HIPAA Notice of Privacy Practices
Nurtured Balance Wellness, PLLC
Effective Date: October 29th 2025
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.
Your Health Information Rights
You have the right to:
Inspect and obtain a copy of your health record.
Request an amendment to your record.
Receive a list (“accounting”) of certain disclosures of your information.
Request restrictions on how we use or disclose your information.
Request confidential communications (e.g., at an alternate phone or address).
Receive a paper copy of this notice.
How We May Use and Disclose Your Information
We may use your information for:
Treatment: Coordinating and managing your healthcare.
Payment: Billing you or your insurance for services.
Healthcare Operations: Quality assessment, licensing, and business operations.
We may also disclose information as required by law, such as public health reporting or court orders.
Our Duties
We are required by law to maintain the privacy of your health information.
We will provide you with notice of our legal duties and privacy practices.
We will notify you if a breach of your protected health information occurs.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or directly with the U.S. Department of Health and Human Services (HHS). You will not be retaliated against for filing a complaint.
📧info@nurturedbalancewellness.com
📞 (919)736-6776
⚖ Disclaimer: These templates are provided for general informational purposes and do not replace formal legal advice. Please review with your healthcare attorney or compliance consultant to ensure full alignment with state and federal requirements
