Elevate Your Wellness LLC HIPAA Privacy Statement

Notice of Privacy Practices for Protected Health Information (PHI)

This Notice of Privacy Practices (“Notice”) describes how Elevate Your Wellness LLC (“we”, “us”, or “our”) may use and disclose your Protected Health Information (PHI) to carry out treatment, payment, or healthcare operations and for other purposes that are permitted or required by law. This Notice also describes your rights regarding your PHI. We are required by law to maintain the privacy of your PHI, provide you with this Notice of our legal duties and privacy practices, and to abide by the terms of this Notice.

 

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Uses and Disclosures of PHI

 

We may use and disclose your PHI for the following purposes:

a. Treatment: To provide, coordinate, or manage your healthcare and related services, including communication with other providers.

b. Payment: To obtain payment for services, including verifying coverage, billing, and collections.

c. Healthcare Operations: For operational purposes such as quality assessment, accreditation, and audits.

d. As Required by Law: When required by federal, state, or local laws.

e. Public Health and Safety: To report conditions, exposure risks, or public health activities.

f. Health Oversight Activities: For oversight by authorized agencies.

g. Judicial and Administrative Proceedings: To respond to legal requests such as subpoenas or court orders.

h. Law Enforcement: For reporting injuries, complying with legal processes, or other law enforcement needs.

i. Research: If approved by an Institutional Review Board with appropriate protections in place.

j. Organ and Tissue Donation: To assist in procurement or transplantation.

k. Workers’ Compensation: For work-related injuries under applicable programs.

l. Military and Veterans: As required by military command authorities.

m. Inmates: If you are in custody, to correctional institutions for healthcare or safety.

 

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Your Rights Regarding PHI

 

You have the following rights:

a. Inspect and Copy: Access to your PHI, with exceptions. Requests must be in writing.

b. Amend: Request corrections to your PHI. We may deny if we believe the record is accurate.

c. Accounting of Disclosures: View a list of certain disclosures made in the past six years, excluding those for treatment/payment/operations.

d. Request Restrictions: Ask us to limit how we use/disclose your PHI. We may not be required to agree.

e. Confidential Communications: Request we contact you in specific ways (e.g., via email only).

f. Paper Copy: Request a physical copy of this Notice, even if received electronically.

g. Breach Notification: You will be notified if a breach of your PHI occurs.

 

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Transmission of PHI

 

We ensure any electronic transmission of PHI complies with HIPAA’s Privacy Rule (45 CFR 164) using SSL or equivalent security protocols.

 

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Changes to This Notice

 

We reserve the right to update this Notice. Revised versions will apply to all PHI we maintain and will be posted in our office and on our website.

 

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Complaints

 

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of Health and Human Services. We will not retaliate for any complaint filed.

 

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Contact Information

 

To exercise your rights or ask questions, contact:

Elevate Your Wellness LLC

30 N Gould St Ste N

Sheridan, WY 82801

(786) 982-0590

care@elevateyourwellness.com

https://elevateyourwellness.com

 

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State-Specific Provisions

 

In addition to HIPAA, we comply with state-specific privacy laws. Below are some examples:

 

California

 

Protected by the Confidentiality of Medical Information Act (CMIA). Additional rights include restricting disclosure of out-of-pocket services, and added protections for minors and marketing data.

 

New York

 

Requires consent for disclosures of HIV-related information, mental health records, and genetic data.

 

Texas

 

Texas Medical Privacy Act imposes stricter rules on PHI sharing, breach notification, and ePHI security.

 

Florida

 

Requires explicit consent to disclose mental health and substance abuse records. Stronger data security requirements apply.

 

Illinois

 

Stronger privacy protections for HIV/AIDS and genetic info. Requires breach notification for unauthorized PHI access.

 

Massachusetts

 

Requires safeguards beyond HIPAA for ePHI and specific conditions for sensitive health info disclosure.