Patient Rights & Legal Disclosures

Notice of Privacy Practices

Encompass Wellness & Aesthetics, PLLC • Effective January 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.

Effective Date: January 30, 2026

Our Commitment to Your Privacy

Encompass Wellness & Aesthetics, PLLC is committed to protecting the privacy of your health information. We are required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations 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 this Notice currently in effect.

We are also required to notify you in the event of a breach of your unsecured PHI.

Please note: This Notice of Privacy Practices is a separate document from our general website Privacy Policy. This Notice governs how we use and disclose your Protected Health Information as a healthcare provider.

How We May Use and Disclose Your Health Information

The following describes the ways we may use and disclose your PHI. Not every use or disclosure is listed, but all permitted uses fall within these categories.

For Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. This includes sharing your information with other healthcare providers involved in your care, requesting records from prior providers, and coordinating with pharmacies and laboratories.

For Payment

We may use and disclose your PHI to obtain payment for services rendered, including billing, claims submission, prior authorization requests, and coordination of benefits with your health plan or insurer.

For Healthcare Operations

We may use and disclose your PHI to conduct internal business functions including quality assessment, staff training, licensing, audits, compliance reviews, and business management activities necessary to operate our practice.

Other Permitted Uses (No Authorization Required)

We may also use or disclose your PHI without your written authorization for the following purposes, as required or permitted by law:

  • Required by law (court orders, subpoenas, legal proceedings)
  • Public health activities (disease reporting, injury prevention)
  • Health oversight activities (audits, inspections, investigations)
  • Workers’ compensation, as authorized and required by law
  • Organ and tissue donation organizations
  • Serious threats to health or safety
  • Military and veterans’ activities, if applicable
  • Coroners, medical examiners, and funeral directors
  • Research, under specific oversight and approval conditions
  • National security and intelligence activities, as required by law

Uses and Disclosures Requiring Your Written Authorization

The following uses and disclosures of your PHI require your written authorization. You may revoke your authorization at any time in writing, except where we have already acted in reliance upon it:

  • Marketing purposes
  • Sale of your PHI
  • Most uses and disclosures of psychotherapy notes
  • Any use or disclosure not described in this Notice

We do not use your Protected Health Information to create advertising audiences or to target ads. We do not send PHI to advertising platforms.


Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI. To exercise any of these rights, please submit a written request to our Privacy Officer using the contact information at the bottom of this page.

Right to Inspect & Copy

You may inspect and request a copy of your PHI held in our designated record set, including medical and billing records. We may charge a reasonable cost-based fee. We may deny access in limited circumstances permitted by law.

Right to Request Amendments

If you believe your PHI is incorrect or incomplete, you may request that we amend it. We may deny the request if the information was not created by us, is not part of our records, or is accurate and complete.

Right to an Accounting of Disclosures

You may request a list of disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations, dating back six years from the date of the request.

Right to Request Restrictions

You may request that we restrict how we use or disclose your PHI. We must honor a request to restrict disclosure to a health plan for services you paid for entirely out-of-pocket.

Right to Confidential Communications

You may request that we contact you in a specific way or at a specific location — for example, only by email or at an alternate phone number. We will accommodate all reasonable requests.

Right to a Paper Copy of This Notice

You may request a paper copy of this Notice at any time, even if you previously received it electronically. Contact our office and we will provide one promptly at no charge.


Our Duties

  • Maintain the privacy and security of your PHI
  • Provide you with this Notice of our privacy practices
  • Follow the terms of the Notice currently in effect
  • Notify you if a breach of your unsecured PHI occurs
  • Notify you of any material changes to this Notice
  • Not use or disclose your PHI in ways not described herein without your written authorization

Changes to This Notice

We reserve the right to change this Notice and to make the revised version effective for PHI we already hold as well as any PHI we receive in the future. A current copy of this Notice will always be available at our front desk and on this website. The effective date of the most current version will be posted prominently at the top of this page.

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.

File a Complaint with Us

Privacy Officer
Encompass Wellness & Aesthetics, PLLC
4301 W. 57th St., Suite 160
Sioux Falls, SD 57108
Phone: 605-740-0414
Email: info@encompass-wellness.com

File a Complaint with HHS

Office for Civil Rights
U.S. Department of Health & Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Toll-Free: 1-877-696-6775
www.hhs.gov/ocr/privacy