Privacy Policy

HIPAA NOTICE OF PRIVACY PRACTICES
Vital Forge Wellness Clinic

This Notice of Privacy Practices describes how your medical information may be used and disclosed, as well as how you can access this information. Please review it carefully.

OUR COMMITMENT TO YOUR PRIVACY

Vital Forge Wellness Clinic is dedicated to protecting your health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this Notice explaining our legal duties and privacy practices.

USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION

Your PHI may be used or disclosed in the following circumstances:

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. This includes sharing information with other healthcare providers involved in your care, such as specialists or laboratories.

Payment

Your PHI may be used to obtain payment for services rendered. For example, we may share information with your health plan for prior authorizations or billing purposes.

Healthcare Operations

We may use or disclose your PHI for healthcare operations, including quality assessment, employee training, accreditation, and other business activities necessary to operate our clinic effectively.

Legal and Public Health Requirements

We may disclose your PHI as required by law, including but not limited to:

Reporting communicable diseases to public health authorities
Compliance with legal proceedings or law enforcement requests
Addressing abuse, neglect, or domestic violence situations
Meeting Food and Drug Administration (FDA) reporting requirements
Assisting with workers’ compensation claims

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights regarding your PHI:

Access and Copies

You have the right to inspect and obtain a copy of your medical records, subject to limited exceptions (e.g., psychotherapy notes, legal proceedings). Fees may apply for copies.

Requesting Restrictions

You may request restrictions on how we use or disclose your PHI for treatment, payment, or healthcare operations. While we will consider your request, we are not legally required to agree unless the disclosure is to a health plan for a service you have paid for out-of-pocket in full.

Confidential Communications

You may request that we contact you in a specific way (e.g., only at a certain phone number or address). We will accommodate reasonable requests.

Amendments

If you believe your PHI is incorrect or incomplete, you have the right to request an amendment. If we deny your request, you may file a statement of disagreement.

Accounting of Disclosures

You have the right to request a list of disclosures of your PHI made outside of treatment, payment, or healthcare operations.

Paper Copy of This Notice

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

COMPLAINTS AND CONTACT INFORMATION

If you believe your privacy rights have been violated, you may file a complaint with:

Vital Forge Wellness Clinic
Privacy Officer: Mary Moret FNP-C FNP-BC
2325 E Fry Blvd, Sierra Vista, AZ 85635
Phone: (520) 549-1508
Email: info@thevitalforge.com

You may also file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

We will not retaliate against you for filing a complaint.

CHANGES TO THIS NOTICE

We reserve the right to modify this Notice at any time. Any changes will be posted in our office and on our website. The revised Notice will apply to all PHI we maintain.

For more information about your rights under HIPAA, visit: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Individual Care

Affordable Pricing

What Makes Vital Forge Different?

Individualized care:

We take the time to understand your personal medical history and goals, crafting a treatment plan specifically designed for you.

No-judgment zone:

At Vital Forge, you can feel comfortable and supported, regardless of your current health status.

Lifestyle coaching:

We don't just treat symptoms; we empower you with the knowledge and tools to achieve lasting results. Our plans often include personalized exercise goals and nutritional coaching.

Invest in your health, reap the rewards:

We believe in proactive healthcare to optimize your overall well-being and quality of life.

Services Offered at Vital Forge:

IV Hydration:

We offer a variety of IV hydration therapies including Immunity Boosters, Myers' Cocktails, Skin, Hair & Nail revitalization, and Recovery options.

Weight Loss Solutions:

Our comprehensive weight loss programs incorporate various methods, including injectable medications (Semaglutide, Tirzepatide), adjunctive injections (MIC), vitamin B12 shots, and oral medications (Phentermine, Phentermine/Topiramate, Bupropion/Naltrexone). Additionally, we offer adjunctive therapies like Sermorelin, to support your weight loss journey. All consultations include personalized nutritional and lifestyle coaching.

Sexual Health Treatment:

We offer peptide therapy (PT 141) to address sexual health in both men and women.

Men's Health:

We provide Testosterone Replacement Therapy (TRT) for men experiencing hormonal imbalances.

Specialty Pricing:

We offer special pricing for our services to show appreciation for law enforcement officers, military personnel, first responders, and teachers.

Proudly Serving:

Sierra Vista, AZ, Hereford, AZ, Douglas, AZ, Bisbee, AZ, Benson, AZ, Wilcox, AZ, Tombstone, AZ, Tucson, AZ

Schedule Your Consultation Today!

At Vital Forge, we're committed to partnering with you on your wellness journey. Contact us today to schedule a consultation and discuss how we can help you achieve your health goals.

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