NOTICE OF PRIVACY PRACTICES

INTRODUCTION

This notice explains how your protected health information (PHI) may be used and shared, and how you can access it. Please read it carefully and keep a copy for your records. If you have questions at any time, we’re here to help.

Your Rights

You have the right to:
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1. Get an electronic or paper copy of your record.
2. Ask us to correct your record if you think it is incomplete or inaccurate.
3. Request confidential communications (for example, ask us to contact you at a different phone number or address).
4. Ask us to limit what we use or share, we will honor reasonable requests whenever we can.
5. Receive a list (accounting) of disclosures we have made in the past six years.
6. Choose someone to act for you if you have given them medical power of attorney.
7. File a complaint without fear of retaliation if you feel your privacy rights have been violated

How We May Use & Share Your Information

We typically use or disclose your PHI to:

● Treat you – Share information with other professionals who are treating you.
● Run our organization – Improve your care, train staff, and manage quality.
● Bill for your services – Submit claims and collect payment from you, an insurance company, or a third party.

We may also share your information:

● When required by law (e.g., reporting abuse or a court order).
● For public health or research with safeguards in place.
● For health─related communications, marketing, or fundraising—you can always opt out of fundraising contacts.

Our Responsibilities

● Safeguard your PHI with physical, technical, and administrative protections.
● Follow the terms of this notice and provide you a copy upon request.
● Notify you promptly if a breach occurs that may have compromised the privacy or security of your information

Questions or Complaints?

If you believe your privacy rights have been violated, or if you have questions about this notice, please contact our Privacy Officer:

Uplift Path Privacy Officer
UPLIFT PATH INC.
8 THE GRN STE 10386 DOVER, DE 19901
Phone: (614) 555‑0123
Email: info@upliftpathinc.com

You may also file a complaint with the U.S. Department of Health & Human Services:

Office for Civil Rights (OCR)
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: (800) 368‑1019
Online: OCR Complaint Portal

We will not retaliate against you for filing a complaint.

Last updated: 22-07-2025