Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Understanding Your Health Record/Information

Each time you meet with a healthcare provider, including a holistic coach with a healthcare background, a record of your visit is made. This record contains your symptoms, assessments, and plans for future care or treatment. This information serves as a:

• Basis for planning your care and treatment
• Means of communication among health professionals who contribute to your care
• Legal document describing the care you received
• Means by which you or a third-party payer can verify that services billed were actually provided
• Tool for education of health professionals
• Source of data for research
• Source of information for public health officials
• Tool with which we can assess and continually work to improve the care we render

Your Health Information Rights

Although your health record is the physical property of Better Vibes Holistic Coaching, the information belongs to you. You have the right to:

• Request a restriction on certain uses and disclosures of your information
• Obtain a paper copy of this notice of privacy practices upon request
• Inspect and obtain a copy of your health record
• Amend your health record
• Obtain an accounting of disclosures of your health information
• Request communications of your health information by alternative means or at alternative locations
• Revoke your authorization to use or disclose health information except to the extent that action has already been taken

Our Responsibilities

Better Vibes Holistic Coaching with Diana is required to:

• Maintain the privacy of your health information
• Provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
• Abide by the terms of this notice
• Notify you if we are unable to agree to a requested restriction
• Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we will post the revised notice on our website.

We will not use or disclose your health information without your authorization, except as described in this notice.

For More Information or to Report a Problem

If you have questions and would like additional information, you may contact Better Vibes Holistic Coaching with Diana at bettervibesholisticcoaching@gmail.com or (909) 323-2483.

If you believe your privacy rights have been violated, you can file a complaint with our practice or with the Secretary of the Department of Health and Human Services. There will be no retaliation for filing a complaint.

Examples of Disclosures for Treatment, Payment, and Health Operations

Treatment: Information obtained by a healthcare provider, including a holistic coach with a healthcare background, will be recorded in your record and used to determine the course of treatment. This may include coordination of care with other healthcare providers.

Payment: A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures, and supplies used.

Healthcare Operations: We may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the healthcare and service we provide.

Other Uses and Disclosures

Business Associates: There are some services provided in our organization through contacts with business associates. When these services are contracted, we may disclose your health information to our business associates so that they can perform the job we've asked them to do. To protect your health information, however, we require the business associate to appropriately safeguard your information.

Notification: We may use or disclose information to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition.

Communication with Family: Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend, or any other person you identify, health information relevant to that person's involvement in your care or payment related to your care.

Research: We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.

Marketing: We may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Required by Law: We may disclose health information as required by law. This may include reporting suspected abuse, neglect, or domestic violence, responding to judicial or administrative proceedings, or responding to law enforcement requests.

Client Acknowledgment

By booking a session with Better Vibes Holistic Coaching with Diana, you acknowledge that you have received and understand this Notice of Privacy Practices. A physical copy of this form will be provided for your signature at your first session.