Notice of Privacy Practices
Effective Date: May 14, 2026
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.
At Harmoni Wellness, we are committed to protecting the privacy and confidentiality of your protected health information (“PHI”) in accordance with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). This Notice explains how we may use and disclose your health information, your rights regarding that information, and our legal duties to protect it.
Our Legal Duties
We are required by law to:
- Maintain the privacy and security of your protected health information
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of the Notice currently in effect
- Notify you if a breach occurs that may have compromised the privacy or security of your information
We reserve the right to change our privacy practices and the terms of this Notice at any time. Updated versions will be posted on our website and made available upon request.
How We May Use and Disclose Your Health Information
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your care and treatment.
Example:
- Sharing information with another healthcare provider involved in your care
For Payment
We may use and disclose your information to bill and collect payment for services provided.
Example:
- Submitting claims to insurance providers
For Healthcare Operations
We may use your information for operational purposes such as:
- Quality assessment
- Staff training
- Licensing and compliance activities
- Administrative functions
Appointment Reminders & Health Information
We may contact you regarding:
- Appointment reminders
- Treatment follow-ups
- Wellness information
- Service recommendations
As Required by Law
We may disclose your information when required by federal, state, or local law.
Public Health & Safety
We may disclose information to:
- Prevent serious threats to health or safety
- Report abuse, neglect, or domestic violence when legally required
Law Enforcement & Legal Proceedings
We may disclose information in response to:
- Court orders
- Subpoenas
- Law enforcement requests permitted by law
Workers’ Compensation
We may disclose health information for workers’ compensation or similar programs as authorized by law.
Uses & Disclosures Requiring Your Authorization
We will obtain your written authorization before using or disclosing your PHI for purposes not otherwise described in this Notice, including most marketing uses or disclosures of psychotherapy notes where applicable.
You may revoke your authorization at any time in writing, except where we have already relied upon it.
Your Rights Regarding Your Health Information
You have the right to:
Request Access
Request to inspect or obtain a copy of your health records.
Request Corrections
Request amendments if you believe your information is incorrect or incomplete.
Request Restrictions
Request limitations on how your information is used or disclosed.
Request Confidential Communications
Ask us to contact you in a specific way or at a specific location.
Receive an Accounting of Disclosures
Request a list of certain disclosures we have made of your information.
Obtain a Paper or Electronic Copy of This Notice
You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services without fear of retaliation.
Website & Electronic Communication
Our website may collect limited information such as IP addresses, browser types, and form submissions to improve functionality and communication. While we take reasonable precautions to protect submitted information, email and website forms may not always be fully secure.
Please avoid submitting highly sensitive medical information through website contact forms unless specifically requested.
Third-Party Services
We may use third-party vendors for services such as:
- Website hosting
- Scheduling software
- Payment processing
- Email communications
When required, we maintain Business Associate Agreements (BAAs) with vendors who may access protected health information.
Contact Information
If you have questions about this Notice or wish to exercise your rights, contact:
Harmoni Wellness
3021 Harbor Lane N, Suite 214
Plymouth, MN 55447
Phone: 612-887-2186
Email: info@harmoni-wellness.com
You may also file a complaint with:
U.S. Department of Health & Human Services Office for Civil Rights
We will not retaliate against you for filing a complaint.
