HIPAA Privacy Notice

Privacy Policy

How We May Use and Disclose Your Protected Health Information (PHI)

I. Uses and Disclosures That Do Not Require Authorization

We may use and disclose your PHI without prior authorization for purposes such as:

Treatment:

We use PHI to provide, coordinate, or manage your health care and services. For example, we may share information with your doctor, pharmacy, or other healthcare professionals involved in your care.

Payment:

We may use and disclose your PHI to obtain payment for your treatment and services. This includes sharing details with your insurance company or other payors to verify benefits, process claims, and collect payment.

Health Care Operations:

We may use PHI to manage our operations, including quality assessment, staff performance evaluation, and compliance activities.

Other Permitted Uses Without Authorization:

  • Business Associates: We may share PHI with trusted vendors performing services on our behalf under strict confidentiality agreements.
  • Public Health and Safety: We may disclose PHI to prevent disease, report adverse reactions, or as required by the FDA.
  • Law Enforcement and Legal Requirements: We may disclose PHI when required by law, in response to court orders, or for law enforcement purposes.
  • Health Oversight: We may disclose PHI to government agencies for audits, investigations, or compliance purposes.
  • Worker's Compensation: For claims under applicable law.
  • Research: Under specific circumstances and with safeguards in place.
  • Coroners, Medical Examiners, Organ Donation: For lawful purposes.
  • Disaster Relief and Serious Threats: To assist during emergencies or prevent harm.
  • Military/National Security: When required by authorized officials.
II. Uses and Disclosures Requiring Your Written Authorization

We will obtain your written authorization before:

  • • Using or disclosing psychotherapy notes.
  • • Using your PHI for marketing purposes.
  • • Selling your PHI.
  • • Any other use or disclosure not described in this Notice.

You may revoke an authorization in writing at any time.

Your Rights Regarding PHI
  • Access: You may request to inspect or obtain copies of your PHI.
  • Amend: You may request corrections if you believe your PHI is incorrect or incomplete.
  • Accounting of Disclosures: You can request a list of disclosures we have made in the past six years (with some exceptions).
  • Restrictions: You may request limits on our use or disclosure of PHI.
  • Confidential Communications: You can request communications via alternative means (e.g., email or a specific address).
  • Notification of Breach: You will be notified if a breach of your unsecured PHI occurs.
  • Paper Copy: You may request a paper copy of this Notice at any time.
How to Submit a Request

To exercise any of these rights, submit a written request to our Privacy Office:

Privacy Officer – WellnessPharm

4113 Birney Avenue, Moosic, PA 18507
570-456-5855
info@wellnesspharm.com
Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

Effective Date: August 4th, 2025