Effective Date: November 2025

Olikano Wellness

855 Outer Rd, Orlando, FL 32814

Phone: (407) 783-9785

Email: info@olikanowellness.com

Your Information. Your Rights. Our Responsibilities.

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.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

You can ask to see or get a copy of your health record and other health information we have about you.
We will provide a copy or summary within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct information you think is incorrect or incomplete.
We may deny your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, at work or at home) or to send mail to a different address.
We will accommodate reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations.
We are not required to agree to your request, and we may say “no” if it would affect your care.

Get a list of those with whom we’ve shared information

You can ask for a list (an “accounting”) of the times we’ve shared your health information for six years prior to the date you ask.
We will include all disclosures except those about treatment, payment, and health-care operations, and certain other disclosures (like those you asked us to make).

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

File a complaint if you feel your rights are violated

You can file a complaint with us by contacting info@olikanowellness.com or calling (407) 783-9785.
You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting www.hhs.gov/ocr/privacy/hipaa/complaints.
We will not retaliate against you for filing a complaint.

Your Choices

You have some choices in the way that we use and share information when it comes to:

Sharing information with your family, close friends, or others involved in your care
Providing disaster relief information
Including you in a patient directory
Marketing our services or fundraising communications

If you give us written permission to use your information for these purposes, you may revoke that permission at any time.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor referring you to a specialist for further care.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use information about your health to manage your treatment and services.

Bill for your services

We can use and share your health information to bill and receive payment from health plans or other entities.

Example: We share information with your insurance company to process payment for your treatment.

Other ways we may use or share your information

We are allowed or required to share your information in other ways—usually in ways that contribute to the public good, such as public health and research.

We have to meet many conditions in the law before we can share your information for these purposes, including:

Public health and safety issues (disease prevention, reporting adverse events)
Health oversight activities (audits, inspections)
Research (approved, minimal-risk studies)
Responding to legal requests and law enforcement
Working with a medical examiner or funeral director
Addressing workers’ compensation, law enforcement, or government requests
Responding to lawsuits or legal actions

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised your information.
We must follow the duties and privacy practices described in this notice.
We will not use or share your information other than as described here unless you give written authorization. If you do, you may revoke it at any time.

Changes to This Notice

We may change the terms of this notice at any time, and the new notice will apply to all information we have about you.

The updated notice will be posted on our website and available in our office.

Questions?

If you have questions or want more information about our privacy practices, contact:

📧 info@olikanowellness.com

📞 (407) 783-9785

📍 855 Outer Rd, Orlando, FL 32814