BCG MEDICAL WELLNESS
NOTICE OF PRIVACY PRACTICES (HIPAA)
Effective Date: October 17, 2026
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
1. OUR COMMITMENT TO YOUR PRIVACY
BCG Medical Wellness is committed to protecting your personal and medical information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable federal and Florida laws.
We are required by law to maintain the privacy and security of your Protected Health Information (PHI), provide you with this notice, follow its terms, and notify you of breaches of unsecured PHI as required by law.
2. HOW WE USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use and disclose your health information without your written authorization for the following purposes, as permitted by law:
Medical Treatment: To provide healthcare services, prescribe medications, order laboratory tests, coordinate referrals, and communicate with other healthcare professionals involved in your care.
Payment: To process payments, prepare invoices, and manage billing related to healthcare services.
Healthcare Operations: To maintain medical records, improve healthcare quality, manage administrative activities, and comply with applicable regulations.
Public Health and Safety: To report certain diseases, comply with public health requirements, and prevent or reduce serious threats to health or safety when legally permitted.
Legal Requirements: To comply with applicable laws, court orders, health oversight activities, and other legally authorized requests.
Other disclosures may be permitted or required by law, including certain disclosures related to workers' compensation, law enforcement, and government oversight.
3. TELEHEALTH AND ELECTRONIC COMMUNICATIONS
BCG Medical Wellness provides healthcare services through telemedicine and electronic health record systems.
We use reasonable administrative, technical, and physical safeguards to protect patient information.
Telehealth services may involve electronic communications with pharmacies, laboratories, specialists, and other authorized healthcare providers.
We encourage patients to attend telehealth appointments from private locations and protect access to their personal devices.
4. YOUR RIGHTS AS A PATIENT
Under HIPAA, you generally have the right to:
Access Your Records: Request to inspect or obtain copies of your medical records.
Request Corrections: Ask us to amend information you believe is incorrect or incomplete.
Request Confidential Communications: Ask us to communicate with you through a preferred telephone number, mailing address, or other reasonable method.
Request Restrictions: Ask us to limit certain uses or disclosures of your health information.
Protect Self-Paid Services: Request restrictions on disclosures to your health plan for services paid entirely out of pocket, except when disclosure is required by law.
Receive an Accounting: Request a list of certain disclosures of your health information.
Receive a Paper Copy: Obtain a paper copy of this notice upon request.
Choose a Representative: Designate a person legally authorized to act on your behalf.
File a Complaint: Report suspected violations of your privacy rights without fear of retaliation.
We will respond to requests according to applicable legal requirements.
5. YOUR CHOICES AND AUTHORIZATIONS
You may have choices regarding certain disclosures to family members, friends, or other individuals involved in your care.
We will obtain your written authorization when required by HIPAA, including for most marketing uses, sales of protected health information, and most uses or disclosures of psychotherapy notes, if applicable.
You may revoke an authorization in writing, except to the extent we have already acted in reliance on it.
We do not sell patient health information.
We do not use protected health information for fundraising activities.
6. ADDITIONAL PROTECTION OF SENSITIVE INFORMATION
Certain medical records, including records protected under federal substance use disorder confidentiality regulations (42 CFR Part 2), may receive additional legal protections.
When these regulations apply, BCG Medical Wellness will comply with applicable consent requirements, restrictions, and protections against the use of such records in legal proceedings against a patient.
Other categories of sensitive information will be handled according to applicable federal and Florida privacy laws.
7. DATA SECURITY AND BREACH NOTIFICATION
BCG Medical Wellness uses reasonable safeguards designed to protect electronic and physical medical records from unauthorized access, use, or disclosure.
Access to patient information is limited according to professional responsibilities and applicable privacy requirements.
If a breach of unsecured protected health information occurs, affected individuals will be notified as required by law.
8. OUR RESPONSIBILITIES
BCG Medical Wellness is required to:
Maintain the privacy and security of protected health information.
Follow the privacy practices described in this notice.
Inform patients of their privacy rights.
Provide patients with access to this notice.
Notify affected individuals of breaches of unsecured health information as required by law.
We reserve the right to modify our privacy practices and update this notice as permitted by law. Updated notices will be made available through our website or upon request.
9. QUESTIONS OR PRIVACY COMPLAINTS
If you have questions about this notice or wish to exercise your privacy rights, please contact:
BCG Medical Wellness
Privacy Contact: Barbara De La Cruz Gongora, APRN, FNP-C
Phone: (239) 235-6199
Email: bcgmedicallwellnes@gmail.com
Mailing Address: [Insert Business Mailing Address]
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
BCG Medical Wellness will not retaliate against anyone who files a privacy complaint.
10. ACKNOWLEDGMENT OF RECEIPT
Patients will be provided access to this Notice of Privacy Practices and may acknowledge receipt electronically through the BCG Medical Wellness patient intake system.
Acknowledgment confirms receipt of the notice and does not waive any patient rights under HIPAA.
BCG Medical Wellness is committed to protecting patient privacy while providing professional, compassionate, and confidential healthcare services.