Notice of Privacy Practices
Last updated: January 2026
This is placeholder language for the Personalized Prevention HIPAA Notice of Privacy Practices. It is not legal advice. Have your legal counsel or compliance officer review and replace this copy with your practice's official notice before going live.
Our commitment to your privacy
We understand that information about you and your health is personal. We are committed to protecting medical information about you and to telling you how we may use and disclose that information. This notice describes your rights and our obligations regarding the use and disclosure of your protected health information (PHI).
How we may use and disclose your health information
- Treatment. We may use and disclose your health information to provide, coordinate, or manage your medical care and related services.
- Payment. We may use and disclose your health information to obtain payment for the care we provide, including billing your insurance company.
- Health care operations. We may use and disclose your health information for activities such as quality assessment, training, and licensing.
- As required by law. We may disclose your information when required by federal, state, or local law.
Your rights
- You have the right to request restrictions on certain uses and disclosures of your health information.
- You have the right to request confidential communications by alternative means or at alternative locations.
- You have the right to inspect and obtain a copy of your health information.
- You have the right to request amendments to your health information.
- You have the right to receive an accounting of certain disclosures.
- You have the right to request a paper copy of this notice at any time.
Our responsibilities
We are required by law to maintain the privacy and security of your protected health information, to notify you if we believe your information has been compromised, and to follow the terms of this notice. We reserve the right to change the terms of this notice and to make new provisions effective for all protected health information we maintain.
Questions and complaints
If you have questions about this notice or believe your privacy rights have been violated, you may contact our office at (812) 725-1550 or info@yourpersonalprevention.com. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.