Colorado Mandatory Disclosure Statement 

For our Patients

Education and Experience:

Come for Health
Yuliya Jirnov, L.Ac.
1502 Miami Road.
Montrose, CO, 81401
Phone: 970-318-0198

Yuliya Jirnov earned her Master of Acupuncture and Oriental Medicine degree from the American College of Acupuncture and Oriental Medicine in Houston Texas. This four-year program consists of 1905 didactic hours and 990 hours of clinical practice. She was certified as a Diplomate in Acupuncture and Traditional Chinese Medicine by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). This includes certification in Clean Needle Technique and Chinese Herbology.

Yuliya’s training includes adjunctive therapies such as moxibustion, tuina, acupressure, cupping, auriculotherapy, and dietary and lifestyle recommendations.
She is a registered acupuncturist in Colorado. None of these licenses, certificates, or registrations has ever been suspended or revoked.

This clinic complies with the rules and regulations promulgated by the Colorado Department of Health, including the proper cleaning and sanitation of acupuncture offices. Only single-use, disposable, factory-sterilized needles are utilized.

Fees

The initial consultation is free.
Acupuncture and Auricular Medicine session: Regular price: $250.00, follow up: $210.00. TOS rate: $100.00 
Cupping: $60.00; Ear seeds: $25.00  Package rate applied. The herbal formulas are included with the 10-session package at no additional charge.

Patient’s Rights

The patient is entitled to receive information about the methods of therapy, the techniques used, and the duration of therapy if know.
The patient may seek a second opinion from another healthcare professional or may terminate therapy at any time.
In a professional relationship, sexual intimacy is never appropriate and should be reported to the Director of the Division of Registrations in the Department of Regulatory Agencies.

The practice of acupuncture is regulated by the Director of Registrations, Colorado Department of Regulatory Agencies. If you have comments, questions, or complaints, contact the Director, Division of Registrations, Acupuncturists Licensure, 1560 Broadway, Suite 1350, Denver, Colorado 80202. Telephone (303) 894-7800.

Disclosure

Mikhail A Jirnov
1502 Miami Road.
Montrose, CO 81401
970-318-0198
comeforhealth@gmail.com

This statement is a disclosure, that Mikhail A Jirnov:

A.  Is not licensed, certified, or registered by the state as a health care professional, and does not provide any services or treatments, that would require a license, certification, or registration from the state.

B. Provides:
• Bioenergetic Assisting (non-invasive energy work with the energy system of the body), and/or reflexology and/or Life/Spiritual Consulting;

• Nothing that is medical or a substitute for medical treatments and/or diagnostics;

C. Is a world known Spiritual Teacher and Bioenergy Master, the creator of the Bioenergetic Assisting. He spent his whole life working with bioenergetics of the body, using his natural gift and extrasensory abilities. Mikhail’s long-time teacher, VALENTINA is from a line of village healers of southwestern Siberia. It resulted in Mikhail utilizing some of the Traditional Siberian healers’ approaches in his bioenergetic work. After more than 20 years of helping people, he came up with his own method of working with the bioenergetic field of the body, called Bioenergetic Assisting. Master Jirnov is known around America and the world for his teaching in Bioenergy and Spirituality. He has given hundreds of lectures and presentations around the United States as well as online webinars. On multiple occasions, he has been a presenter on TV and radio shows explaining and advocating the body’s natural healing abilities. Mikhail A Jirnov is also Certified (not by the state) in Foot Reflexology (European Institute For Massage Therapy), Certified (not by the state) Professional Life Coach (Life Coach Institute Of Orange County);

D. States, that the client should discuss any recommendations made by the complementary and alternative health care practitioner with the client’s primary care physician, obstetrician, gynecologist, oncologist, cardiologist, pediatrician, or other board-certified physicians;

E. States that he is not covered by liability insurance applicable to any injury caused by any act or omission of the complementary and alternative health care practitioner in providing complementary and alternative health care services.

