Legal
Effective Date: January 1, 2025 · Last Updated: June 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.
The Functional Weightloss (“we,” “us,” or “our”) is a functional medicine telehealth platform operated by licensed healthcare professionals. This Notice applies to all protected health information (“PHI”) we create, receive, maintain, or transmit in connection with the services we provide.
Protected health information (PHI) includes any information about your health condition, treatment, or payment for healthcare services that can be linked to you. This includes information we collect during consultations, intake forms, lab reviews, and communications with your provider.
We may use and disclose your PHI without your written authorization for the following purposes:
We may use your PHI to provide, coordinate, or manage your healthcare and any related services. This includes sharing information with other healthcare providers, specialists, labs, or compounding pharmacies involved in your care.
We may use or disclose your PHI to bill and collect payment for services rendered, including to insurers, HSA/FSA administrators, or other payers.
We may use your PHI for our business operations, including quality assessment, training, compliance, and administrative functions necessary to run our practice.
We will obtain your written authorization before using or disclosing your PHI for any purpose not described above, including:
You may revoke any authorization in writing at any time, except where we have already acted in reliance on it.
You have the right to inspect and obtain a copy of your PHI maintained in our records. We may charge a reasonable cost-based fee. We will respond to your request within 30 days.
If you believe information in your record is incorrect or incomplete, you may request an amendment. We may deny the request if the information was not created by us or is accurate and complete.
You have the right to request a list of disclosures of your PHI that we have made, other than for treatment, payment, and operations, for up to six years prior to your request.
You may request that we restrict uses or disclosures of your PHI. We are not required to agree, except: if you request restriction of disclosure to a health plan for services you paid for in full out-of-pocket, we must honor that restriction.
You may request that we communicate with you in a specific way or at a specific location (e.g., contact you only by email or at a specific phone number). We will accommodate reasonable requests.
You have the right to receive a paper copy of this Notice upon request, even if you agreed to receive it electronically.
You have the right to be notified if your unsecured PHI is involved in a breach. We will notify you without unreasonable delay and within 60 days of discovering the breach.
We are required by law to:
We reserve the right to change our privacy practices and apply revised practices to PHI already on file. If we make a material change, we will update this Notice and post it on our website.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. We will not retaliate against you for filing a complaint.
To file a complaint with HHS:
Office for Civil Rights, U.S. Department of Health and Human Services
200 Independence Avenue, S.W., Washington, D.C. 20201
1-877-696-6775 · www.hhs.gov/ocr
To exercise your rights or for questions about this Notice, contact our Privacy Officer:
The Functional Weightloss
Privacy Officer
Email: privacy@thefunctionalweightloss.com
Website: thefunctionalweightloss.com
This Notice is provided in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the HITECH Act. This document does not constitute legal advice. For specific legal questions, consult a qualified healthcare attorney.
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