Effective Date: July 2025

Business Name: Drip District IV Therapy

Owner: Paige Wright

Location: Joplin, Missouri

Contact: dripdistrictiv@gmail.com

Your Rights

You have the right to:

• Get a copy of your health and service records

• Request corrections to your records

• Request confidential communication (e.g., specific phone or email contact)

• Ask us to limit what we share

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

• File a complaint if you believe your rights are violated

Your Choices

You have some choices in how we use and share information when it comes to:

• Sharing information with family or others involved in your care

• Marketing and promotional communications

• Including your information in testimonial or before/after media (only with written consent)

Our Uses and Disclosures

We may use and share your health information to:

• Provide care and coordinate treatment

• Bill for services and collect payment

• Run our operations and improve services

• Comply with legal obligations or respond to lawsuits/subpoenas

• Prevent or reduce a serious threat to health or safety

Our Responsibilities

• We are required by law to maintain the privacy of your protected health information (PHI).

• We will let you know promptly if a breach occurs that may compromise your information.

• We will not share your information for marketing or sale purposes without your written permission.

File a Complaint

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

• Drip District IV Therapy: dripdistrictiv@gmail.com

• Or directly to the U.S. Department of Health & Human Services at www.hhs.gov/ocr/privacy/

We will not retaliate against you for filing a complaint.