Notice of Privacy Practices

Our Commitment to Your Privacy

RSLNT Wellness LLC ("RSLNT Wellness," "we," "us," or "our") is required by law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of Privacy Practices, and follow the terms of the Notice currently in effect. This Notice applies to all records of your care generated by our clinic, whether created by our staff or your personal provider.

How We May Use and Disclose Your PHI

We may use and disclose your Protected Health Information in the following ways without your written authorization:

Treatment

We may use your PHI to provide, coordinate, or manage your healthcare and related services. This includes sharing information with other healthcare providers involved in your care, such as referring physicians, pharmacists, or specialists.

Payment

We may use and disclose your PHI to bill and collect payment for the services we provide. This may include contacting your health insurance company, Tricare, or other third-party payers to obtain prior authorization or to determine coverage and benefits for proposed treatments.

Healthcare Operations

We may use and disclose your PHI for operational purposes, including quality assessment, staff training, compliance programs, audits, business planning, and other activities that support our delivery of care.

Other Permitted Uses Without Authorization

• As required by law: when federal, state, or local law requires disclosure.
• Public health activities: to prevent or control disease, injury, or disability, and to report to public health authorities.
• Health oversight activities: to health oversight agencies for audits, investigations, inspections, and licensure.
• Judicial and administrative proceedings: in response to a court order, subpoena, or other lawful process.
• Law enforcement: for law enforcement purposes as required or permitted by law.
• To avert a serious threat: to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
• Workers' compensation: as authorized by and to the extent necessary to comply with workers' compensation laws.
• Coroners, medical examiners, and funeral directors: as necessary to carry out their duties.
• Military and veterans: if you are a member of the armed forces, as required by military command authorities.

Uses Requiring Your Written Authorization

We will obtain your written authorization before using or disclosing your PHI for:

• Marketing purposes
• Sale of your PHI
• Most uses and disclosures of psychotherapy notes (if applicable)
• Any other uses and disclosures not described in this Notice

You may revoke any written authorization at any time by submitting a written request to our Privacy Officer. Revocation will not affect any actions already taken in reliance on your prior authorization.

Your Rights Regarding Your PHI

• Right to access: You have the right to inspect and obtain a copy of your PHI maintained by our clinic. We may charge a reasonable, cost-based fee for copies. Requests must be submitted in writing to our Privacy Officer.
• Right to amend: You may request that we amend your PHI if you believe it is incorrect or incomplete. We may deny your request in certain circumstances, and we will provide a written explanation if we do.
• Right to an accounting of disclosures: You have the right to receive a list of certain disclosures we have made of your PHI. This does not include disclosures made for treatment, payment, or healthcare operations.
• Right to request restrictions: You may request that we limit how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree to your request, except when the disclosure is to a health plan for payment or operations and the PHI relates to a service you paid for in full out of pocket.
• Right to request confidential communications: You may request that we communicate with you about your health information in a certain way or at a certain location (for example, by mail instead of phone).
• Right to a copy of this Notice: You have the right to obtain a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
• Right to be notified of a breach: You have the right to be notified if there is a breach of your unsecured PHI.

Our Duties

• We are required by law to maintain the privacy and security of your PHI.
• We are required to provide you with this Notice of our legal duties and privacy practices regarding your PHI.
• We are required to abide by the terms of this Notice currently in effect.
• We are required to notify you if there is a breach of your unsecured PHI.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have about you as well as any information we receive in the future. A copy of the current Notice will be posted on our Website and available at our clinic.

Filing a Complaint

If you believe your privacy rights have been violated, you may file a complaint with our clinic or with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.