Notice of Privacy Practices
Effective Date: June 3, 2025
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED, AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Notice applies to Restoration Health & Wellness, LLC, including all licensed healthcare providers, nurse practitioners, physician assistants, medical staff, contractors, employees, and any associated clinical team members operating through our telehealth platform.
We provide care nationwide via secure, HIPAA-compliant telemedicine technology. This notice applies to all services, interactions, and records associated with our care.
We are legally required to:
Maintain the privacy and security of your protected health information (PHI)
Provide this Notice to inform you of our legal duties and privacy practices
Notify you in the event of a breach of your unsecured medical information
Follow the terms of this Notice currently in effect
The following categories describe how we may use or disclose your medical information without your authorization:
To diagnose and treat your condition, we may share medical information with our licensed healthcare providers, clinical support staff, and affiliated pharmacy or lab partners.
Example: Your provider may share information with a compounding pharmacy to fulfill your prescription safely and appropriately.
We may use your health information to process payments for services you’ve received, whether directly or through a third-party billing system.
Example: We may send you invoices, confirm payment details, or verify billing information when managing your monthly subscription.
We may use medical information to operate our business, improve care quality, conduct analytics, manage risk, or comply with administrative and legal requirements.
Example: We may review treatment outcomes to improve future clinical guidelines.
Vendors & Business Associates: We may disclose medical information to HIPAA-compliant vendors who help deliver our services (e.g., electronic health record systems, telehealth platforms, billing partners).
Public Health and Safety: We may share information when required to report adverse drug events, communicable diseases, or suspected abuse.
Legal and Regulatory Requirements: We may disclose your information to government agencies or courts if legally required.
Health Oversight: We may share data for audits, investigations, or compliance reviews by government health authorities.
Individuals Involved in Your Care: With your consent, we may share information with a family member, caregiver, or emergency contact.
Appointment Reminders and Service Updates: We may use your contact details to send appointment reminders, renewal notices, or educational materials.
Treatment Alternatives and Health Benefits: We may inform you about new or related treatment options or services.
We may use secure digital tools such as encrypted email, telehealth platforms, or EHRs to share or store your health information. You have the right to request communication via alternate methods (e.g., personal vs. work email).
Restoration Health & Wellness does not sell your health data.
We do not use psychotherapy notes for any purpose other than continued care.
We do not use your information for marketing without your explicit written consent.
If your provider determines that a prescription is appropriate, it may be sent to:
Compounding Pharmacy of America
5710 Kingston Pike, Suite A
Knoxville, TN 37919
Phone: (865) 243-2488
www.compoundingrxusa.com
You may request to use a different pharmacy at any time.
You have the following rights regarding your medical information:
Right to Access & Copy: Request a copy of your medical records (paper or digital format).
Right to Amend: Request corrections if you believe your records are incorrect.
Right to an Accounting of Disclosures: Request a list of disclosures made in the past six years (excluding treatment/payment/operations).
Right to Restrict Use/Disclosure: Request restrictions on how we use/share information—especially when you pay out-of-pocket in full.
Right to Confidential Communication: Request to be contacted through specific means (e.g., only by email).
Right to a Paper or Digital Copy of this Notice: We’ll provide one upon request.
Right to Breach Notification: We will notify you if a data breach involves your PHI.
Right to Revoke Authorization: You may revoke prior consent for uses not already completed.
To submit a request, email info@restorationhealthwellness.com.
We may revise this Notice at any time and will update the effective date accordingly. The updated version will be available on our website and in all applicable patient communications. Your continued use of our services confirms your acceptance of the revised policy.
If you believe your privacy rights have been violated, you may file a complaint with us at:
Restoration Health & Wellness
Email: info@restorationhealthwellness.com
Phone: (850) 332-4484
You may also file a complaint with the U.S. Department of Health and Human Services (HHS). We will never retaliate against you for filing a complaint.
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