HIPAA Notice of Privacy Practices

Althoff Wellness Clinic PC | 4024 Laramie St., Cheyenne, WY 82001

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. If you have any questions about this notice, please contact our Privacy Officer or any staff member in our office.

Our Privacy Officer is: Dr. Jill Althoff

This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out your treatment, collect payment for your care and manage the operations of this clinic. It also describes our policies concerning the use and disclosure of this information for other purposes that are permitted or required by law. It describes your rights to access and control your protected health information. "Protected Health Information" (PHI) is information about you, including demographic information that may identify you, that relates to your past, present, or future physical or mental health or condition and related health care services.

We are required by federal law to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice at any time. The new notice will be effective for all protected health information that we maintain at that time. You may obtain revisions to our Notice of Privacy Practices by accessing our website https://www.drjillalthoff.com, calling the office and requesting that a revised copy be sent to you in the mail or asking for one at the time of your next appointment.

A. Uses and disclosures of protected health information

By applying to be treated in our office, you are implying consent to the use and disclosure of your protected health information by your doctor, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you. Your protected health information may also be used and disclosed to bill for your health care and to support the operation of the practice.

Treatment

We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party that has already obtained your permission to have access to your protected health information. For example, we would disclose your protected health information, as necessary, to another physician who may be treating you.

Payment

Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you, such as determining eligibility or coverage and reviewing services for medical necessity.

Healthcare operations

We may use or disclose, as needed, your protected health information in order to support the business activities of this office. These activities may include quality assessment activities, employee review activities, and training of students. We will share your protected health information with third party "business associates" that perform various activities (e.g., billing, transcription services, and technology services for the practice) under a signed Business Associate Agreement.

Documentation and communication technology

As part of our healthcare operations, our office may use approved software tools to assist with accurately documenting your visit and with drafting routine patient communications. Any such tool is used only in connection with a signed Business Associate Agreement, and content assisted by these tools is reviewed and approved by a qualified member of our team before it becomes part of your care or is sent to you. We may also communicate with you electronically, including by secure email and by text message. Details on electronic communication are provided in our separate HIPAA Consent and Acknowledgement Form.

Uses and disclosures made only with your written authorization

Disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and disclosures that constitute a sale of Protected Health Information will be made only with your written authorization. You may revoke any authorization at any time, in writing, except to the extent your doctor or the practice has already acted in reliance on it.

B. Your rights

You have the right to inspect and copy your protected health information, request a restriction on its use or disclosure, request confidential communications by an alternative means, request an amendment to your record, receive an accounting of certain disclosures, and be notified of any breach of your Protected Health Information. You have the right to obtain a paper copy of this notice at any time.

C. Complaints

You may complain to us, or to the Secretary of Health and Human Services, if you believe your privacy rights have been violated. Our Privacy Officer is Dr. Jill Althoff. You may contact our Privacy Officer or any staff member at (307) 369-1786.

This notice was published and becomes effective on July 30, 2026, and supersedes the version dated April 1, 2023. Contact information updated October 23, 2026 to reflect our Cheyenne, Wyoming clinic.