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. ANY REFERENCES IN THIS DOCUMENT TO MEDICAL PRACTICE, MEDICAL RECORDS, MEDICAL SERVICES, ETC. APPLY ALSO TO PSYCHOTHERAPY.

Allswell Health Medical Group, P.A. (“Allswell” or “we”) understands the importance of privacy and is committed to maintaining the confidentiality of your medical information. Allswell makes a record of the medical care we provide and may receive such records from others. We use these records to provide care, obtain payment, and meet legal obligations. We are required by law to maintain the privacy of protected health information, notify individuals of breaches, and provide this notice of our privacy practices.

A. How We May Use or Disclose Your Health Information

Allswell collects and maintains your health information electronically. The record belongs to Allswell, but the information belongs to you. We may use or disclose your health information for the following purposes:

Treatment. To provide your care and share with those involved in your care.
Payment. To obtain payment for services provided to you.
Care Operations. To operate and improve Allswell’s services and quality of care.
Appointment Reminders. To contact you about appointments.
Notification and Communication With Family. With your signed release, we may contact approved parties.
Marketing. We may contact you about treatment-related services. No sales or paid marketing without your consent.
Sale of Health Information. We will not sell your health information without your prior written authorization.
Required by Law. When required, we will comply with the law and limit disclosures to the minimum necessary.
Public Health. To public health authorities for disease control, abuse reporting, FDA reporting, etc.
Health Oversight Activities. For audits, investigations, inspections, and licensing activities.
Judicial and Administrative Proceedings. As required or authorized by law.
Public Safety. To prevent or lessen serious threats to health or safety.
Workers’ Compensation. To comply with workers’ compensation laws.
Change of Ownership. If Allswell is sold or merged, records transfer to the new owner.
Breach Notification. We will notify you if there is a breach of your protected health information.
Psychotherapy Notes. We will not use or disclose psychotherapy notes without your written authorization, except in limited situations (treatment, training, legal defense, etc.).
Research. We may disclose health information for approved research without your written authorization, as permitted by law.

B. When We May Not Use or Disclose Your Health Information

Except as described in this Notice, we will not use or disclose your health information without your written authorization. You may revoke authorization at any time in writing.

C. Your Health Information Rights

Right to Request Special Privacy Protections. You can request restrictions on certain uses and disclosures.
Right to Request Confidential Communications. You can request that we communicate with you in a specific way or at a specific location.
Right to Inspect and Copy. You may access and obtain copies of your health information with limited exceptions. Requests must be in writing. We may charge a reasonable fee.
Right to Amend or Supplement. You may request amendments to your health information if you believe it is incorrect or incomplete.
Right to Receive an Accounting of Disclosures. You may request a list of certain disclosures made in the past six years.
Right to Obtain a Paper Copy of this Notice. You can request a paper copy of this Notice at any time.

D. Changes to this Notice of Privacy Practices

We reserve the right to amend this Notice at any time. The revised Notice will apply to all protected health information maintained by us and will be available upon request.

This Notice is effective on 03/20/2025

Complaints

Complaints about this Notice or our handling of your health information should be directed to our Privacy Officer:

Connor Gordon, CTO at Allswell
Email: hello@joinallswell.com
Phone: (323) 284-1778 x100

If not satisfied, you may submit a formal complaint to the U.S. Department of Health and Human Services:

www.hhs.gov/ocr/privacy/hipaa/complaints/hipcomplaint.pdf

You will not be retaliated against for filing a complaint.

Agreement Acknowledgment

I agree to follow the Privacy Policy as detailed above.
I have read/received the information or it has been explained to me.
I am aware and informed of the nature and purpose of the services.
I understand that while services offer benefits, desired outcomes are not guaranteed.
I understand I may ask questions throughout the process.
I agree to follow all rules and understand my rights and responsibilities.
I understand that revoking my agreement may result in transfer or discharge from services.
I acknowledge I have received a copy of Allswell’s Notice of Privacy Practices.