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.
Your Rights
You have the right to:
- Get a copy of your medical records (we may charge a reasonable fee)
- Request corrections to your health information
- Request confidential communications (e.g., call you only at work)
- Ask us to limit what we use or share
- Obtain a list of those with whom we have shared your information
- File a complaint if you believe your rights have been violated
Our Uses and Disclosures
We may use and disclose your protected health information (PHI)
for the following purposes:
Treatment, Payment, and Health Care Operations
- Provide and coordinate your care
- Bill your insurance and collect payment
- Run our practice efficiently
Other Permitted Uses:
- Appointment reminders and health-related communications
- Required by law (court orders, public health, abuse reporting)
- Public health and safety (serious threats)
- Research (with proper approvals)
- Business associates (e.g., billing companies, telehealth platforms) under HIPAA agreements
We will obtain your written authorization for:
- Marketing purposes
- Sale of your information
- Most psychotherapy notes
- Any other use not described above
For Minors (Ages 10–17)
We respect adolescent privacy rights under Maryland and federal law. Parents/guardians generally have access to records, but we may provide confidential care for sensitive issues (mental health, reproductive health, substance use) when permitted.
Your Choices
- You may request restrictions on certain uses/disclosures
- You may revoke authorizations in writing (except for actions already taken)
- You may opt out of certain communications
Our Responsibilities
- We are required by law to maintain the privacy of your PHI
- We will notify you in the event of a breach
- We will follow the terms of this notice
- We reserve the right to change our practices and will post updated notices
How to Exercise Your Rights
Contact:
Eudaimonia Wellness Center
401 N Washington St, Ste 600
Rockville, MD 20850Phone:(301) 804-2357
Email:
hello@eudaimoniawellnesscenter.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Phone: (800) 368-1019
Website:
ocrportal.hhs.gov
Thank you for trusting us with your care.