Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, HOW YOU CAN ACCESS THAT INFORMATION, AND HOW TO FILE A PRIVACY COMPLAINT. PLEASE REVIEW IT CAREFULLY.

Effective Date: October 14, 2026

1. Introduction

At Live Well Wellness Center, we are committed to protecting the privacy and confidentiality of our patients’ medical information.

This Notice of Privacy Practices explains how Live Well Wellness Center (“we,” “us,” “our,” or “the Practice”) may use and disclose your protected health information (PHI), your rights regarding that information, and our responsibilities under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), its implementing regulations, and applicable Arizona law.

This notice applies to protected health information created, received, maintained, or transmitted by Live Well Wellness Center in connection with our healthcare services. These services may include naturopathic primary care, functional and integrative medicine, hormone replacement therapy, medical weight management, IV therapy, acupuncture, and other medical services offered by our providers.

This notice applies to our healthcare professionals, employees, and other individuals or entities acting on our behalf to the extent they are involved in handling protected health information.

2. Your Rights Regarding Your Medical Information

You have important rights concerning the medical information we maintain about you.

Right to Access Your Medical Records

You have the right to request access to, inspect, or obtain an electronic or paper copy of your medical records and other protected health information maintained in a designated record set.

We will process requests within the time limits established by applicable federal and Arizona law. HIPAA generally requires a response within 30 calendar days, subject to a permitted extension. Arizona law may require an earlier response depending on the circumstances and purpose of the request.

We may charge a reasonable, legally permitted fee for copies of medical records. In limited circumstances, we may deny access as permitted by law. If we deny your request, we will provide an explanation and information about any applicable review rights.

Right to Request Corrections

If you believe your medical information is incorrect or incomplete, you may request an amendment. We will review your request and respond within the time required by applicable law, generally within 60 days under HIPAA, subject to permitted extensions.

If we deny the requested amendment, we will provide a written explanation and information about your additional rights.

Right to Request Confidential Communications

You may request that we communicate with you through a particular method or at a specific location. For example, you may ask us to contact you only through your mobile telephone or send correspondence to a different mailing address. We will accommodate reasonable requests in accordance with applicable law.

Right to Request Restrictions

You may request restrictions on how we use or disclose your protected health information for treatment, payment, or healthcare operations. We are not generally required to agree to every requested restriction. If we agree, we will follow the restriction except where disclosure is otherwise permitted or required by law, including certain emergency circumstances.

If you pay for a healthcare service entirely out of pocket, you may request that information about that service not be disclosed to your health plan for payment or healthcare operations. We must honor that request unless disclosure is required by law.

Right to an Accounting of Disclosures

You may request an accounting of certain disclosures of your protected health information made during the six years preceding your request. The accounting generally excludes disclosures for treatment, payment, healthcare operations, and other categories excluded by HIPAA.

One accounting during a 12-month period will be provided without charge. We may charge a reasonable, cost-based fee for additional requests during the same period, as permitted by law.

Right to Receive a Copy of This Notice

You may request a paper copy of this Notice of Privacy Practices at any time, even if you previously agreed to receive it electronically. We will provide a copy promptly.

Right to Designate a Personal Representative

If someone has legal authority to make healthcare decisions on your behalf, that person may be permitted to exercise your privacy rights. We may require documentation verifying that authority. Applicable Arizona law may provide additional protections or limitations concerning minors and certain confidential healthcare services.

Right to File a Privacy Complaint

You may file a complaint if you believe your privacy rights have been violated. Complaints may be submitted to Live Well Wellness Center or to the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint or exercising your privacy rights.

3. How We May Use and Disclose Your Health Information

We may use or disclose protected health information without your written authorization for treatment, payment, and healthcare operations, as permitted by HIPAA and applicable law.

Treatment

We may use or disclose medical information to provide, coordinate, or manage your healthcare. Examples include:

• Reviewing your medical history and current health concerns
• Evaluating laboratory results and diagnostic information
• Developing or adjusting treatment plans
• Coordinating care among our healthcare providers
• Communicating with external physicians, specialists, laboratories, pharmacies, or other professionals involved in your treatment
• Providing follow-up care and monitoring treatment

For example, one of our naturopathic medical doctors may share relevant laboratory findings with another treating healthcare professional when appropriate for your care. Additional restrictions may apply to certain sensitive medical records.

Payment

We may use or disclose protected health information when necessary to obtain payment for healthcare services. Examples include:

• Preparing invoices and statements
• Processing payments
• Providing documentation for insurance reimbursement
• Preparing or processing superbills
• Responding to payment-related inquiries
• Conducting legally permitted billing activities

If you request that information about a fully self-paid service not be disclosed to your health plan for payment or healthcare operations, we will honor that request unless otherwise required by law.

Healthcare Operations

We may use and disclose protected health information to operate our healthcare practice and maintain the quality of our services. These activities may include:

• Quality assurance and improvement
• Clinical and administrative reviews
• Employee training and supervision
• Scheduling and patient coordination
• Credentialing and professional evaluations
• Healthcare compliance
• Practice management and recordkeeping
• Evaluating and improving patient services

We will apply applicable privacy safeguards when handling information for these purposes.

4. Other Uses and Disclosures Permitted by Law

HIPAA and other applicable laws permit or require certain disclosures without an individual’s written authorization. These disclosures are subject to legal conditions and applicable confidentiality protections.

