Aligned Modern Health Notice of Privacy Practices

This Notice of Privacy Practices (“Notice”) applies when Active Wellness, LLC d/b/a Aligned Modern Health (“Aligned Modern Health,” “we,” “our,” or “us”) collects, processes, holds, stores, or discloses your individually identifiable health information that we collect as a health care provider subject to the Health Insurance Portability and Accountability Act (“HIPAA”) (these entities are often called Covered Entities under HIPAA). This means that this Notice applies when we collect and process protected health information (“PHI”) related to your prescription and treatment information.

To find out more about how information not subject to this Notice is used, disclosed, and your rights, please visit Aligned Medical’s Privacy Notice.

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. For more information see: https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html.

Your Rights:

When it comes to your PHI, you have certain rights. This section explains your rights and some of our responsibilities.

You have the right to:

  • Get an electronic or paper copy of your medical records
  • Ask us to correct your medical records
  • Request confidential communication
  • Ask us to limit the information we use or share
  • Get a list of those with whom we’ve shared your information
  • Get a copy of this privacy notice
  • Choose someone to act for you
  • Let us know or file a complaint if you believe your privacy rights have been violated

Get an electronic or paper copy of your medical records:

You can ask to see or get an electronic or paper copy of the portions of your medical record and other PHI we have about you.

With certain exceptions, we will provide a copy or a summary of your PHI, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

You can request a copy of your PHI by: Asking for a courtesy copy, completing Aligned Medical’s HIPAA Patient Request Form; or contacting us at Privacy@alignedmodernhealth.com.

Ask us to correct your medical records:

You can ask Aligned Medical to correct PHI about you in our records that you think is incorrect or incomplete by making a written request to Privacy@alignedmodernhealth.com. We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications:
You can ask Aligned Medical to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say “yes” to all reasonable requests.

Ask us to limit the information we use or disclose:
You can ask Aligned Medical not to use or disclose certain PHI for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” under certain circumstances.

If you pay for a service or health care item out-of-pocket in full, you can ask Aligned Medical not to disclose that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires Aligned Medical to disclose that information.

Get a list of those with whom we’ve shared your information:
You can ask for a list (accounting) of the times we’ve shared your PHI for six years prior to the date you ask, who we shared it with, and why.

We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked Aligned Medical to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice:
You can ask for a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you:
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your PHI.

We will verify that the person has this authority and can act for you before we take any action.

Let Aligned Modern Health know or file a complaint if you believe your privacy rights have been violated:
You can complain if you feel we have violated your rights by emailing Privacy@alignedmodernhealth.com, or calling us at (773) 248-2544.

You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care
  • Share information in a disaster relief situation

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

Our Uses and Disclosures

How do we typically use or share your PHI?

We typically use or share your PHI in the following ways.

  • For treatment purposes
  • For our health care operations
  • For billing and payment processing

How else can we use or disclose your PHI?

We may further use or disclose PHI, as permitted under HIPAA, in the following ways:

  • For public health and safety issues
  • For research
  • As required by law
  • To respond to organ and tissue donation requests
  • At the request of a medical examiner or funeral director
  • To respond to workers’ compensation, law enforcement, and other government requests
  • To respond to lawsuits and legal actions

Additional Safeguards and Protections
We use additional safeguards for your PHI consistent with federal and state laws, for example, relating to mental health, HIV/AIDS, and genetic testing. In addition, federally assisted alcohol and drug treatment programs are subject to restrictions on the use and disclosure of alcohol and drug abuse treatment information. As applicable, we will obtain your permission before disclosing the information to other health care providers who are not involved in your treatment program or care.

To treat you

  • We may use or disclose your PHI to treat you and share it with other professionals, including physicians, nurses, and medical students who are involved in the coordination of your care.
  • Example: We provide your PHI to your physician and other health care providers who are involved in your care, such as communications about infusion services.

Bill for services

  • We may use or disclose PHI to bill and collect payment for health care products and services that we provide.
  • Example: We may contact your insurer, pharmacy benefit manager or other health care payor to determine whether it will pay for health care products and services you need and to determine the amount of your co-payment.

Operate our business

  • We may use or disclose PHI to run our practice, improve your care, send you information we believe may be of interest to you, including marketing emails, and contact you.
  • Example: We may use PHI to send you emails about services.

How else can we use or share your PHI?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

We may additionally use or share your PHI to:
Help with public health and safety issues

We can share PHI about you for certain situations, such as to:
Prevent disease

  • Help with product recalls
  • Report adverse reactions to medications
  • Report suspected abuse, neglect, or domestic violence
  • Prevent or reduce a serious threat to anyone’s health or safety

Do research

  • We may use and disclose PHI for health research purposes.

Comply with the law

  • We must disclose your PHI if required to do so by federal, state, or local law. This includes the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Work with coroners, medical examiners, and funeral directors

  • We may disclose PHI to a coroner, medical examiner, or funeral director for the purpose of identifying a deceased person, determining cause of death, or for performing some other duty authorized by law.

Respond to lawsuits and legal actions

  • We may share PHI about you in response to a court or administrative order or in response to a subpoena.

Address workers’ compensation, law enforcement, and other government requests

We may use or share PHI about you:

  • For workers’ compensation claims
  • For law enforcement purposes or with a law enforcement official
  • With health oversight agencies for activities authorized by law
  • For special government functions such as military, national security, and presidential protective services

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected PHI.
  • We will let you know promptly if a breach occurs that has compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice
This notice applies to Active Wellness, LLC d/b/a Aligned Modern Health and all of its subsidiaries and business units when acting as a covered entity under HIPAA. We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Effective Date of Notice: June 20, 2025

Contact Us: For privacy inquiries or complaints, or to exercise any of your privacy rights, we may be contacted at Privacy@alignedmodernhealth.com.