Hormonally Rooted – HIPAA Notice of Privacy Practices

Effective Date: July 27, 2025

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

At Hormonally Rooted, we are committed to protecting your privacy and safeguarding your personal health information. In accordance with the Health Insurance Portability and Accountability Act (HIPAA), we are required by law to maintain the confidentiality of your protected health information (PHI) and to inform you of your rights and our responsibilities regarding the handling of your health data.

🔐 Your Privacy Rights
As a patient, you have the right to:

Access Your Records: You may request to view or receive a copy of your medical records.

Request Amendments: If you believe your records are inaccurate or incomplete, you may request an amendment.

Limit Disclosures: You may ask us to restrict certain uses or disclosures of your PHI.

Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.

View Disclosures: You can ask for a list of certain disclosures we’ve made of your PHI.

Receive a Copy of This Notice: You can request a paper or electronic copy of this notice at any time.

File a Complaint: You have the right to file a complaint if you believe your privacy rights have been violated—either with us or with the U.S. Department of Health and Human Services (HHS). We will never retaliate against you for filing a complaint.

📄 How We May Use and Disclose Your Information
We may use and share your health information in the following ways:

For Your Care: To communicate with healthcare professionals involved in your treatment.

Practice Operations: For internal quality improvement, audits, and administrative tasks.

Billing and Payments: To submit claims to your insurance provider or process payment.

Legal Compliance: To comply with public health reporting, subpoenas, or law enforcement.

Health Oversight: For audits, investigations, and inspections as authorized by law.

Other Permitted Uses: With your written permission, or as otherwise permitted or required by law.

🛡️ Our Responsibilities
Hormonally Rooted is legally required to:

Protect the privacy and security of your PHI.

Provide you with this notice outlining our legal duties.

Follow the terms of this notice and inform you of any material changes.

Notify you promptly if a breach occurs that may have compromised your PHI.

Honor reasonable requests for confidential communication.

📞 Questions or Concerns?
If you have questions about this notice, or would like to exercise your rights, please contact:

Privacy Officer
Hormonally Rooted

Phone
📱 423-299-3046

Email
📧 dana@hormonallyrooted.com

Address
📍 4784 S. Lee Hwy
McDonald, TN 37353

You may also contact the U.S. Department of Health and Human Services directly at www.hhs.gov/ocr/privacy.