HIPAA Privacy Policy
Effective Date: [Insert Effective Date]
At Custom Health Centers Inc. dba ELEO, we are committed to protecting the privacy and security of your health information. We follow the standards set forth by the Health Insurance Portability and Accountability Act (HIPAA) to ensure that your Protected Health Information (PHI) is handled with the highest level of confidentiality.
This notice outlines how we collect, use, protect, and disclose your health information.
1. How We May Use and Disclose Your Health Information
We may use and share your PHI without your written permission for the following purposes:
Treatment: Coordinating your care with prescribing providers, pharmacies, or other healthcare professionals.
Payment: Processing billing, insurance claims, or payment for services provided.
Healthcare Operations: Managing business activities, including customer service, quality improvement, accreditation, and audits.
In some cases, we may also disclose your information when required by law, such as:
Public health activities
Legal proceedings and law enforcement requests
Compliance with regulatory agencies
All other uses and disclosures of your PHI will require your written authorization.
2. Your Rights Regarding Your Health Information
You have the following rights concerning your PHI:
Access: You can request a copy of your health records.
Amendments: You may request corrections to your health records if you believe they are inaccurate or incomplete.
Restrictions: You can request limits on how we use or disclose your PHI.
Confidential Communications: You can request that we communicate with you in a specific way (for example, only by mail).
Accounting of Disclosures: You can request a list of certain disclosures we have made of your PHI.
Copy of This Notice: You are entitled to receive a printed or electronic copy of this privacy notice.
To exercise any of these rights, please contact us using the information listed below.
3. How We Protect Your Health Information
Custom Health Centers uses physical, technical, and administrative safeguards to protect your PHI.
These measures include:
Secure storage systems
Encryption of electronic health records
Strict access controls
Staff training on privacy and security procedures
We only share your PHI with authorized individuals who need it to provide services or manage your care.
4. Changes to This Policy
We may update this HIPAA Privacy Policy from time to time. When significant changes are made, we will update the effective date and provide the revised notice as required by law.
5. Contact Information
If you have any questions, concerns, or complaints regarding your privacy rights or this HIPAA Privacy Policy, please contact us:
📧 Email: hello@customhealthcenters.com
📞 Phone: 844-673-0609 (Monday–Friday, 9:00 AM – 5:00 PM ET)
📍 Address: [Insert Company Address]
If you believe your privacy rights have been violated, you may file a complaint with Custom Health Centers or with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint.
Thank you for trusting Custom Health Centers Inc. dba ELEO with your health care needs.