HIPAA NOTICE OF PRIVACY PRACTICES

HIPAA NOTICE OF PRIVACY PRACTICES

Amped Up Wellness

Effective Date: January 1, 2026

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.

OUR RESPONSIBILITIES

Amped Up Wellness is required by law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of this Notice.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use and disclose your health information for the following purposes:

Treatment
We may use and share your health information to provide, coordinate, or manage your healthcare and related services.

Payment
We may use and disclose your health information to obtain payment for services provided, including billing and collection activities.

Healthcare Operations
We may use and disclose your health information for practice operations, quality improvement, training, licensing, and administrative purposes.

OTHER PERMITTED USES AND DISCLOSURES

We may also use or disclose your health information as required or permitted by law, including for public health activities, health oversight activities, legal proceedings, law enforcement, and to prevent a serious threat to health or safety.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

• Request access to your medical records
• Request corrections to inaccurate or incomplete information
• Request restrictions on certain uses or disclosures
• Request confidential communications
• Receive a paper or electronic copy of this Notice
• Receive an accounting of certain disclosures

Requests must be submitted in writing.

USES AND DISCLOSURES REQUIRING AUTHORIZATION

Any use or disclosure of your health information not described in this Notice will be made only with your written authorization. You may revoke your authorization at any time in writing.

CHANGES TO THIS NOTICE

Amped Up Wellness reserves the right to change this Notice and make the new Notice effective for all health information we maintain. Updated Notices will be posted on our website and available upon request.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with Amped Up Wellness or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

CONTACT INFORMATION

For questions or complaints regarding this Notice, contact:

Amped Up Wellness
Privacy Officer
913 Gulf Breeze Parkway, Suite 33
Gulf Breeze, FL 32561
Phone: 850-290-2519