Notice of Privacy Practices

Your Rights

When it comes to your health information, you have certain rights. You may:

• Request to inspect or obtain an electronic or paper copy of your medical record and other health information we maintain about you.
• Ask us to correct health information that you believe is incorrect or incomplete.
• Request confidential communications or ask us to contact you in a specific way or at a specific location.
• Ask us to limit certain uses or disclosures of your health information. We are not required to agree to every request. However, when you pay for a service in full out of pocket and ask us not to disclose information about that service to your health plan for payment or health care operations, we will comply when required by law.
• Request a list, or accounting, of certain disclosures we have made of your health information.
• Obtain a paper copy of this Notice of Privacy Practices at any time, even if you agreed to receive it electronically.
• Choose someone with legal authority to act on your behalf regarding your health information.
• File a complaint if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences about what we share.

You may tell us whether you want us to share relevant information with family members, friends, or others involved in your care or payment for your care.

If you are unable to communicate your preference, such as during an emergency, we may share information when we determine that doing so is in your best interest and is permitted by law.

We will obtain your written authorization before using or disclosing your health information for purposes requiring authorization under applicable law. You may revoke an authorization in writing, except to the extent we have already acted in reliance on it.

We will not sell your protected health information or use it for marketing purposes requiring authorization without obtaining the authorization required by law.

How We May Use and Disclose Your Health Information

We may use or disclose your protected health information as permitted or required by law, including for:

• Treatment. We may use and share your health information with other health professionals involved in your care.
• Payment. We may use and disclose your health information to bill and obtain payment from health plans or other entities.
• Health Care Operations. We may use and disclose your health information to operate our practice, improve care, conduct quality activities, and manage our services.
• Legal and Public-Interest Purposes. We may use or disclose information when permitted or required by law, including for certain public-health and safety activities, health oversight activities, workers' compensation matters, law-enforcement purposes, judicial or administrative proceedings, and other circumstances authorized by law.

Additional protections may apply to certain types of health information, including mental health information, psychotherapy notes, substance-use-disorder records, reproductive-health information, and other information protected by federal or state law. Stillpoint Wellness LLC will comply with applicable federal and Utah privacy requirements.

Our Responsibilities

Stillpoint Wellness LLC is required by law to maintain the privacy and security of protected health information.

We will notify affected individuals as required by law if a breach occurs that may have compromised the privacy or security of their information.

We must follow the privacy practices described in the Notice currently in effect.

We may change the terms of this Notice and make the new Notice applicable to health information we maintain. When material changes are made, an updated Notice will be made available as required by law, including on our website.

Questions or Complaints

If you have questions about this Notice, want to exercise your privacy rights, or believe your privacy rights have been violated, contact:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Stillpoint Wellness LLC will not retaliate against you for filing a complaint.