Nicole Welsh is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of Privacy Practices, and to follow the terms of the notice currently in effect. We reserve the right to change the terms of this notice and to make the revised notice effective for all health information we maintain. Any updated notice will be posted on our website and available upon request.

The following categories describe different ways that we may use and disclose your protected health information without your written authorization. Not every use or disclosure is listed, but all permitted uses fall within one of these categories.

1. For care coordination and services

   We may use and disclose your health information to provide, coordinate, or manage your nutrition care.
   Example: Sharing relevant information with another healthcare provider involved in your care, with your consent when required.

2. For payment

   If applicable, we may use and disclose your health information to obtain payment for services provided.
   Example: Providing information necessary for billing or reimbursement purposes.

3. For health care operations

   We may use and disclose health information for operations necessary to run the practice and ensure quality care.
   Example: Quality assessment, administrative activities, or legal compliance.

4. As Required by Law

   We may disclose health information when required to do so by federal, state, or local law.

5. To avert a serious threat to health

   We may disclose your health information if necessary to prevent a serious threat to your health or safety or to the health or safety of others.

6. Business Associates

   We may share your health information with third-party service providers (“business associates”) who perform services on our behalf, such as secure electronic health record systems or billing services. These business associates are required by law to protect your information.

7. Other uses and disclosures

   Any uses and disclosures of your health information not described above will be made only with your written authorization. You may revoke your authorization at any time in writing.

You have the following rights regarding your protected health information:

1. Right to inspect and copy

   You have the right to inspect and obtain a copy of your health information maintained by this practice, subject to certain exceptions.

2. Right to request an amendment

   You have the right to request an amendment to your health information if you believe it is incorrect or incomplete.

3. Right to an accounting of disclosures

   You have the right to receive a list of certain disclosures of your health information made by this practice.

4. Right to request restrictions

   You have the right to request restrictions on how your health information is used or disclosed. We are not required to agree to all requested restrictions.

5. Right to request confidential communications

   You have the right to request that we communicate with you about health matters in a specific way or at a specific location.

6. Right to a paper copy of this notice

   You have the right to obtain a paper copy of this Notice of Privacy Practices at any time, even if you agreed to receive it electronically.

7. Right to complain

   If you believe your privacy rights have been violated, you may file a complaint with the Practice or the U.S. Department of Health and Human Services. You may complain to the Practice by contacting the Practice’s Privacy Contact, using the contact information below. You will not be retaliated against in any way for filing a complaint.

You may be asked to sign an acknowledgment that you received this Notice of Privacy Practices. If you choose not to sign, services will not be denied.

The Practice’s contact person for all issues regarding patient privacy and your rights under the Federal privacy standards is the Privacy Contact. Questions regarding matters covered by this Notice shall be directed to the Privacy Contact. You may contact the Privacy Contact at:

Nicole Welsh

nicole.t.welsh@gmail.com

3107179300