HIPAA Notice of Privacy Practices

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

Kasorn Wellness Clinic is required by law to maintain the privacy of your Protected Health Information ("PHI"), provide you with this notice of our legal duties and privacy practices, and abide by the terms of the notice currently in effect.

How we may use and disclose your PHI

Treatment — to provide, coordinate, or manage your medical care.
Payment — to obtain payment for services (for example, sending a receipt to you).
Healthcare operations — for quality improvement, staff training, and administration.
As required by law — including public health, judicial, or law-enforcement requirements.

Your rights

Right to inspect and receive a copy of your medical record.
Right to request a correction of your record.
Right to request confidential communication.
Right to request restrictions on certain uses and disclosures.
Right to an accounting of certain disclosures.
Right to a paper copy of this notice.
Right to file a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.

Contact

To exercise any of the rights above or to file a complaint, contact:
Kasorn Wellness Clinic — Privacy Officer
Email: info@kasornwellness.com
Phone: (817) 985‑8777