Notice of Privacy Practices for Nurtured Soul Wellness, LLC

Effective Date: 09/17/2025

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.

We are committed to protecting the privacy of your Protected Health Information (PHI). We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices. We are required to abide by the terms of this notice, which may be updated from time to time.

1. How We May Use and Disclose Your PHI

We may use and disclose your PHI without your authorization for the following purposes:

· Treatment: We may use and disclose your PHI to provide, coordinate, and manage your health care and related services. This includes sharing information with other healthcare providers involved in your care (e.g., your oncologist or dermatologist) to ensure a safe and effective treatment plan. For example, we may need to consult with your medical team to understand the effects of your cancer treatment on your skin before providing an esthetic service.

· Payment: We may use and disclose your PHI to bill and collect payment for the services we provide. This may include sharing information with a third-party billing company or a credit card processor.

· Healthcare Operations: We may use and disclose your PHI for our own business operations, such as for quality assessment and improvement activities, staff training, and business planning. For example, we may use your PHI to review our services and evaluate the performance of our staff.

2. Disclosures That Do Not Require Your Authorization

In addition to the uses and disclosures above, we may also share your PHI without your authorization for the following purposes as permitted or required by law:

· Public Health Activities: We may disclose your PHI to public health authorities for the purpose of preventing or controlling disease.

· Legal Proceedings: We may disclose your PHI in response to a court or administrative order, subpoena, discovery request, or other lawful process.

· Law Enforcement: We may disclose your PHI to law enforcement officials in response to a request for information.

· Required By Law: We will disclose your PHI when required to do so by federal, state, or local law.

3. Uses and Disclosures Requiring Your Authorization

Any use or disclosure of your PHI for purposes other than those described above requires your written authorization. You may revoke your authorization at any time, in writing with the understanding that we cannot take back any disclosures we have already made with your authorization.

4. Your Rights Regarding Your PHI

You have the following rights regarding your PHI:

· Right to Access: You have the right to inspect and obtain a copy of your PHI that we maintain in a designated record set. We may charge a reasonable fee for the costs of copying, mailing, or other supplies.

· Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request, except for certain disclosures to a health plan.

· Right to Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way or at a certain location (e.g., at your work address or via email).

· Right to Amend: If you feel that your PHI is incorrect or incomplete, you may ask us to amend it. We may deny your request for an amendment under certain circumstances.

· Right to an Accounting of Disclosures: You have the right to request a list of the times we have disclosed your PHI.

· Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice, even if you have agreed to receive an electronic version.

5. Our Responsibilities

· We are required by law to maintain the privacy of your PHI.

· We are required to provide you with this notice of our legal duties and privacy practices with respect to PHI.

· We will notify you if we are unable to agree to a requested restriction.

· We will accommodate reasonable requests for confidential communications.

· We will notify affected individuals following a breach of unsecured PHI.

6. How to Exercise Your Rights

To exercise any of the rights described above, please submit a written request to:

Flossy Puth, LE, Owner

Nurtured Soul Wellness

621 E. Campbell Ave. Ste. 10A

Campbell, CA 95008

341-233-4851

support@nurturedsoulwellness.com

For more information, or if you feel your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Nurtured Soul Wellness

621 E. Campbell Ave. Ste. 10A

Campbell, CA 95008

341-233-4851

www.nurturedsoulwellness.com