This summary discloses how health information about you may be used.

Whole Health Clinic and their representatives may use health information about you for treatment, to obtain payment for treatment with your authorization as required by law, for administrative purposes, and to evaluate the quality of care that you receive.

Whole Health Clinic and their representatives may disclose your information for public health activities, to funeral directors to enable them to carry out their activities, for organ and tissue donations, research, health and safety, governmental function in order to comply with workers compensation laws and regulations. You have the right to request restriction, and report and retain a copy of your health record, request communication of your information by alternative means at alternative locations, revoke your authorization and request an accounting of your health records.

You may complain to the privacy officer, Dr. Sharum Sharif, ND, and to the Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.

Whole Health Clinic and their representatives must maintain the privacy of protected health information, provide you with notice of privacy practices with respect to your health information, and abide by the terms of this notice. We will also notify you if we are unable to agree with the requested restriction on how your information is used or disclosed, accommodate reasonable requests you may make to communicate with health information by alternative means or by alternative locations, and obtain your written authorization to use or disclose your health information for reasons other than those listed above and permitted under law.

If you have any questions or complaints, please contact Dr. Sharum Sharif, ND.