HIPAA Notice Of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED OR DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO INFORMATION. PLEASE REVIEW IT CAREFULLY.

Functional Health and Wellness LLC
Fucntional Health and Wellness LLC is required by law to protect the privacy of your personal health information, provide this notice about our information practices, and follow the information practices that are described herein.

USES AND DISCLOSURES OF HEALTH INFORMATION
Functional Health and Wellness LLC uses your personal information primarily for treatment, obtaining payment for treatment, conducting internal administratvie activities, and evaluating the quality of care that we provide. For example, Functional Health and Wellness LLC may use your personal health information to contact you to provide appointment reminders, information about treatment alternatives, or other health related benefits that could be of interest to you.

Functional Health and Wellness LLC may also use or disclose your personal health information without prior authorization for public health purposes, for auditing purposes, and for emergencies. We may provide de-identified information for research studies. We also provide information when required by law.

In any other situation, Functional Health and Wellness LLC's policy is to obtain your written authorization before disclosing your personal health information. If you provide us with a written authorization to release your information for any reason, you may later revoke that authorization to stop further disclosure at any time.

Functional Health and Wellness LLC may change its policy at any time. When changes are made, a new Notice of Information Practices will be posted in a common area of our clinic. You may also request and updated copy of our Notice of Information Practices at any time.

PATIENT'S INDIVIUAL RIGHTS
You have the right to review or obtain a copy of your personal health information at any time. You have the right to request that we correct any inaccurate or incomplete information in your records. You also have the right to request a list of instances there we have disclosed your personal health information for reasons other than treatment, payment, or other related administrative purposes.

You may also request in writing that we not use or disclose your personal health information for treatment, payment, and administrative purposes except when specifically authorized by you, when required by law, or in emergency circumstances. Functional Health and Wellness LLC will consider all such requests on a case-by-case basis, but the Company is legally required to accept them.

Functional Health and Wellness
852 W. Madison St., Oak Park, IL 60302 | Phone: 708.445.FXNL(3965) | Email: info@fxnlhealth.com