HIPAA Notice of Privacy Practices

Your rights

You have the right to access and request copies of your health information, request corrections, request restrictions on certain uses, request confidential communications, and receive a list of certain disclosures.

This section is placeholder copy and must be replaced with counsel-reviewed language before launch. It describes our practices in plain terms but is not yet a binding legal document.

Our uses and disclosures

We use and disclose your protected health information (PHI) to provide treatment, obtain payment, and operate our practice — and otherwise only as permitted or required by law.

This section is placeholder copy and must be replaced with counsel-reviewed language before launch. It describes our practices in plain terms but is not yet a binding legal document.

Our responsibilities

We are required by law to maintain the privacy and security of your PHI, to notify you of a breach affecting your information, and to follow the duties and practices described in this notice.

This section is placeholder copy and must be replaced with counsel-reviewed language before launch. It describes our practices in plain terms but is not yet a binding legal document.

Changes to this notice

We may change this notice and the new terms will apply to all information we maintain. The updated notice will be posted with a new effective date.

This section is placeholder copy and must be replaced with counsel-reviewed language before launch. It describes our practices in plain terms but is not yet a binding legal document.

Complaints

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. You will not be retaliated against for filing a complaint.

This section is placeholder copy and must be replaced with counsel-reviewed language before launch. It describes our practices in plain terms but is not yet a binding legal document.

Contact / Privacy Officer

To exercise your rights or ask questions, contact our Privacy Officer at Info@holisticallyrx.com or 660-243-5303.