HIPPA Notice of Privacy

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.

I. What This Is
This Notice describes the privacy practices of Come For Health

II. Our Privacy Obligations
We are required by applicable federal and state law to maintain the privacy of medical and health information about you (“PHI”) and to provide you with this Notice of our legal duties and privacy practices with respect to PHI. When we use or disclose PHI, we are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure.)
You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice.

III. Permissible Uses and Disclosures Without Your Written Authorization
In certain situations, which we will describe in Section IV below, we must obtain your written authorization in order to use and/or disclose your PHI. However, we do not need any type of authorization from you for the following uses and disclosures:

A. Uses and Disclosures for Treatment, Payment and Health Care Operations. We may use and disclose your PHI in order to treat you, obtain payment for service provided to you and in order to conduct our “health care operations” as detailed below:

1. Treatment. We may use and disclose your PHI in providing, coordinating and/or managing health care and related services for you, for example, to treat your injury or illness. We may also disclose PHI to other providers involved in your treatment. We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. For example, voicemail messages, postcards, and letters.

2. Payment. We may use and disclose your PHI to obtain payment and/or reimbursement for services that we provide to you, billing or collection activities, confirming coverage, and utilization review. For example, we may discuss a bill with your insurance company to assist in securing payment. You should be aware that if you are not the insurance policy holder, the insurance carrier might disclose certain information to the policy holder.

3. Health Care Operations. We may use and disclose your PHI for our health care operations; or the business aspects of running our practice. This includes internal planning, administration, and conducting of quality assessments and activities that improve the quality and cost effectiveness of care that we deliver to you. For example, we may use PHI to audit functions, evaluate the qualifications and competence of our health care providers, conduct training programs, for accreditation, certification, licensing and/or credentialing activities, cost-management analysis and customer service.

We may disclose your PHI to our attorneys or accountants in the event we need information in order to address one of our business functions. We may also disclose PHI to your other health care providers when such PHI is required for them to treat you, receive payment for service they render to you, or conduct certain health care operations, such as quality assessment and improvement activities, reviewing the quality and competence of health care professionals, or health care fraud and abuse detection or compliance.
We may also create and distribute de-identified health information by removing all references to individually identifiable information.
We will make reasonable efforts to limit the Health Information we use or disclose to the “minimum necessary” to accomplish the stated purpose.

B. Your Authorization. In addition to our use and disclosure of your PHI for treatment, payment, or healthcare operations, you may give us written authorization to use your PHI or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect.

C. Disclosure to Relatives and Close Friends. We may use or disclose your PHI to a family member, your personal representative, person responsible for your care, or other person identified by you when you are present for, or otherwise available prior to, the disclosure, if we (1) obtain your agreement (2) provide you with the opportunity to object to the disclosure and you do not object; or (3) reasonably infer that you do not object to the disclosure. If you are not present or in the event of your incapacity or emergency circumstances, we may exercise our professional judgment to determine whether a disclosure is in your best interest disclosing only PHI directly relevant to the person’s involvement in your healthcare. We will also use our professional judgment to make inferences of your best interest in allowing a person to pick up health information.

D. Fundraising Communications. We may contact you to request a tax-deductible contribution to support important activities of Come For a Health and its related businesses.

E. Public Health Activities. We may disclose PHI for the following public health activities and purposes: (1) to report health information to public health authorities for the purpose of preventing or controlling disease, injury or disability; (2) to report child abuse and neglect to public health authorities or other government authorities authorized by law to receive such reports; (3) to report information about products under the jurisdiction of the U. S. Food and Drug Administration; and (4) to alert a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition.

F. Victims of Abuse, Neglect or Domestic Violence. If we reasonably believe you are a victim of abuse, neglect or domestic violence, we may disclose PHI to a government authority, including a social service or protective services agency, authorized by law to receive report of such abuse, neglect or domestic violence.

