MyDirectives HIPAA Notice

MyDirectives, Inc. (MyDirectives) requires each user of MyDirectives.care or their representative to authorize the use and disclosure of Protected Health Information (as that term is defined under United States law at 45 CFR 164.501) between MyDirectives and hospitals, healthcare providers, and other healthcare organizations subject to the United States Federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), or to similar laws outside the United States of America. Each of these entities is referred to below as a Covered Entity.

The Personal Health Information (PHI) may include your living will, durable medical power of attorney, or other advance care planning (ACP) documents and information regarding healthcare decisions, treatment goals, preferences, and priorities; healthcare agent designations; psychiatric or mental health advance directives; portable medical orders (POLST) and do-not-resuscitate orders; and organ and tissue donation information. PHI may also include your identifying information linking you to the ACP documents or information related to your current and future health plan, healthcare, medical history, treatment, or other related information.

We may disclose the PHI either directly to a Covered Entity or indirectly through an electronic health record, electronic patient care record, computer-aided dispatch platform, health information exchange, healthcare information network, or other platform in which MyDirectives participates. These third parties may be referred to as Business Associates under HIPAA.

We require your authorization for the use and disclosure of such PHI for purposes of permitting MyDirectives to store and provide PHI to Covered Entities and Business Associates, as appropriate, and permitting Covered Entities and Business Associates to provide PHI to MyDirectives, as well as to locate, retrieve, view, and print your ACP documents and PHI to help make your healthcare decisions, treatment goals, preferences, and priorities available when needed for your care.

By enrolling in and using MyDirectives, either directly or with the help of a representative, you agree as follows:

  • MyDirectives and the Covered Entities/Business Associates may disclose your PHI to each other only for the purposes listed above.
  • Once the information above is released, it may be subject to re-disclosure by MyDirectives or a Covered Entity/Business Associate and may no longer be protected under the privacy rules issued under HIPAA or similar laws outside the United States of America.
  • The Covered Entity or Business Associate, as appropriate, will provide you with a copy of the PHI for which this authorization is being sought upon your request in writing.
  • The Covered Entity may not condition treatment, payment, enrollment, or eligibility for benefits, as applicable, on whether you agree to this authorization, except as permitted by applicable law.
  • You acknowledge that you are voluntarily agreeing to this authorization when you enroll in and use MyDirectives.care.
  • You may print a copy of this HIPAA authorization or request a copy in writing from MyDirectives.
  • This authorization will remain in effect until you revoke it.
  • You have the right to revoke this authorization at any time. The revocation must be in writing and submitted to: MyDirectives, Inc., 740 E. Campbell Rd., Suite 825, Richardson, Texas 75081, United States of America.
  • Once this authorization is revoked, MyDirectives, the Covered Entities, and the Business Associates will not use or disclose the PHI in reliance on this authorization for the purposes described above, except to the extent that MyDirectives or a Covered Entity or Business Associate has already taken action in reliance on the authorization.

Version 2026.08.25.01