HIPAA Notice of Privacy Practices
Effective Date: June 24, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Peaceful Weigh to Wellness LLC (“Peaceful Weigh,” “we,” “us,” or “our”) is committed to protecting the privacy and security of your Protected Health Information (“PHI”). We are required by the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended, and other applicable laws to maintain the privacy of your health information, provide you with this Notice of Privacy Practices, and abide by the terms of this Notice currently in effect.
This Notice applies to all healthcare services provided by Peaceful Weigh to Wellness LLC and its workforce members, contracted healthcare providers, and business associates who assist in providing healthcare services.
Our Legal Responsibilities
We are required by law to:
- Maintain the privacy and security of your Protected Health Information (“PHI”);
- Provide you with this Notice explaining our legal duties and privacy practices;
- Notify you if a breach of your unsecured PHI occurs when required by law;
- Follow the terms of the Notice currently in effect; and
- Obtain your authorization for uses and disclosures of your PHI when required by law.
What Is Protected Health Information?
Protected Health Information (“PHI”) is information that identifies you and relates to:
- Your past, present, or future physical or mental health condition;
- The healthcare services you receive;
- Payment for healthcare services.
PHI may exist in electronic, paper, audio, photographic, video, or other formats.
How We May Use and Disclose Your Information
1. Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare. Examples include:
- Evaluating symptoms
- Reviewing questionnaires and medical history
- Prescribing medications
- Communicating with pharmacies
- Ordering or reviewing laboratory tests
- Coordinating care with other treating providers
2. Payment
We may use and disclose your PHI to obtain payment for healthcare services. Examples include:
- Processing payments
- Verifying eligibility
- Billing for services
- Processing refunds
Collection activities as permitted by law
3. Healthcare Operations
We may use and disclose your PHI for legitimate business and healthcare operations, including:
- Quality improvement
- Clinical supervision
- Credentialing
- Provider training
- Compliance monitoring
- Risk management
- Auditing
- Business planning
- Customer service
- Technology administration
4. Business Associates
We work with trusted third-party vendors who perform services on our behalf. These may include:
- Electronic health record vendors
- Telehealth platforms
- Patient portal providers
- Payment processors
- Laboratories
- Pharmacies
- Cloud hosting providers
- Customer support providers
- Technology vendors
Business Associates are contractually required to safeguard your PHI and may only use or disclose it as permitted by law.
5. Appointment Reminders and Healthcare Communications We may contact you regarding:
- Appointment reminders
- Follow-up care
- Prescription updates
- Laboratory reminders
- Treatment recommendations
- Patient education
- Wellness communications
These communications may be provided by telephone, text message, secure messaging, email, or other methods consistent with applicable law.
Please also review our TCPA & SMS Communications Policy for additional information regarding electronic communications.
6. Individuals Involved in Your Care
Unless you object, we may share relevant information with:
- Family members
- Caregivers
- Legal guardians
- Personal representatives
when appropriate to assist in your care or payment for your care.
7. Public Health and Legal Requirements
We may disclose PHI when required or permitted by law, including for:
- Public health reporting
- Disease prevention
- FDA reporting
- Abuse or neglect reporting
- Court orders
- Law enforcement requests
- Government oversight activities
- Workers’ compensation claims
- National security purposes
8. Research
We may use or disclose PHI for research purposes only as permitted by applicable law and subject to appropriate safeguards.
Uses Requiring Your Authorization
Except as described above, we will obtain your written authorization before using or disclosing your PHI for:
- Marketing purposes where authorization is required;
- The sale of PHI;
- Most psychotherapy notes; or
- Other uses requiring authorization under HIPAA.
You may revoke your authorization at any time in writing, except to the extent we have already relied upon it.
Your Rights
Under HIPAA and other applicable laws, you have the right to inspect and obtain copies of your Protected Health Information (“PHI”), request amendments if you believe your medical information is incorrect or incomplete (subject to applicable legal limitations), request
restrictions on certain uses or disclosures of your PHI (although we are not always required to agree), request that we communicate with you in a specific manner or at a specific location,
receive an accounting of certain disclosures of your PHI made during the previous six years (excluding disclosures for treatment, payment, healthcare operations, and other exceptions permitted by law), obtain a paper copy of this Notice at any time even if you previously agreed to receive it electronically, and file a complaint if you believe your privacy rights have been violated without fear of retaliation.
You may contact:
Privacy Officer
Peaceful Weigh to Wellness LLC
Email: info@peacefulweightowellness.com You may also file a complaint with:
U.S. Department of Health and Human Services Office for Civil Rights
Filing a complaint will not affect the care or services you receive.
Our Commitment to Security
We maintain reasonable administrative, technical, and physical safeguards designed to protect your PHI from unauthorized access, use, disclosure, alteration, or destruction.
While we strive to protect electronic information, no method of electronic transmission or storage is completely secure.
Telehealth Services
Peaceful Weigh to Wellness LLC provides healthcare services through telehealth technologies.
Telehealth services may involve the electronic transmission of medical information, images, questionnaires, audio, video, laboratory results, prescriptions, and other health information necessary to provide treatment.
By utilizing our services, you acknowledge that electronic communications carry inherent privacy and security risks despite reasonable safeguards.
Please review our Telehealth Informed Consent and TCPA & SMS Communications Policy for additional information regarding telehealth services and electronic communications.
Changes to This Notice
We reserve the right to change this Notice at any time.
Any revised Notice will apply to all PHI maintained by Peaceful Weigh to Wellness LLC and will become effective upon posting on our website or otherwise making it available to patients.
The Effective Date at the top of this Notice indicates the most recent revision.
Contact Information
If you have questions regarding this Notice or our privacy practices, please contact: Privacy Officer
Peaceful Weigh to Wellness LLC
Email: info@peacefulweightowellness.com
Acknowledgment
By accessing or using our services, you acknowledge that this HIPAA Notice of Privacy
Practices has been made available to you and that you have had the opportunity to review it. Your receipt of this Notice does not require you to waive any rights provided under HIPAA or other applicable laws.