G. Health Oversight Activities. We may disclose PHI to a health oversight agency that oversees the health care system and is charged with responsibility for ensuring compliance with the rules of government health programs such as Medicare or Medicaid.

H. Judicial and Administrative Proceedings. We may disclose PHI in the course of a judicial or administrative proceeding in response to legal order or other lawful process.

I. Law Enforcement Officials. We may disclose PHI to the police or other law enforcement officials as required or permitted by law or in compliance with a court order or a grand jury or administrative subpoena.

J. Decedents. We may disclose PHI to a medical examiner as authorized by law.

K. Organ and Tissue Procurement. We may disclose PHI to organizations that facilitate organ, eye or tissue procurement, banking or transplantation.

L. Research. We may use or disclose PHI without your consent or authorization if an Institutional Review Board approves a waiver or authorization for disclosure.

M. Health or Safety. We may use or disclose PHI to prevent or lessen a threat of imminent, serious physical violence against you or another readily identifiable individual.

N. Specialized Government Functions. We may use and disclose PHI to units of the government with special functions, such as the U.S. military or the U.S. Department of State under certain circumstances.

O. Workers’ Compensation. We may disclose PHI as authorized by and to the extent necessary to comply with laws relating to workers’ compensation or other similar programs.

P. As required by Law. We may use and disclose PHI when required to do so by any other law not already referred to in the preceding categories.

Q. Change of Ownership. In the event that Come For Health is sold or merged with another organization, your health information/record will become the property of the new owner.

You have the following rights with respect to your protected health information, which you can exercise by presenting a written request to the HIPAA Compliance Officer.

IV. Uses and Disclosures Requiring Your Written Authorization

A. Uses or Disclosure with Your Authorization. For any purpose other than the ones described above in Section III, we may only use or disclose your PHI when you give us your authorization on our authorization form. You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.

B. Marketing. We must also obtain your written authorization prior to using your PHI to send you any marketing materials. (We can, however, provide you with marketing materials in a face-to-face encounter and are also permitted to give you a promotional gift of nominal value, if we so choose.) In addition, we may communicate with you about products or services relating to your treatment, case management or care coordination, or alternative treatments, therapies, providers or care settings.

C. Genetic Information. Except in cases (such as a paternity test for a court proceeding, anonymous research, newborn screening requirements, or pursuant to a court order), we will obtain your special written consent prior to obtaining or retaining your genetic information (for example, your DNA sample) or using or disclosing your genetic information for purposes of treatment, payment or health care operations. We may use or disclose your genetic information for any other reason only when your authorization expressly refers to your genetic information or when disclosure is permitted under Colorado State law or by court order.

D. HIV/AIDS Related Information. Your authorization must expressly refer to your HIV/AIDS related information in order to permit us to disclose your HIV/AIDS related information. However, there are certain purposes for which we may disclose your HIV/AIDS information, without obtaining your authorization: (1) your diagnosis and treatment; (2) scientific research; (3) management audits, financial audits or program evaluation; (4) medical education; (5) disease prevention and control when permitted by the Colorado Department of Health and Senior Services; (6) to comply with a certain type of court order; and (7) when required by law, to the Department of Health and Senior Services or another entity. You also should note that we may disclose your HIV/AIDS related information to third party payers (such as your insurance company or HMO) in order to receive payment for the services we provide to you.

E. Venereal Disease Information. Your authorization must expressly refer to your venereal disease information in order to permit us to disclose any information identifying you as having, or being suspected of having, a venereal disease. However, there are certain purposes for which we may disclose your venereal disease information, without obtaining your authorization, including to a prosecuting officer or the court if you are being prosecuted under Colorado law, to the Department of Health and Senior Services, or to your physician or health authority, such as the local Board of Health. Your physician or a health authority may further disclose your venereal disease information if he/she/it deems it necessary in order to protect the health or welfare of you, your family or the public. Under Colorado law, we may also grant access to your venereal disease information upon the request of a person (or his/her insurance carrier) again; whom you are asserting a claim for compensation or damages for your personal injuries.

