HIPAA NOTICE OF PRIVACY PRACTICES

Honolulu Wellness Group, Inc.
Effective Date: 2/23/2026

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.

Our Commitment to Your Privacy

Honolulu Wellness Group, Inc. is required by law to:

  • Maintain the privacy of your Protected Health Information (PHI)
  • Provide you with this Notice of our legal duties and privacy practices
  • Follow the terms of this Notice

We may update this Notice at any time. Updated versions will be posted at our office and on our website:
www.honoluluwellnessgroup.com

  1. How We May Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes:

  1. Treatment

We may use your information to provide, coordinate, or manage your care.

Examples:

  • Sharing information with another provider involved in your care
  • Coordinating with massage therapists, chiropractors, or medical providers
  • Consulting specialists when necessary
  1. Payment

We may use your information to obtain payment for services.

Examples:

  • Submitting claims to insurance carriers
  • Communicating with PIP (No-Fault) insurers
  • Communicating with Workers’ Compensation carriers
  • Verifying benefits
  • Processing attorney lien documentation (when authorized)
  1. Healthcare Operations

We may use your information for operational purposes such as:

  • Quality improvement
  • Staff training
  • Compliance reviews
  • Audits
  • Licensing requirements
  1. Special Situations

We may disclose information when required by law, including:

  • Public health reporting
  • Workers’ Compensation claims
  • Law enforcement requests (when legally required)
  • Court orders or subpoenas
  • Government health oversight activities
  1. Your Rights Regarding Your Health Information

You have the right to:

✔ Request Access

Request copies of your medical records (fees may apply).

✔ Request Corrections

Ask us to correct inaccurate or incomplete information.

✔ Request Restrictions

Request limits on how we use or disclose your information (we may not always be required to agree).

✔ Request Confidential Communications

Ask that we contact you in a specific way (e.g., only by phone, only by email).

✔ Receive an Accounting of Disclosures

Request a list of certain disclosures made outside of treatment, payment, and operations.

✔ File a Complaint

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

Honolulu Wellness Group, Inc.
1314 S King St Suite 1656
Honolulu, HI 96814
Phone: 808-591-9339

Or with the U.S. Department of Health & Human Services.

You will not be retaliated against for filing a complaint.

  1. Other Uses and Disclosures

Uses or disclosures not described in this Notice require your written authorization.

You may revoke authorization at any time in writing.

  1. Contact Information

If you have questions about this Notice, contact:

Honolulu Wellness Group, Inc.
1314 S King St Suite 1656
Honolulu, HI 96814
Phone: 808-591-9339
Website: www.honoluluwellnessgroup.com

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