Notice of Privacy Practices
Effective Date: 5/11/26
Our Commitment to Your Privacy
Be Well Holistic Health is dedicated to providing services with respect for human dignity. Protecting your privacy and healthcare information is fundamental to our relationship with you. This Notice of Privacy Practices describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.
Our Responsibilities
Be Well Holistic Health is required by law to:
- Maintain the privacy and security of your Protected Health Information (PHI)
- Provide you with this Notice of Privacy Practices
- Follow the terms of this notice currently in effect
- Notify you in the event of a breach of unsecured PHI
We reserve the right to change the terms of this notice at any time. Any updated version will apply to all information we maintain and will be made available upon request and as required by law.
How We Collect Your Information
We gather personal and health information in several ways, including:
- Information we receive directly from you
- Information we receive from other healthcare providers
- Information we receive from third-party payers
What Is Protected Health Information (PHI)
Protected Health Information includes demographic information and any information relating to your past, present, or future physical or mental health or condition, as well as payment for healthcare services.
How We May Use and Disclose Your Information
During the course of your care, we may use and disclose your health information for the following purposes:
Treatment: To provide, coordinate, or manage your care among healthcare providers.
Payment: To bill and collect payment for services provided to you.
Healthcare Operations: To support clinic operations, including quality improvement, training, administrative activities, and care coordination.
Other Permitted Uses and Disclosures
We may also disclose your information without your written authorization in the following situations, as permitted or required by law:
- To public health agencies for purposes such as controlling disease
- In cases of suspected child abuse or neglect to appropriate authorities
- In cases of suspected abuse, neglect, or domestic violence, as required by law or to prevent serious harm
- To health oversight agencies for regulatory and licensing purposes
- In legal proceedings, subject to applicable legal requirements
- To law enforcement officials, as permitted by law
- For research purposes, subject to approval or authorization
- For national security, military, or intelligence purposes, when required
We may share your health information with affiliated providers or partner organizations involved in your care, where permitted by law and for purposes of treatment, payment, and healthcare operations.
We may also use or disclose your information when required by law.
Uses Requiring Your Authorization
We will not use or disclose your Protected Health Information for purposes not described in this notice without your written authorization.
You may authorize the disclosure of your information to a person or organization of your choosing. You may revoke your authorization at any time in writing, except to the extent that action has already been taken in reliance on it.
Your Rights
You have the right to:
- Access, review, and receive copies of your medical records
- Request corrections to your health information
- Request restrictions on how your information is used or disclosed
- Request confidential communications (such as alternative contact methods)
- Receive a list of certain disclosures of your information
- Receive a copy of this Notice of Privacy Practices
Please note: We are not required to agree to all requested restrictions; however, if we do agree, we will comply with those restrictions.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us:
Privacy Officer:
Dessa Bingley
Email: hello@bewellandheal.com
You may also file a complaint with the
U.S. Department of Health and Human Services Office for Civil Rights
We will not retaliate against you for filing a complaint.
Questions
If you have any questions about this notice or your privacy rights, please contact our office
