Viva Wellness Life, LLC — Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

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.

Joint Notice of Privacy Practices

This notice describes the privacy practices of Viva Wellness Life, LLC and any affiliated entities under our ownership and control.
For purposes of complying with HIPAA, these entities have designated themselves as an affiliated covered entity.

Your Rights

You have the right to:

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic medical record
  • Request confidential communication
  • Ask us to limit the information we share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • File a complaint if you believe your privacy rights have been violated

Your Choices

  • You have some choices in the way that we use and share information as we:
  • Tell family and friends about your condition
  • Provide disaster relief
  • Include you in a hospital directory
  • Provide mental health care
  • Market our services and sell your information
  • Raise funds

Our Uses and Disclosures

  • We may use and share your information as we:
  • Treat you
  • Run our organization
  • Bill for your services
  • Help with public health and safety issues
  • Do research
  • Comply with the law
  • Respond to organ and tissue donation requests
  • Work with a medical examiner or funeral director
  • Address workers’ compensation, law enforcement, and other government requests
  • Respond to lawsuits and legal actions

Detailed Rights and Responsibilities

Get an electronic or paper copy of your medical record

  • You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.
  • We will provide a copy or a summary, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

  • You can ask us to correct health information about you that you think is incorrect or incomplete.
  • We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

  • You can ask us not to use or share certain health information for treatment, payment, or operations.
  • If you pay for a service out-of-pocket in full, you can ask us not to share that information for payment or operations with your insurer. We will honor your request unless required by law.

Get a list of those with whom we’ve shared information

  • You can request a list of disclosures for the past six years (except for those related to treatment, payment, or operations).

Get a copy of this privacy notice

  • You can request a paper copy at any time.

Choose someone to act for you

  • If you have a medical power of attorney or legal guardian, that person can exercise your rights.

File a complaint if you feel your rights are violated

Your Choices in Certain Cases

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation
  • Include your information in a hospital directory

Your Choices in Certain Cases

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation
  • Include your information in a hospital directory

If you cannot tell us your preference (e.g., you are unconscious), we may go ahead if we believe it’s in your best interest, or if required to reduce a serious and imminent threat to safety.

We will never share your information for:

  • Marketing purposes
  • Sale of your information
  • Most sharing of psychotherapy notes — unless you give written permission

For fundraising: We may contact you, but you can tell us not to contact you again.

How We Typically Use or Share Your Information

Treat You

We can use your health information and share it with other professionals treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health.

Run Our Organization

We can use and share your information to run our practice, improve your care, and contact you when necessary.
Example: We use health information to manage treatment and services, send appointment reminders, or follow up on care.

Bill for Your Services

We can use and share your information to bill and receive payment from health plans or other entities.
Example: We provide your insurer with necessary information for payment.

Other Uses and Disclosures

We may also share your information when:

  • Preventing disease
  • Helping with product recalls
  • Reporting adverse reactions to medications
  • Reporting suspected abuse, neglect, or domestic violence
  • Preventing or reducing a serious threat to health or safety
  • Doing health research
  • Complying with federal or state laws
  • Responding to organ/tissue donation requests
  • Working with a coroner, medical examiner, or funeral director
  • Addressing workers’ compensation, law enforcement, or government requests
  • Responding to lawsuits or legal actions

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will promptly notify you of any breach that may have compromised your information.
  • We must follow the duties and privacy practices described in this notice and provide you a copy.
  • We will not use or share your information other than as described here unless you give written permission, which you may revoke at any time.

Changes to This Notice

We may change the terms of this notice and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website: www.vivawellness.com

Get in touch

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