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Notice of Privacy Practices

This notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.

Effective Date: May 2026 · THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

This notice applies to Nalu Wellness, operated by Brooke Barak, Licensed Massage Therapist. As a provider who bills health insurance, we are a HIPAA covered entity subject to the federal Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164).

Our Commitment to Your Privacy

We understand that health information about you is personal. We are committed to protecting your protected health information (PHI). We create records regarding your treatments and the services we provide. We need these records to provide you with quality care and to comply with legal requirements.

How We May Use and Disclose Your Health Information

For Treatment

We may use and disclose your health information to provide, coordinate, or manage your massage therapy care. For example, we may share your health intake information within our practice to plan and provide your sessions.

For Payment

We may use and disclose your health information so that we can be paid for the services we provide. For example, we may submit insurance claims that include information about your condition and the services you received.

For Healthcare Operations

We may use and disclose your health information for business operations necessary to run our practice, such as quality improvement, training, and compliance activities.

As Required by Law

We will disclose your health information when required to do so by federal, state, or local law, including to public health authorities, law enforcement, or in response to a court order or subpoena.

In Emergency Situations

We may disclose your health information in an emergency or to prevent serious harm to you or others.

Uses and Disclosures That Require Your Authorization

Other uses and disclosures of your health information not covered by this notice or the laws that apply to us will be made only with your written authorization. This includes most uses of psychotherapy notes, use for marketing purposes, and sale of your health information.

You may revoke a written authorization at any time by notifying us in writing. Your revocation will not apply to actions we have already taken in reliance on that authorization.

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and obtain a copy of your health information that we maintain. To request access, contact us in writing. We may charge a reasonable fee for copies.

Right to Amend

If you believe your health information is incorrect or incomplete, you may request an amendment. We may deny the request under certain circumstances, and will explain why in writing.

Right to an Accounting of Disclosures

You have the right to request a list of disclosures we have made of your health information for purposes other than treatment, payment, or healthcare operations.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information. We are not required to agree to your request in all cases.

Right to Request Confidential Communications

You have the right to request that we communicate with you about health matters in a specific way or at a specific location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to a paper copy of this notice at any time, even if you received it electronically. Contact us to request a copy.

Our Duties

We are required by law to:

  • Maintain the privacy of your protected health information
  • Provide you with notice of our legal duties and privacy practices
  • Abide by the terms of this notice
  • Notify you if there is a breach of your unsecured protected health information

We reserve the right to change this notice. Changes will apply to health information we already have. If we make a material change, the revised notice will be posted on our website and available at our office.

Complaints

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, Office for Civil Rights. We will not retaliate against you for filing a complaint.

Contact Us

For questions about this notice or to exercise your rights: