Nutrition Practice Privacy Policy

Introduction

At [Practice Name], we are committed to protecting and respecting your privacy. This policy outlines how we handle your personal and health information.

Information We Collect

• Personal identification information
• Contact details
• Medical history
• Dietary records and nutritional assessments
• Payment information
• Communications between you and our practice

Use of Information

We use your information to:

• Provide nutrition counseling services
• Develop personalized meal plans
• Monitor your progress
• Communicate about appointments
• Process payments
• Comply with legal obligations

HIPAA Compliance

We adhere to all requirements of the Health Insurance Portability and Accountability Act (HIPAA), including:

• Maintaining confidentiality of protected health information (PHI)
• Implementing security measures to protect electronic records
• Providing access to your records upon request

Information Sharing

We may share your information with:

• Other healthcare providers involved in your care
• Insurance companies for billing purposes
• Legal authorities when required by law

Your Rights

You have the right to:

• Access your health records
• Request corrections to your information
• Receive an accounting of disclosures
• Request restrictions on information sharing
• File a complaint about privacy violations

Security Measures

• Electronic records protection
• Staff training on privacy procedures
• Secure disposal of records
• Regular security assessments

Contact Information

Privacy Officer: [Name] Phone: [Number] Email: [Email]

Updates to Policy

This policy was last updated on [Date]. We reserve the right to modify this policy at any time.

Signature

I acknowledge receipt of this privacy policy:

Name: ________________ Date: ________________ Signature: ________________