Public Health Activities

We may disclose relevant information to authorized public health agencies for disease prevention, disease reporting, product safety, adverse event reporting, and other legally permitted public health activities.

Preventing Serious Threats to Health or Safety

We may disclose information when permitted by law to prevent or reduce a serious threat to an individual’s or the public’s health or safety.

Reporting Abuse, Neglect, or Domestic Violence

We may disclose information to appropriate authorities when required or permitted by applicable reporting laws.

Health Oversight

We may disclose information to authorized government agencies conducting legally permitted audits, investigations, licensing reviews, or regulatory oversight.

Research

We may use or disclose protected health information for research when authorized by law, including with a valid authorization, an applicable waiver, or another permitted legal basis.

Judicial and Administrative Proceedings

We may disclose information in response to qualifying court orders, subpoenas, or other legal processes when the applicable requirements are satisfied. Additional restrictions apply to certain sensitive medical records, including records protected under 42 CFR Part 2.

Law Enforcement and Government Activities

We may disclose information when permitted or required by law for authorized law enforcement activities, workers’ compensation matters, or specified government functions.

Medical Examiners, Coroners, and Funeral Directors

We may disclose relevant information when legally permitted for identification, determining cause of death, or related duties.

Organ and Tissue Donation

We may disclose information to organizations involved in organ, eye, or tissue donation when permitted by law.

Required Disclosures

We will disclose information when required by applicable law, including to the U.S. Department of Health and Human Services when necessary to determine compliance with HIPAA.

5. Your Choices About Sharing Medical Information

In certain circumstances, you have the right to tell us how you would like your information shared.

Family Members, Caregivers, and Others Involved in Your Care

You may authorize or agree to the disclosure of relevant health information to family members, close friends, caregivers, or others involved in your care or payment for your care. If you are unable to communicate your preference, we may disclose relevant information when permitted by law and when we determine that doing so is in your best interest.

Emergency and Disaster Relief Situations

We may share limited information with authorized individuals or organizations assisting with emergency or disaster relief efforts when permitted by law.

Fundraising

If the Practice conducts fundraising activities involving protected health information, we will comply with applicable privacy requirements. You will have the right to opt out of qualifying fundraising communications. Additional notice and choice requirements apply if fundraising communications involve substance use disorder records protected by 42 CFR Part 2.

6. Uses and Disclosures Requiring Written Authorization

Certain uses and disclosures generally require your written authorization.

Marketing

We will obtain your written authorization before using or disclosing protected health information for marketing when required by HIPAA or other applicable law. Certain treatment-related communications, care coordination, and other legally excepted healthcare communications may not require separate authorization.

We will not treat participation in a patient consultation or submission of a medical intake form as blanket authorization to disclose protected health information to advertising companies.

Sale of Protected Health Information

We will not sell protected health information without the authorization required by applicable law.

Psychotherapy Notes

Most uses and disclosures of psychotherapy notes, as specifically defined under HIPAA, require separate written authorization.

Other Uses and Disclosures

We will obtain your authorization for uses or disclosures not otherwise permitted or required by law.

Revoking Authorization

You may revoke an authorization in writing at any time. A revocation will not apply retroactively to actions already taken in reliance on the authorization, subject to applicable law.

7. Additional Protections for Sensitive Health Information

Certain categories of medical information may be subject to additional confidentiality protections under federal or Arizona law. These may include:

• Mental and behavioral health information
• Substance use disorder treatment records
• HIV-related information and certain communicable disease records
• Genetic and reproductive health information
• Records concerning minors
• Other specially protected medical information

Where a more protective state or federal law applies, we will comply with the applicable additional restrictions. We will not disclose specially protected information merely because a disclosure would otherwise be permitted under a general HIPAA provision.

8. Substance Use Disorder Records: 42 CFR Part 2

Certain substance use disorder treatment records receive special confidentiality protections under federal law, including 42 CFR Part 2. If Live Well Wellness Center receives or maintains records subject to Part 2, we will handle them in accordance with applicable federal confidentiality requirements.

Consent for Treatment, Payment, and Healthcare Operations

Part 2 records may be used or disclosed with your valid consent or as otherwise expressly permitted by Part 2. Where applicable, you may provide a single consent covering future uses and disclosures for treatment, payment, and healthcare operations. You may revoke consent as permitted by law, and a revocation will not apply to actions already taken in reliance on the consent.

Legal Proceedings

Part 2 records may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or a court order that satisfies Part 2 requirements.

9. Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your protected health information
• Provide you with this Notice of Privacy Practices describing our legal duties and privacy practices
• Notify you promptly if a breach occurs that may have compromised the privacy or security of your information
• Follow the terms of this notice currently in effect
• Not use or disclose your information other than as described in this notice unless you give us written authorization

10. Changes to This Notice

We reserve the right to change this notice and to make the revised notice effective for all protected health information we maintain, including information we created or received before the change. The current notice will be posted on our website and available at our office, and you may request a copy at any time.

11. Questions, Requests, and Complaints

To exercise any of your rights, request a copy of this notice, ask questions, or file a privacy complaint with us, please contact our Privacy Officer:

Privacy Officer
Live Well Wellness Center
2905 West Warner Road, Suite 25
Chandler, AZ 85224
Phone: 480-752-7600

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by visiting hhs.gov/hipaa/filing-a-complaint, calling 1-877-696-6775, or writing to 200 Independence Avenue, S.W., Washington, D.C. 20201. We will not retaliate against you for filing a complaint.

Effective date: October 14, 2026