F. Tuberculosis Information. Your authorization must expressly refer to your tuberculosis information in order to permit us to disclose any information identifying you as having tuberculosis or refusing/failing to submit to a tuberculosis test if you are suspected of having tuberculosis or are in close contact to a person with tuberculosis. However, there are certain purposes for which we may disclose your tuberculosis information, without obtaining your authorization, including for research purposes under certain conditions, pursuant to valid court order, or when the Commissioner of the Department of Health and Senior Services (or his/her designee) determines that such disclosure is necessary to enforce public health laws or to protect the life or health of a named person.

V. Your Individual Rights
You have the following rights with respect to your protected health information, which you can exercise by presenting a written request to the HIPAA Compliance Officer:

A. Right to Request Additional Restrictions. You may request restrictions on our use and disclosure of PHI (1) for treatment, payment and health care operations; (2) to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved with your care or with payment related to your care; or (3) to notify or assist in the notification of such individual regarding your location and general condition. While we will consider all requests for additional restrictions carefully, we are not required to agree to a requested restriction. If you wish to request additional restrictions, please obtain a request form from our office and submit the completed form to the HIPAA Compliance Officer. We will send you a written response.

B. Right to Receive Confidential Communications. You may request, and we will accommodate, any reasonable written request for you to receive PHI by alternative means of communication or at alternative locations. Your request must specify the alternative means, or location, and provide satisfactory explanation of how payments will be handled under the alternative means or location you request.

C. Right to Inspect and Copy Your Health Information. You may request access to your medical record file and billing records maintained by us in order to inspect and obtain copies of the records. If you desire access to your records, please obtain a record request form from the HIPAA Compliance Officer and submit the completed form by mail or in person. We may charge you a reasonable cost-based fee to cover copying, postage, and/or preparation of a summary. We will advise you of these costs in advance. In certain circumstances, we may deny you access. In those circumstances, we will provide you with a written reason for the denial and advise you whether, under the law, you have the right to a review of the denial by a licensed health care professional who was not involved in the process. A complete description of this process is available upon request.
(You should take note that, if you are a parent or legal guardian of a minor, certain portions of the minor’s medical record will not be accessible to you per applicable federal and/or state law, including records relating to pregnancy, abortion, sexually transmitted disease, substance use and abuse and contraception and/or family planning services.)

D. Right to Amend Your Records. You have the right to request that we amend PHI maintained in your medical record file or billing record. If you desire to amend your records, please obtain an amendment request form from the HIPAA Compliance Officer and submit the completed form to the HIPAA Compliance Officer. We will comply with your request unless we believe that the information that would be amended is accurate and complete or other special circumstances apply.

E. Right to Receive An Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of PHI made by us during any period of time prior to the date of your request provided such period does not exceed six years and does not apply to disclosures that occurred prior to April 14, 2003. If you request an accounting more than once during a twelve (12) month period, we will charge you $2.00 per page and $25.00 per hour for the accounting statement.

F. Right to Revoke Your Authorization. You may revoke “Your Authorization” or your “Marketing Authorization,” except to the extent that we have taken action in reliance upon it, by delivering a written revocation statement to the HIPAA Compliance Officer identified below. A form is available upon request from our office.

G. Electronic Notice. If you receive this Notice on our Web site or by electronic mail (e mail), you are entitled to receive this Notice in written form.

H. Further Information/Complaints. If you desire further information about your privacy rights and are concerned that we have violated your privacy rights or disagree with a decision that we made about access to PHI, you may contact our HIPAA Compliance Officer in writing or by phone. You may also file written complaints to the Department of Health and Human Services if you believe your rights as described herein have been violated. Complaints made to the DHHS must be filed in writing and include a description of the acts or omissions you believe have resulted in a violation of your rights. A complaint must be made within 180 days of when you found out about the violation, unless you have “good cause” for filing later. We will not retaliate against you in any way if you choose to file a complaint with us or with the government.

