NOTICE OF PRIVACY PRACTICES
Cleanse Wellness
Dr. Catherine Hall, ND, L.Ac.
Effective Date: December 2025
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.
OUR COMMITMENT TO YOUR PRIVACY
We are required by law to maintain the privacy of your protected health information (“PHI”) and to provide you with this Notice of our legal duties and privacy practices.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
1. Treatment, 2. Payment, 3. Healthcare Operations.
Other disclosures permitted by law include public health, abuse reporting, oversight activities, court orders, law enforcement, medical examiners, threat prevention, workers’ compensation, and specialized government functions.
AUTHORIZATION REQUIRED FOR OTHER USES
We will obtain your written authorization for marketing, sale of PHI, psychotherapy notes, or other uses not described here.
YOUR RIGHTS
You may request: access to records, amendments, restrictions, confidential communication, an accounting of disclosures, and a paper copy of this Notice.
NEW YORK–SPECIFIC PRIVACY PROTECTIONS
Additional protections apply to mental health, HIV/AIDS, substance use treatment records, and genetic information.
OUR DUTIES
We must maintain privacy, provide this Notice, notify you of breaches, and follow the Notice in effect. We may revise this Notice and will make updated versions available.
COMPLAINTS
Privacy Officer – Cleanse Wellness
Phone: (914) 810-4337
You may also file a complaint with the U.S. Department of Health & Human Services Office for Civil Rights.
ACKNOWLEDGMENT
You may be asked to sign a separate acknowledgment indicating that you received this Notice.