Our legal responsibilities
We are required by law to provide you with this notice. This notice explains how we may use and disclose protected health information (“PHI”) about you and describes your rights and our responsibilities regarding your PHI.
We maintain the privacy of your PHI and provide you with notice of our legal duties and privacy practices.
We have the right to change our privacy practices at any time. If we change this notice, we will make the updated notice available. The updated notice will apply to all PHI we maintain, including PHI created or received before the change.
You may request a paper copy of this notice at any time using our Privacy Contact Form or by calling our office.
How we may use or disclose your protected health information (PHI)
The examples below describe how we may use and disclose your PHI for treatment, payment, and health care operations. Not every use or disclosure in a category will be listed.
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This may include sharing information with other providers involved in your care.
Payment
We may use and disclose your PHI to bill and collect payment for services you receive. This may include eligibility checks, claims, and prior authorization requests.
Health care operations
We may use and disclose your PHI for practice operations, quality improvement, training, auditing, and administrative activities necessary to run our practice.
Business associates
We may share PHI with third parties who perform services for us (such as billing or IT services). We require contracts that protect the privacy and security of your PHI.
Appointment reminders & communications
We may contact you (for example, by phone, text, or portal message) to remind you of appointments or provide information about your care.
People involved in your care
We may disclose PHI to family members or others involved in your care if you agree, do not object when given the opportunity, or if we determine it is in your best interest in an urgent situation.
Required by law
We will disclose your PHI when required to do so by federal, state, or local law.
Public health & safety
We may disclose PHI for public health reporting (such as preventing or controlling disease), reporting adverse events, abuse/neglect reporting when required, and other activities permitted by law to protect health and safety.
Health oversight, legal proceedings & law enforcement
We may disclose PHI for audits, investigations, inspections, licensure actions, or in response to court orders, subpoenas, or lawful requests, consistent with applicable legal requirements.
Workers’ compensation
We may disclose PHI as authorized by workers’ compensation or similar programs.
Research & organ donation
We may disclose PHI for research only as permitted by law and applicable requirements. If you are an organ donor, we may disclose PHI to organizations that facilitate organ or tissue donation and transplantation, as necessary.
Other uses require authorization
We will not use or disclose your PHI for purposes not described in this notice without your written authorization (except as otherwise permitted or required by law). You may revoke an authorization in writing at any time, except to the extent we have already acted on it.
Your rights as a patient
You have certain rights regarding your health information and the care you receive. These include the right to respectful care, privacy, and informed participation in your treatment decisions.
- The patient has the right to considerate and respectful care and treatment.
- The patient has the right to have their care and treatment information kept private and have records released only with permission, except as required by law.
- Patients have the right to make informed choices regarding their treatment, medications, services, and providers.
- The patient has the right to expect reasonable continuity of care.
- The patient has the right to examine and receive an explanation of costs for treatment as applicable.
- The patient has the right to know what relationship Wholesome Clinic, LLC has with other providers and facilities in regard to their health care.
- The patient has the right to inquire as to their provider’s degree, licensure, and training.
- The patient has the right to inquire as to the role of providers on the treatment team in the treatment process.
- The patient has the right to an explanation of their condition and treatment options.
- The patient has the right to expect reasonable effort in providing the identified services of the treatment plan.
- The patient has the right to be informed if Wholesome Clinic, LLC is engaging in research about care and has the right to refuse participation.
- The patient has the right to register complaints to their health care professional and/or an administrator.
Your responsibilities as a patient
- The patient has the responsibility to treat those providing care with dignity and respect.
- The patient has the responsibility to ask questions regarding the diagnosis, treatment, medications, or instructions.
- The patient has the responsibility to follow instructions regarding medications, follow-up visits, and essential components of treatment, and to notify the provider if instructions cannot be followed or problems develop.
- The patient has the responsibility to assist in obtaining approvals for payments for treatment, referrals, and authorizations.
- The patient has the responsibility to provide as much information as possible to assist in assessment and rendering of services.
Acknowledgment: You may be asked to acknowledge receipt of this notice during registration or intake. If you need a printed copy, request one using our Privacy Contact Form.
Questions, requests, or complaints
If you have questions about this notice, want to exercise your privacy rights, request a copy, or file a privacy concern, you may contact us:
- Phone: (972) 905-9435
- Online: Privacy Contact Form (preferred — please don’t include sensitive medical details)
- Mail: Wholesome Clinic, LLC, 7978 Preston Rd, Ste 804, Frisco, TX 75034
We do not retaliate against anyone for filing a complaint or raising a privacy concern.
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