VI. Effective Date and Duration of this Notice

A. Effective Date. This revised Notice is effective on July 1, 2006 and will remain in effect until we replace it. We are required to abide by the terms of the Notice of Privacy Practices currently in effect.

B. Right to Change Terms of this Notice. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We will make the new provisions effective for all information that we maintain, including health information we created or received before we made changes. Before we make a significant change in our privacy practices, we will change this Notice, post, and make it available upon request. Until such amendment is made, Come For Health is required by law to maintain the privacy of your health information and to provide you with notice of its legal duties and privacy
practices with respect to your health information.

VII. Contact Information
You may contact us regarding our privacy practices in writing to:
Come For Health 2245 Aspen Dr, Ridgway, CO 81432. You may contact the DHHS at: Director, Office of Civil Rights of the U. S. Department of Health and Human Services, 330 Independence Avenue, SW, Washington, DC 2020.

About Our Services

Acupressure

Uses

Most people try acupressure for the first time to manage symptoms of a condition, such as:

 

  • Cancer-related fatigue and other forms of fatigue
  • Insomnia
  • Headache
  • Menstrual cramps
  • Motion Sickness
  • Muscle tension and pain
  • Nausea or vomiting after surgery or chemotherapy
  • Nausea and vomiting during pregnancy and morning sickness
  • Stress management
Auricular Medicine

Auricular Medicine, Auriculotherapy, or ear acupuncture, is a form of natural medicine based on the idea that the ear is a microsystem that reflects the entire body, represented on the auricle, the outer portion of the ear. The surface of the ear is stimulated with acupuncture needles or ear seeds to treat the physical, mental, or emotional health of the patient. Similar mappings are used in many areas of the body, including the practices of reflexology and iridology. Auricular Medicine can be combined with other Oriental Medicine Techniques or used by itself. Our clinic uses sterile pre-packaged disposable needles that are used only one time for each patient, and then are thrown away into a sharps container.

  • Auricular  Medicine is a  highly developed system of both diagnosis and treatment.
  • Auricular   Medicine is a   term coined by the world’s foremost grand Master and premiere expert Dr. Huang Lichun.
Bioenergetic Assisting

Bioenergetic Assisting is a type of non-physical bodywork. It utilizes the living energy of the body (Bio-energy or qi) and targets energetic blocks and congestion that are affecting and depleting the physical body and its biological function. It is a modern system informed by knowledge of Anatomy, Physiology, and Bioenergetics. However, it also utilizes some of the ancient wisdom and bioenergetic methods of the village healers from central Russia and Siberia.

Chinese Herbal Medicines

Chinese Herbal Medicine is a very important part of a larger healing system called Traditional Chinese Medicine. The herbal tradition of China is valued scientifically, as well as being a popular tradition. Scientists working in China, Japan, and other countries during the past four decades have demonstrated that the herb materials contain active components that can explain many of their claimed actions. Modern pharmaceutical drugs have been developed from the herbs, such as treatments for asthma and hay fever from Chinese ephedra, hepatitis remedies from schizandra fruits and licorice roots, and a number of anticancer agents from trees and shrubs. Several popular formulations produced in China, called “patent medicines,” are relied upon daily by millions of Chinese (in China and abroad), such as the Bupleurum Sedative Pills and Women’s Precious Pills that invigorate the energy, nourish the blood, calm tension, and regulate menstruation, and Yin Chiao Jie Du Pian, which is a reliable treatment for the early stages of common cold, sore throat, and influenza and Yin Xiao San is the most popular and well known Chinese formula used for stress and premenstrual disorders.

