HIPAA Notice of Privacy Practices

Total DC Wellness is required by law to protect the privacy of your protected health information (PHI), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

• Treatment — to provide, coordinate and manage your care, including sharing information with other providers involved in your treatment.
• Payment — to bill and collect payment for services from you or, when you direct us to, from another payer. Our office is cash-based and does not bill general health insurance carriers.
• Health care operations — for quality review, training, scheduling, documentation and business management.
• Appointment reminders and follow-up — to contact you about appointments, care instructions and services that may benefit you, using the phone number or email you provide.
• Business associates — with vendors who perform services for us, such as our practice management and patient communication platforms, under written agreements requiring them to safeguard your information.
• As required or permitted by law — including public health activities, reports of abuse or neglect, health oversight, judicial and administrative proceedings, law enforcement requests, workers' compensation and to avert a serious threat to health or safety.

Most uses and disclosures not described above require your written authorization, including marketing communications, the sale of PHI, and most uses of psychotherapy notes. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

• Access and copies — inspect and get a copy of your health record, including an electronic copy, generally within 30 days of a written request. A reasonable cost-based fee may apply.
• Amendment — ask us to correct information you believe is incorrect or incomplete. We may deny the request and will explain why in writing.
• Accounting of disclosures — request a list of certain disclosures we made of your information.
• Restrictions — ask us to limit what we use or disclose. We are not required to agree, except that we must agree not to disclose information to a health plan for a service you paid for in full out of pocket.
• Confidential communications — ask us to contact you at an alternate address or phone number.
• Breach notification — be notified if a breach of your unsecured PHI occurs.
• Paper copy — receive a paper copy of this notice on request, even if you agreed to receive it electronically.

Contact our office at 954-433-4773 or write to Total DC Wellness, 12191 Taft Street, Pembroke Pines, FL 33026. Requests concerning your health record should be made in writing. Please do not send medical details by email — email is not a secure channel.

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

We may change this notice and apply the revised terms to information we already hold. The current notice is posted on this page and in our office.