HIPAA NOTICE OF PRIVACY PRACTICES

Updated 1/4/2026

THIS NOTICE DESCRIBES HOW PROTECTED HEALTH 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: Nourished Living, LLC, DBA Nirvana Abou-Gabal | nirvana@nourishedliving.com

We, Nourished Living, LLC, DBA Nirvana Abou-Gabal, understand that protected health information about you and your health is personal. We are committed to protecting health information about you. 

This Notice will tell you about the ways in which we may use or disclose protected health information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of protected health information. Federal law requires us to: 

  • Make sure that protected health information that identifies you is kept private;  

  • Notify you about how we protect protected health information about you;

  • Explain how, when, and why we use and disclose protected health information; and

  • Follow the terms of the Notice that is currently in effect.

We are required to follow the procedures in this Notice. We reserve the right to change the terms of this Notice and to make new Notice provisions effective for all protected health information that we maintain by:

  • Making copies of the revised Notice available upon request; and

  • Posting the revised Notice on our Web site.

HOW WE MAY USE AND DISCLOSE PROTECTED HEALTH INFORMATION ABOUT YOU

The following categories describe different ways that we may use and disclose protected health information without your written authorization.  

For Treatment. We may use protected health information about you to provide you with, coordinate, or manage your nutrition coaching services. We may disclose protected health information about you to doctors, nurses, technicians, therapists, and hospitals who are involved in your medical care. 

Nourished Living, LLC, DBA Nirvana Abou-Gabal may share protected health information about you in order to coordinate your care with other health professionals (such as physicians, therapists, etc).  

We will use and disclose your protected health information to provide, coordinate and manage your health care and related services. We may disclose your protected health information to health care providers, including providers not affiliated with the Practice, so that they may provide you with treatment. For example, we may disclose your protected health information to a pharmacy to fill a prescription, to a laboratory to order a test, or to a specialist for a consultation.

We may use and disclose protected health information to contact you as a reminder that you have an appointment for treatment or medical care at Nourished Living, LLC, DBA Nirvana Abou-Gabal. We may use and disclose protected health information to tell you about or recommend possible treatment options, treatment alternatives, or health-related benefits or services that may be of interest to you.  

For Payment for Services. We may use and disclose protected health information about you so that the treatment and services you receive at Nourished Living be billed to and payment may be collected from you, an insurance company, or a third party. For example, we may need to give your insurance health plan information about nutrition services you received at Nourished Living so your health plan will pay us or reimburse you for the service. We may also tell your health plan about the nutrition services you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment. 

As Required by Law. We will disclose protected health information about you when required to do so by federal, state, or local law. 

To Avert a Serious Threat to Health or Safety. We may use and disclose protected health information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. 

We may also disclose protected health information about you to a government authority if we reasonably believe that you are a victim of abuse, neglect, or domestic violence.  We will only disclose this type of information to the extent required by law, and we will only disclose it if (a) you agree to the disclosure, or (b) the disclosure is allowed by law and we believe it is necessary to prevent or lessen a serious and imminent threat to you or another person.

Judicial and Administrative Proceedings. We may disclose your protected health information in response to a court or administrative order. We may also disclose your protected health information in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made, either by us or the requesting party, to tell you about the request or to obtain an order protecting the information requested.  

Public Health.  As required by law, we may disclose your protected health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.  

Health Oversight Activities. We may disclose protected health information to a health oversight agency for activities authorized by law. These activities include audits, investigations, and inspections, as necessary for licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.

Law Enforcement. We may release protected health information as required by law, or in response to an order or warrant of a court, a subpoena, or an administrative request. We may also disclose protected health information in response to a request related to identification or location of an individual, a victim of crime, a decedent, or a crime on the premises.  

Worker’s Compensation. We may disclose protected health information as necessary to comply with laws relating to worker’s compensation or other similar programs established by law.

YOUR RIGHTS REGARDING PROTECTED HEALTH INFORMATION ABOUT YOU

You have the following rights regarding protected health information that we maintain about you:

Right to Revoke an Authorization. You may revoke an Authorization in writing, at any time. To request a revocation, you must submit a written request to the Practice’s Privacy Contact, whose contact information is listed below in part D of this Privacy Notice.

Right to Inspect and Copy. You have the right to inspect and copy protected health information that may be used to make decisions about your care or payment for your care.  If we maintain your protected health information electronically, you can request that we provide access in an electronic form and format that is readily producible, or in a form and format agreed to by us.    

To inspect and copy protected health information that may be used to make decisions about you, you must submit your request in writing to Nourished Living, LLC, DBA Nirvana Abou-Gabal. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, or supplies associated with your request. We may not charge you a fee if you need the information for a claim for benefits under the Social Security Act or any other state or federal needs-based benefit program. We will respond to your request no later than 60 days after we receive it. There are certain situations in which we are not required to comply with your request. In these circumstances, we will respond to you in writing, stating why we will not grant your request and describe any rights you may have to request a review of our denial.

Right to Amend. If you feel that protected health information we have about you is incorrect or incomplete, you may ask us to amend or supplement the information. 

To request an amendment, your request must be made in writing and submitted to Nourished Living, LLC, DBA Nirvana Abou-Gabal. In addition, you must provide a reason that supports your request. We will act on your request for an amendment no later than 60 days after we receive it.

We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In these circumstances, we will provide a written denial stating why we will not grant your request. In addition, we may deny your request if you ask us to amend information that:

  • Was not created by us;

  • Is not part of the protected health information kept by Nourished Living, LLC, DBA Nirvana Abou-Gabal;

  • Is not part of the information that you would be permitted to inspect and copy; or 

  • We believe is accurate and complete.

Right to a Paper Copy of This Notice. You have the right to a paper copy of this Notice at any time. To receive a paper copy, contact Nourished Living, LLC, DBA Nirvana Abou-Gabal

Right to Receive Notice of Breach. You have a right to be notified upon a breach of any of your unsecured protected health information.

Rights for Out-of-Pocket Payments. If you paid out of pocket in full for a specific item or service, you have a right to ask that your protected health information with respect to that item or service not be disclosed to a health plan for purposes of payment or health care operations.  We are required to agree to your request unless the disclosure is otherwise required by law.  

YOU MAY FILE A COMPLAINT ABOUT OUR PRIVACY PRACTICES

If you believe your privacy rights have been violated, you may file a complaint with Nourished Living, LLC, DBA Nirvana Abou-Gabal or file a written complaint with the Secretary of the Department of Health and Human Services. A complaint to the Secretary should be filed within 180 days of the occurrence or action that is the subject of the complaint.

CHANGES TO THIS NOTICE 

We reserve the right to change this Notice and make the new Notice apply to health information available. Copies of updated notices can be found on our website, with the effective date clearly marked.

This Notice is effective as of the date that this document is signed.