PRIVACY POLICY
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
OUR RESPONSIBILITIES
Inspired Now Wellness and Community Partners (“the Practice”) is committed to protecting the privacy of your protected health information (PHI). We are required by law to:
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Maintain the privacy and security of your PHI
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Provide you with this Notice of Privacy Practices
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Follow the duties and privacy practices described in this Notice
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Notify you if a breach occurs that may compromise your information
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
1. For Treatment, Care Coordination, and Wellness Services
We may use and share your information to provide wellness services, coordinate care, and support continuity of care with your permission.
Examples include:
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Coordinating wellness services with a referring provider
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Communicating with care managers or ACO partners (with authorization)
2. For Payment
We may use and disclose your information to bill and collect payment for services, including:
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Submitting claims to insurance companies
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Determining eligibility or coverage
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Collecting copayments or balances
3. For Healthcare Operations
We may use your information to operate our practice, improve services, and ensure quality, including:
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Quality improvement activities
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Administrative operations
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Compliance and auditing
4. As Required by Law
We may disclose your information when required to do so by federal, state, or local law, including public health reporting or legal proceedings.
5. With Your Authorization
We will not use or disclose your information for purposes not described in this Notice unless you give us written authorization. You may revoke authorization at any time in writing.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to:
✔ Access Your Records
Request to inspect or receive a copy of your health information.
✔ Request Corrections
Ask us to correct information you believe is incorrect or incomplete.
✔ Request Restrictions
Ask us to limit how your information is used or shared (we are not required to agree to all requests).
✔ Request Confidential Communications
Ask us to contact you in a specific way (e.g., email only, alternate address).
✔ Receive an Accounting of Disclosures
Request a list of disclosures we have made of your information.
✔ Receive a Copy of This Notice
Request a paper or electronic copy at any time.
✔ File a Complaint
If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
OUR DUTIES REGARDING YOUR INFORMATION
We will not:
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Sell your health information
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Use your information for marketing without your authorization
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Share psychotherapy notes (if applicable) without authorization
BREACH NOTIFICATION
If a breach of unsecured PHI occurs, we will notify you as required by law.
SPECIAL NOTE ABOUT WELLNESS & HOLISTIC SERVICES
Inspired Now Wellness and Community Partners provide non-clinical wellness and holistic services. We do not diagnose, treat, or provide medical care. Information collected supports wellness services and coordination with healthcare providers when authorized.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice at any time. Updated notices will be posted on our website and available upon request.
CONTACT INFORMATION
If you have questions or concerns about this Notice, or wish to exercise your rights, contact:
Privacy Officer: Dr. Tammy Smith
Practice Name: Inspired Now Wellness and Community Partners, LLC
Email: tsmith@inspirednowwellness.org
Phone: (984) 201-0781
COMPLAINTS
You may also file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights
U.S. Department of Health & Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775