Cupping

Cupping is one of the Oriental Medicine techniques that has a long history. It is a form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. It has not been as well known as acupuncture in the west. Thanks to the last world Olympics in Brazil, cupping became more known to the western world and especially in the United States. Michael Phelps had big red marks on his back while competing in the swimming Olympics. He broke more than 2 thousand years old Olympic record in a number of gold medals, won by a single athlete, partially thanks to cupping. This record has been standing since the time of Ancient Greece…

When I was growing up as a child in Russia, it was a common practice to use cupping at home. I regularly received cupping as a little girl to treat coughing and upper respiratory infections from my grandma ( she was a doctor). When studying at the American College of Acupuncture and Oriental Medicine, I also learned that cupping is very effective for pain, inflammation, blood flow, relaxation, and well-being, and as a type of deep-tissue massage.

Acupuncture

Relieving Pain with Acupuncture.

Acupuncture is most commonly known to treat various conditions of pain such as low-back pain, neck pain, knee pain, and headaches to name a few.

  • Neuropathic Pain
  • Structural Pain

Treating Neuropathic Pain.

Treating structural pain.

Back Pain and Sciatica.

  • Back pain
  • Sciatic pain

Shoulder Pain.

Arthritis.

Whole-Body Medical System.

Allergies.

Respiratory Diseases.

Restoring the Immune Function.

Acupuncture and Chinese Herbs regulate your immune function by,

  • Increasing circulation into areas that require more immune presence.
  • Directly enhancing immune system components via herbal medicine. 
  • Resolving chronic states of dysfunction and thereby freeing up the immune system for other defense projects.
Dr. Tan & Dr. Tung Style

This method is more than 2,500 years old and is derived from the I Ching, one of the most ancient books in the world. Balance Method Acupuncture created by late Dr. Richard Tan is a distal needling acupuncture. I use Dr. Tan and Dr. Tung styles of acupuncture. These styles make the results much more effective than the typical treatments one can receive in United States.

Nutritional Advice

This is a famous quote by Hippocrates, a father of modern medicine that many people have heard. Changing your habits of eating to more nutritious home-cooked meals can be the most important first step in your healing journey that you can do yourself. The keywords in making the right decisions concerning your nutrition – are balance and regularity.

It is important to have the right balance of proteins, carbohydrates, and fats in your diet. It is very important to include enough greens and vegetables in your diet. It is important to eat regular meals in a pleasant and relaxed environment. Stay away from fast-food restaurants. Healthy food and healthy eating can’t be fast. It takes time. Without the right nourishment for your body, it is difficult to thrive mentally or emotionally. Dr. Yuliya doesn’t promote “diets”, and does not believe there is one right way to eat for everyone. She rather believes that each person needs an individual approach based on their individual body type and on physiological needs.

Traditional Chinese Medicine (TCM)

Traditional Chinese Medicine (TCM) is a complete medical system that has been used to diagnose, treat, and prevent illnesses for more than 2,000 years. TCM is based on a belief in yin and yang, defined as opposing energies, such as earth and heaven, winter and summer, and happiness and sadness. When yin and yang are in balance, you feel relaxed and energized. Out of balance, however, yin and yang negatively affect your health.

Practitioners also believe that there is a life force or energy, known as qi (pronounced “chee”), in everybody. For yin and yang to be balanced and for the body to be healthy, qi must be balanced and flowing freely. When there is too little or too much qi in one of the body’s energy pathways, called meridians, or when the flow of qi is blocked, it causes illness.

The ultimate goal of TCM treatment is to balance yin and yang by promoting the natural flow of qi. In an interesting analogy, often used to explain its nature, qi is described as the wind in a sail, we do not see the wind directly, but we are aware of its presence as it fills the sail.

Tuina Massage

Tuina (pronounced “twee nah”) is a form of Oriental bodywork that has been used in China for centuries, for more than 2,500 years. A combination of massage, acupressure and other forms of body manipulation, tuina works by applying pressure to acupoints, meridians and groups of muscles or nerves to remove blockages that cause acute or chronic pain. In our clinic, Tuina is only used as a part of the treatment, together with other modalities like acupuncture. It is widely used for children and adults.

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970-318-0198

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1502 Miami Rd. Montrose CO 81401