HIPAA Disclaimer

Notice of Privacy Practices Effective Date: January 1, 2025

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.

Your Health Information Rights You have the right to:

• Get a copy of your medical records
• Request corrections to your medical records
• Request confidential communication
• Request restrictions on use or sharing of your information
• 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 feel your rights are violated

Your Choices You have some choices in how we use and share information as we:

• Treat you
• Run our organization
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law

Our Uses and Disclosures We may use and share your information as we:

• Provide treatment and coordinate care
• Process payment for services
• Conduct healthcare operations
• Comply with legal requirements

Protected Health Information We are required by law to maintain the privacy and security of your protected health information and to notify you of our legal duties and privacy practices.

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 on our website.

Complaints If you believe your privacy rights have been violated, you may file a complaint with us at info@glowwellhealth.com or with the U.S. Department of Health and Human Services Office for Civil Rights.