Privacy Notice
Notice of Privacy Practices (HIPAA)
Effective Date: 30 July 2025
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.
Selah Restorative Wellness is committed to protecting your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI), and your rights regarding your PHI under the Health Insurance Portability and Accountability Act (HIPAA).
HOW WE MAY USE AND DISCLOSE YOUR PHI:
- Treatment: We may use your PHI to provide you with medical care and services.
- Payment: We may use and disclose PHI for billing and payment purposes.
- Health Care Operations: We may use PHI to operate and improve our business.
- Required by Law: We may disclose PHI when required by federal, state, or local law.
- Public Health and Safety: We may disclose PHI to prevent serious threats to health or safety.
- Legal Proceedings: We may share PHI in response to a court order or subpoena.
YOUR RIGHTS REGARDING YOUR PHI:
- Right to Inspect and Copy: You have the right to access your PHI.
- Right to Request Amendments: You may request corrections to your PHI.
- Right to Request Restrictions: You may request limits on how we use or disclose your PHI.
- Right to Confidential Communications: You may request that we communicate with you in a specific way.
- Right to a Paper Copy: You may request a paper copy of this notice at any time.
- Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint.
OUR DUTIES:
- We are required by law to maintain the privacy of your PHI.
- We must provide you with this Notice and abide by its terms.
- We reserve the right to change the terms of this Notice and will post updated notices on our website.
COMPLAINTS:
You will not be penalized or retaliated against for filing a complaint. To file a complaint or request more information, contact:
Privacy Officer
Selah Restorative Wellness
Email: info@wellnessbyselah.com
Phone: (820) 946-0563
Address: San Antonio Texas
ACKNOWLEDGMENT:
By receiving care from Selah Restorative Wellness, you acknowledge that you have received and reviewed this Notice of Privacy Practices.