HIPAA Notice of Privacy Practices
Abundant Life Functional Health LLC
This Notice describes how your medical information may be used and disclosed and how you can access this information. Please review it carefully.
Effective date: 06/22/2026
Our Commitment to Your Privacy
Abundant Life Functional Health LLC (“the Practice,” “we,” “us,” “our”) is required by the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and applicable federal and state laws to protect the privacy of your Protected Health Information (PHI).
We are committed to safeguarding your information, using it only as permitted by law, and maintaining your trust in how your health information is handled.
How We May Use and Disclose Your PHI Without Your Authorization
For Treatment
We may use or share your information to provide, coordinate, or manage your care. This may include communication with other healthcare providers such as specialists, laboratories, or pharmacies involved in your care.
For Payment
We may use or disclose your PHI to support billing and payment processes. As a direct-pay practice, this may include for reimbursement or documentation for HSA/FSA use upon request.
For Healthcare Operations
We may use your information for internal business and clinical operations, including quality improvement, training, scheduling, and administrative functions that support your care.
Appointment Reminders & Communication
We may contact you regarding appointments, follow-up care, test results, or educational and wellness-related information.
As Required by Law
We may disclose your PHI when required by law, including public health reporting, court orders, subpoenas, or situations involving abuse, neglect, or safety concerns.
Other Permitted Disclosures
HIPAA also allows limited disclosure of PHI for purposes such as public health activities, health oversight, legal proceedings, law enforcement, research under strict safeguards, organ donation, workers’ compensation, military/government functions, and medical examiner duties.
Uses and Disclosures Requiring Your Written Authorization
Any use or disclosure not described in this Notice will require your written authorization. This includes marketing, sale of PHI, psychotherapy notes (if applicable), or other special disclosures.
You may revoke your authorization at any time in writing, except where action has already been taken based on your prior consent.
Your Rights Regarding Your PHI
You have the right to:
- Access and copy your records (reasonable cost-based fees may apply)
- Request corrections to your health information if you believe it is inaccurate or incomplete
- Request an accounting of disclosures of your PHI (generally up to six years)
- Request restrictions on how your PHI is used or shared (we will honor certain restrictions when legally required, including self-pay services not shared with insurance)
- Request confidential communication methods (such as preferred phone number, address, or email)
- Receive a paper copy of this Notice at any time
- Be notified of any breach involving your unsecured PHI
- File a complaint if you believe your privacy rights have been violated (without fear of retaliation)
Our Responsibilities
We are required by law to:
- Maintain the privacy and security of your PHI
- Provide you with this Notice outlining our duties and privacy practices
- Follow the terms of this Notice currently in effect
- Notify you if a breach affects your unsecured PHI
Changes to This Notice
We may update this Notice at any time. Any updates will apply to all PHI we maintain.
The most current version will always be available on our website:
Abundantlifefunctionalhealth.com
A printed copy is also available upon request.
Complaints
If you believe your privacy rights have been violated, you may contact us directly to file a complaint. You may also contact:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue SW, Room 509F HHH Building
Washington, D.C. 20201
1-877-696-6775
hhs.gov/hipaa/filing-a-complaint
You will not be penalized or retaliated against for filing a complaint.
Contact Us
If you have questions about this Notice or your privacy rights, please contact us directly through our practice contact information.