HIPAA Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed by WellnessPI and how you can get access to this information.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities.

You have the right to:

• Get an electronic or paper copy of your medical record
• Request corrections to your medical record
• Request confidential communications
• Ask us to limit the information we share
• Get a list of those with whom we've shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

Your Choices

For certain health information, you can tell us your choices about what we share. You have both the right and choice to tell us to:

• Share information with family, friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory

Our Uses and Disclosures

We may use and share your information as we:

• Treat you and coordinate your care
• Run our organization and improve our services
• Bill for your services
• Help with public health and safety issues
• Conduct research (with your permission)
• Comply with the law
• Respond to organ and tissue donation requests
• Work with medical examiners or funeral directors
• Address workers' compensation, law enforcement, and other government requests
• Respond to lawsuits and legal actions

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your protected health information
• Notify you promptly if a breach occurs that may compromise your information
• Follow the duties and privacy practices described in this notice
• Give you a copy of this notice
• Not use or share your information other than as described here unless you tell us we can in writing

Changes to This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Contact Information

For more information about our privacy practices, please contact:

Privacy Officer
WellnessPI
712 S Timberlane Dr
New Smyrna Beach, FL 32168
Phone: (386) 410-1998
Email: privacy@wellnesspi.com

Filing a Complaint

If you believe your privacy rights have been violated, you can file a complaint with:

• Our Privacy Officer using the contact information above
• The U.S. Department of Health and Human Services Office for Civil Rights
• The Florida Department of Health

We will not retaliate against you for filing a complaint.