Disclosures of Protected Health Information Requiring Your Written Authorization
Written Authorization: Other uses and disclosures of your PHI not described above will be made only
with your written authorization. For example:
Psychotherapy Notes: In the event that Renew Health maintains psychotherapy notes about you
that are kept separate from the rest of your medical record, Renew Health will obtain your written
authorization to use or disclose such psychotherapy notes unless an exception to the authorization
requirement applies under applicable law.
Marketing: We will not use or disclose your PHI to persons outside of Renew Health to sell or
market services or products without your written authorization, except in limited authorized
circumstances (e.g., in face-to-face communications to you or provide a promotional gift of
nominal value).
Sale of Protected Health Information: We will not sell your PHI, or disclose your PHI to persons
outside of Renew Health in exchange for any direct or indirect payment, without your written
authorization, except as allowed by law.
Photographs and Videorecordings: We may photograph or videorecord you, and use and disclose
photographs and videorecordings of you, for treatment purposes without your authorization, but
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we will not photograph or videorecord you, or use or disclose any photographs and
videorecordings of you, for any other purpose (e.g., for a marketing purpose) without your written
authorization.
Right to Revoke Authorization: You may revoke your authorization at any time, to the extent that Renew
Health or others have not already relied upon your authorization, by giving written notice of your
revocation to Renew Health’s Privacy Officer.
Special Confidentiality Protections for Certain Sensitive Types of Protected Health Information
ï‚· Confidentiality of Certain Mental Health Information: If Renew Health maintains information about
you derived from mental health services provided to you by a psychiatrist, psychologist, clinical nurse
specialist, social worker or counseling professional, Renew Health will not disclose such mental
health information for treatment purposes to anyone outside of Renew Health or its organizational
affiliates without your written authorization, unless such disclosure is necessary in an emergency or is
otherwise authorized or required by law.
ï‚· Confidentiality of HIV Information: If any information regarding your HIV status (such as HIV test
results or medical records containing HIV information) is maintained by Renew Health, such
information is afforded heightened protection under Maine law and we will maintain the
confidentiality and privacy of such information, and will not use or disclose such information, except
as specifically authorized or required by an exception to confidentiality under Maine’s HIV
confidentiality laws.
ï‚· Confidentiality of Substance Use Disorder Program Information: If Renew Health maintains or
receives from another provider or facility any information about you that is subject to the federal
confidentiality protections afforded to certain federally assisted substance use disorder program
records under 42 C.F.R. Part 2, Renew Health will maintain the confidentiality and privacy as
required by 42 C.F.R. Part 2. If Renew Health maintains or acquires any substance use disorder
information about you that is not from a federally assisted Part 2 substance use disorder program or
otherwise subject to the Part 2 requirements, Renew Health will protect the confidentiality of such
information in the same way it protects your other PHI.
Substance use disorder records protected by Part 2, and testimony about these records, will not be
used or disclosed in civil, criminal, administrative, or legislative proceedings against an individual
unless that individual gives their consent or a court issues an order meeting certain requirements. If a
court order is issued, there must also be a subpoena or other legal process requiring disclosure of the
information.
Confidentiality Protections for Minors’ Protected Health Information
If you are a minor authorized by law to consent to health care services on your own behalf and
you in fact consent to such services on your own behalf, Renew Health is required to protect the privacy
of your PHI with respect to health care services you have consented to on your own behalf in the same
way that we protect the privacy of an adult’s PHI, unless a special exception applies under the law. For
example, Renew Health is authorized by law to notify your parent or guardian if, in the judgment of your
health care provider, failure to inform your parent or guardian would seriously jeopardize your health or
would seriously limit the ability of your provider to provide treatment to you. Additionally, if you want
Renew Health to submit information to your parent’s or parents’ health insurance plan for services
provided to you, your parents may receive from their insurance company information regarding the
services provided to you and, as a result, the fact that you received services from Renew Health will not
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be confidential from your parents. However, if you do not want your parents to know that you are
receiving services from Renew Health, you must notify Renew Health of that fact at the time services are
provided to you so that arrangements can be made for payment of such services privately or out-of-
pocket.
Summary of Your Rights Regarding Your Protected Health Information
You have the right to access, inspect and copy your PHI. You (and/or your authorized representative)
have the right to inspect or obtain a paper or electronic copy of your PHI (e.g., medical records and
billing records). You may be charged a reasonable, cost-based fee for such copies or summary, up to
the maximum amount allowed by law. In certain circumstances, you or your authorized
representative may be denied access to your PHI. However, in certain cases you have the right to
request a review of a decision to deny your access to your information and records.
You have the right to request a restriction on certain uses and disclosures of your PHI. If you request
that Renew Health not disclose your PHI to a health plan for purposes of payment or healthcare
operations, and you have paid Renew Health in full out of pocket for services provided to you, Renew
Health is required to honor your requested restriction. Otherwise, Renew Health is not required to
agree to a requested restriction. If Renew Health agrees to a requested restriction, Renew Health will
not use or disclose your information in violation of your restriction, unless the use or disclosure is
needed to provide emergency treatment.
You have the right to request to receive confidential communications of PHI from us by alternative
means or at an alternative location. We will accommodate reasonable requests. We may place
conditions on such accommodations, for example, by asking you for information as to how payment
will be handled or specification of an alternative address or other method of contact. We will not
request an explanation from you as to the basis for the request.
You have the right to submit amendments, corrections and clarifications to your PHI. You may
request amendments, corrections and clarifications to your PHI contained in our records. If you are
requesting a change to the information in your treatment record, we will place your requested
amendment, correction or clarification in your record. We may add a response to your record, and
will provide to you a copy of our response. If you are requesting a change in your non-treatment
record, we may deny your request. We will notify you in writing and provide our reasons for the
denial.
You have the right to receive an accounting of certain disclosures. You have the right to receive an
accounting of certain disclosures of your PHI made by Renew Health during the six years prior to the
date of your request. The accounting will not include disclosures made directly to you, requested by
you, made for treatment, payment or healthcare operations purposes, and other disclosures not
required by law to be included in the accounting.
You have the right to obtain a paper copy of this Notice from us, upon request, even if you have
agreed to accept this Notice electronically.
You have the right to file a complaint. You have the right to file a complaint with Renew Health or
the U.S. Department of Health and Human Services if you believe your privacy rights have been
violated by Renew Health. You may file a complaint with us by notifying our Privacy Officer at the
address below. Renew Health will not retaliate against you for filing a complaint.
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If you have any questions about this Notice, our privacy practices, or your rights, please contact:
Renew Health, PLLC
15 Old Kelley Rd.
Orono, ME 04473
Ph: (207) 802-7732