NOTICE OF PRIVACY PRACTICES
Premier Endocrine and Wellness Clinic
Effective Date: 01/01/2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At Premier Endocrine and Wellness Clinic (“the Practice,” “we,” “us,” or “our”), we are committed to protecting the privacy and confidentiality of your health information. This Notice describes our legal duties and privacy practices concerning your protected health information (PHI), as required by HIPAA.
OUR LEGAL DUTIES
• 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 promptly if a breach occurs that may have compromised the privacy or security of your
information.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
Treatment, payment, healthcare operations, appointment reminders, communications with individuals involved in your care, public health activities, health oversight activities, legal proceedings, law enforcement, research, workers’ compensation, and other uses permitted or required by law
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to inspect records, request amendments, request restrictions, receive confidential communications, obtain an accounting of disclosures, receive a paper copy of this notice, designate a representative, and file a complaint.
OUR RESPONSIBILITIES REGARDING ELECTRONIC COMMUNICATIONS
If you choose to communicate with us via email, text message, or patient portal, you acknowledge the potential privacy risks associated with electronic communications despite reasonable safeguards.
CHANGES TO THIS NOTICE
We reserve the right to revise this Notice and make the revised version effective for all protected health information maintained by the Practice.
CONTACT INFORMATION
Privacy Officer
Premier Endocrine and Wellness Clinic
Phone: (804) 424-2968
Fax: (260) 786-4387U.S.
Department of Health and Human Services
Office for Civil Rights
ACKNOWLEDGMENT OF RECEIPT
Patients may be asked to acknowledge receipt of this Notice at registration.