Privacy Policy

Notice of Privacy Practices

1. Our Legal Responsibilities
We are required by law to:

• Maintain the privacy of your protected health information (“PHI”);
• Provide you with this Notice of Privacy Practices;
• Abide by the terms of the Notice currently in effect; and
• Notify you in the event of a breach of your unsecured PHI.

We reserve the right to change the terms of this Notice at any time and to make the new terms effective for all PHI we maintain, including PHI created or received prior to the change. If we change our privacy practices, we will:

• Post the revised Notice in our office and on our website; and
• Make a copy available to you upon request.

2. How We May Use and Disclose Your PHI Without Written Authorization
The following categories describe ways we may use or disclose your PHI without your written authorization. Not every example is listed, but all uses and disclosures will fall within one of these categories:
A. Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may share PHI with another provider involved in your care, such as a specialist, pharmacy, or laboratory.
B. Payment
We may use and disclose your PHI to bill for and collect payment for services provided to you. For example, providing necessary PHI to an insurance company for pre-authorization or claims processing.
C. Healthcare Operations
We may use and disclose your PHI for administrative, operational, and quality improvement activities. Examples include reviewing cases for quality assurance, training personnel, licensing, accreditation, and contacting you with appointment reminders.
D. Business Associates
We may share your PHI with third-party contractors (“business associates”) who perform services on our behalf, such as billing or transcription, provided they have signed an agreement requiring them to safeguard your PHI.
E. Marketing
We may use your PHI to inform you about health-related services or products we offer. You have the right to opt out of receiving such communications at any time.
F. Fulfillment and Shipping Vendors
We may disclose limited PHI (such as your name, address, and necessary order details) to third-party vendors, suppliers, or fulfillment companies in order to provide you with products, medical devices, tools, or supplies related to your care. These vendors may ship items directly to your address. When required by law, such vendors will enter into a written agreement with us to safeguard your PHI. We will disclose only the minimum information necessary to complete the order and delivery.

3. Other Uses and Disclosures Permitted or Required by Law
We may also use or disclose your PHI without your authorization in the following situations:

• As Required by Law – When required to do so by federal, state, or local law.
• Public Health Activities – For purposes such as preventing or controlling disease, reporting adverse events, and product recalls.
• Health Oversight Activities – For audits, inspections, investigations, or licensing.
• Judicial and Administrative Proceedings – In response to court orders, subpoenas, or similar processes.
• Law Enforcement Purposes – In limited situations, such as to comply with legal process.
• Workers’ Compensation – To comply with laws relating to workers’ compensation or similar programs.
• Organ and Tissue Donation – If you are an organ donor, to organizations involved in procurement or transplantation.
• To Avert a Serious Threat to Health or Safety – To prevent or lessen a serious and imminent threat to the health or safety of a person or the public.
• Specialized Government Functions – Such as military, national security, or protective services activities.

4. Uses and Disclosures Requiring Your Written Authorization
Any other use or disclosure of your PHI not described in this Notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance on it.

5. Your Rights Regarding Your PHI
You have the right to:

1. Access and Copies – Inspect and obtain a paper or electronic copy of your medical record. We may charge a reasonable fee for copying, mailing, or other supplies associated with your request.
2. Amendments – Request that we amend your PHI if you believe it is inaccurate or incomplete. Your request must be in writing and include a reason for the amendment. We may deny your request in certain circumstances, in which case you have the right to submit a written statement of disagreement.
3. Accounting of Disclosures – Receive a list of certain disclosures of your PHI made in the six (6) years prior to your request, excluding disclosures for treatment, payment, or healthcare operations.
4. Restrictions – Request a restriction on the use or disclosure of your PHI. We are not required to agree to a requested restriction except where the disclosure is to a health plan for payment or operations purposes and the PHI pertains solely to a healthcare item or service for which you have paid in full out-of-pocket.
5. Confidential Communications – Request that we communicate with you in a specific way or at a specific location. We will accommodate reasonable requests.
6. Paper Copy – Request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
7. Filing a Complaint
   If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights.
   You will not be retaliated against for filing a complaint.
   Contact Person/Privacy Officer: New Dawn Weight Loss, LLC, Email: Dr.Moore@NewDawnMethod.com Phone: 808-378-7639

7. Acknowledgment of Receipt
I acknowledge that I have received a copy of the Notice of Privacy Practices from New Dawn Weight Loss, LLC.

Questions or concerns?
Contact our Privacy Officer at Dr.Moore@NewDawnMethod.com or 808-378-7639.

Doctorate-led care | Hawaii licensed | HIPAA-compliant