Notice of Privacy Practices
Peptides Your Way: Peptide Therapy & Wellness Center****Effective Date: April 30, 2026
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.
At Peptides Your Way, we are committed to protecting the privacy and confidentiality of your health information. This Notice of Privacy Practices describes how we may use and disclose your Protected Health Information (PHI) to carry out treatment, payment, or health care operations, and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI.
1. Our Responsibilities
We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable laws to:
•Maintain the privacy and security of your protected health information.
•Provide you with this notice of our legal duties and privacy practices with respect to your health information.
•Abide by the terms of the notice currently in effect.
•Notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
2. How We May Use and Disclose Your Health Information
We typically use or share your health information in the following ways:
For Treatment
We can use your health information and share it with other professionals who are treating you.Example: Our licensed medical provider, Dr. Hargrove, reviews your metabolic blood panel results from LabCorp or Quest Diagnostics to build your customized peptide and nutrition protocol.
For Health Care Operations
We can use and share your health information to run our practice, improve your care, and contact you when necessary.Example: We use health information about you to manage your telehealth consultations, coordinate the compounding and shipping of your medication, and conduct regular check-ins.
For Payment
As a cash-pay only practice, we do not accept insurance of any kind. We will not share your health information with health insurance plans for payment purposes. We may use your information to process your direct payments for our services.
Other Permitted Uses and Disclosures
We are allowed or required to share your information in other ways—usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.
•Help with public health and safety issues: We can share health information about you for certain situations such as preventing disease, helping with product recalls, reporting adverse reactions to medications, or reporting suspected abuse, neglect, or domestic violence.
•Comply with the law: We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
•Respond to organ and tissue donation requests: We can share health information about you with organ procurement organizations.
•Work with a medical examiner or funeral director: We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
•Address workers’ compensation, law enforcement, and other government requests: We can use or share health information about you for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security, and presidential protective services.
•Respond to lawsuits and legal actions: We can share health information about you in response to a court or administrative order, or in response to a subpoena.
3. Your Rights Regarding Your Health Information
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an Electronic or Paper Copy of Your Medical Record
•You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
•We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask Us to Correct Your Medical Record
•You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
•We may say "no" to your request, but we'll tell you why in writing within 60 days.
Request Confidential Communications
•You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
•We will say "yes" to all reasonable requests.
Ask Us to Limit What We Use or Share
•You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.
•Because we are a cash-pay only practice and you pay for services out-of-pocket in full, we do not share your information with health insurers for payment purposes.
Get a List of Those with Whom We've Shared Information
•You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
•We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a Copy of This Privacy Notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose Someone to Act for You
•If someone has medical power of attorney or is your legal guardian, that person can exercise your rights and make choices about your health information.
•We will make sure the person has this authority and can act for you before we take any action.
File a Complaint if You Feel Your Rights Are Violated
•You can complain if you feel we have violated your rights by contacting us using the information below.
•You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/hipaa/filing-a-complaint/index.html.
•We will not retaliate against you for filing a complaint.
4. Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
•Share information with your family, close friends, or others involved in your care.
•Share information in a disaster relief situation.
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
•Marketing purposes.
•Sale of your information.
•Most sharing of psychotherapy notes.
5. Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
6. Contact Information
If you have any questions about this notice, please contact us at:
Peptides Your Way
Phone: (912) 355-3185
Email: doctors@clinicpeptidesyourway.com
Website: https://peptidesyourway.com