PRIVACY NOTICE

If you have questions about this notice, please contact us at hello@welllifeabq.com or 505-585-2345.

WHO WILL FOLLOW THIS NOTICE
This notice describes the practices of:

1. All personnel at Well Life ABQ and The Injection and Infusion Clinic of ABQ.
2. Any persons or companies with whom the clinic does business, known as Business Associates.
3. These entities may share medical information with each other for treatment, payment, or health
   care operations purposes as permitted by HIPAA.

We understand that medical information about you is personal. We are committed to protecting it. This notice applies to all records of your care and billing maintained by our clinic. Other healthcare providers may have different privacy practices.
We are required by law to:

1. Keep your medical information private.
2. Provide this notice of our legal duties and privacy practices.
3. Follow the terms of this notice currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR MEDICAL INFORMATION
The following categories describe different ways we may use or disclose your medical information:

For Treatment
We may use medical information to provide medical treatment and share it with doctors, nurses,
technicians, or other healthcare providers involved in your care. Example: A doctor treating you may
need to know if you have diabetes because it may affect your treatment plan.

For Payment
We may use and disclose medical information to bill and collect payment for services provided to you.
Example: We may share information with your insurance company for reimbursement.
For Health Care Operations
We may use and disclose medical information for clinic operations to ensure quality care. Example: We may use medical information to review treatment effectiveness and improve services.

Treatment Alternatives
We may use and disclose medical information to inform you about or recommend treatment alternatives.

Individuals Involved in Your Care or Payment for Your Care
We may release medical information to a friend or family member involved in your care, unless you object.

We understand that medical information about you is personal. We are committed to protecting it. This notice applies to all records of your care and billing maintained by our clinic. Other healthcare providers may have different privacy practices.
We are required by law to:

1. Keep your medical information private.
2. Provide this notice of our legal duties and privacy practices.
3. Follow the terms of this notice currently in effect.

HOW WE MAY USE AND DISCLOSE YOUR MEDICAL INFORMATION
The following categories describe different ways we may use or disclose your medical information:
For Treatment
We may use medical information to provide medical treatment and share it with doctors, nurses,
technicians, or other healthcare providers involved in your care. Example: A doctor treating you may
need to know if you have diabetes because it may affect your treatment plan.
For Payment
We may use and disclose medical information to bill and collect payment for services provided to you.
Example: We may share information with your insurance company for reimbursement.
For Health Care Operations
We may use and disclose medical information for clinic operations to ensure quality care. Example: We may use medical information to review treatment effectiveness and improve services.
Treatment Alternatives
We may use and disclose medical information to inform you about or recommend treatment alternatives.
Individuals Involved in Your Care or Payment for Your Care
We may release medical information to a friend or family member involved in your care, unless you
object.

You have the following rights:

1. Right to Access and Copy
   • You may review and obtain a copy of your medical records
   • If records are in electronic format, you can request an electronic copy or direct us to send an electronic copy to a designated recipient.
2. Right to Request Amendments:
   • If you believe your records are incorrect or incomplete, you may request an amendment.
3. Right to Request Restrictions:
   • You may request restrictions on how we use or disclose your medical information.
   • If you pay in full for a service and request that we not disclose it to your health plan, we must comply.
4. Right to Confidential Communications:
   • You may request that we contact you in a specific manner (e.g., email, phone, alternate address). We will accommodate reasonable requests.
5. Right to an Accounting of Disclosures
   • You may request a list of certain disclosures we have made of your medical information within the past six years
6. Right to a Paper Copy of This Notic
   • You may request a paper copy of this notice at any time, even if you agreed to receive it
     electronically.

1. We will maintain the privacy of your PHI.
2. We will notify you in the event of a breach affecting your information.
3. We will not use or disclose your information without your authorization, except as described in
   this notice.

If you believe your privacy rights have been violated, you may file a complaint with:
Clinic Privacy Officer:
Email: hello@welllifeabq.com
Phone: 505-585-2345

You may also file a complaint with the U.S. Department of Health & Human Services:

• Online: www.hhs.gov/hipaa/filing-a-complaint
•  Phone: 1-800-368-1019
• Mail: U.S. Department of Health & Human Services, Office for Civil Rights

We will not retaliate against you for filing a complaint.

• We reserve the right to change this notice at any time.
• The revised notice will apply to all medical information we maintain and will be available upon
  request.

By receiving services at Well Life ABQ and The Injection and Infusion Clinic of ABQ, you acknowledge
receipt of this Notice of Privacy Practices.