Epiphany Wellness and its affiliates (“Epiphany Wellness LLC”, “Epiphany Wellness Tennessee LLC”) operate epiphanywellnesscenters.org, and other websites. It is Epiphany Wellness’ policy to maintain and respect your privacy regarding any information we may collect while operating these sites.
Visitors to Our Websites
Like most website operators, Epiphany Wellness collects non–personally identifying information of the sort that web browsers and servers usually provide, including the browser type, language preference, referring site, and the date and time of each visitor request. The purpose of Epiphany Wellness collecting this non–personally identifying information is to gain a better understanding of how site visitors use the website.
From time to time, Epiphany Wellness may release non–personally identifying information in an aggregate form (for example, to publish reports on how visitors use the site).
Epiphany Wellness also collects information that may potentially be personally identifying, like Internet Protocol addresses for users who log into the site or who leave comments on the site’s blog pages, for example. Epiphany Wellness only discloses this information in the same circumstances it uses personally identifying information (described below) except when that commenter IP addresses and email addresses are visible and disclosed to the administrators of the site where the comments are left.
Collection of Sensitive Information
When we collect your sensitive information, we encrypt it and send it in a secure way. The “https” at the beginning of the web address for each page indicates a secure transmission of information. We also take steps to protect your information off-line as only those employees who need to access your information for reasons specific to their job are able to access your personally identifying information. The computers that hold such information are housed in a secure environment, as the safety of your information is our priority.
In addition, the security of your information also depends on your use of the site. We strongly encourage users to be cautious when providing information on public areas of the site.
Further, it is unfortunately true that no online transmission of information is guaranteed to be secure 100% of the time. We strive to protect your information. And you acknowledge the security and privacy limitations of the internet are beyond our control, the security and privacy of any data shared between you and us through this site cannot be guaranteed and any such data can be viewed and tampered with while in transit by a third party actor.
Links to Other Sites
Our website may contain links to other sites and these external sites are not operated by us. So, we strongly encourage you to review their privacy policies as well. We do not control, take responsibility for, or impact how they handle your data or personally identifying information.
Collection of Log Data
We collect log data which is information your browser sends us whenever you use our site or visit our services. This information may include your IP address, browser version, what pages you visit, the time spent on each page, and the date of your visit to the site as well as other statistics.
Collection of Personally Identifying Information
Some Epiphany Wellness site visitors choose to engage with Epiphany Wellness in ways that require us to collect personally identifying information. The actual amount and type of information collected depends on the type of interaction. For example, we ask visitors who sign up to provide an email address.
Further, those who engage directly with Epiphany Wellness provide information of a personal and financial nature in order for Epiphany Wellness to process transactions. In those cases, Epiphany Wellness only collects information that is necessary or desired to complete a particular function or interaction.
Epiphany Wellness does not disclose personally identifying information other than what is described below and Epiphany Wellness visitors can always refuse to supply
personally identifying information, with the awareness that such refusal may be an obstacle to them engaging in certain website activities.
Aggregation of Statistical Information
Epiphany Wellness may collect statistical information about site visitor behavior while on the site and may display such information publicly or provide such statistical information to others. Epiphany Wellness does not, however, disclose personally identifying information other than as described below.
Advertising Partners and Cookies
Transfer of Business
Website user information would be an asset that would be transferred to a third party in the unlikely event that Epiphany Wellness is acquired by a third party (or substantially all of its assets), or if Epiphany Wellness files for bankruptcy or goes out of business. By using our site you acknowledge this transfer may occur and that the use of your information by that third party would follow the policy outlined herein.
Protection of Particular Personally Identifying Information
Epiphany Wellness only discloses potentially personally identifying and personally-identifying information to employees, contractors and affiliated organizations that: (i) need to know that information in order to process it on behalf of or to provide services available at, Epiphany Wellness websites; and, (ii) that have agreed not to disclose it to others.
Consent To Transfer Information
By using Epiphany Wellness websites, you consent to the transfer of such information to those employees, contractors and affiliated organizations. Epiphany Wellness does not sell personally identifying and potentially personally identifying information to anyone. Other than as described above, Epiphany Wellness discloses potentially personally identifying and personally identifying information only in response to a subpoena, court order or other governmental request, or when we believe in good faith that disclosure is reasonably necessary to protect the property or rights of Epiphany Wellness, third parties, or the public.
Users who have registered for Epiphany Wellness’ website and supplied their email address may receive emails about new features, requests for feedback, or general updates about Epiphany Wellness. Epiphany Wellness takes all reasonably necessary measures to protect against unauthorized use, access or destruction of potentially identifying information and personally identifying information.
Notice of Patient Privacy Practices
This notice describes how information about you and your treatment may be used and disclosed and how you can get access to this information. Please review it carefully.
This organization is required by law to maintain the privacy and confidentiality of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. Please also respect the privacy of others you encounter in treatment.
Information regarding your health care, including payment for health care, is protected by two federal laws: the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), 42 U.S.C. & 1320d et seq., 45 C.F.R. Parts 160 & 164, and the Confidentiality Law, 42 U.S.C & 290dd-2, 42 C.F.R. Part 2. Under these laws, Epiphany Wellness may not say to a person outside Epiphany Wellness that you attend the
program, nor may Epiphany Wellness disclose any information except as permitted by federal law.
Epiphany Wellness must obtain your written consent before it can disclose information about you for the payment process. For example, Epiphany Wellness must obtain your written consent before it can disclose information to your health insurer in order to be paid for services. Generally, you must also sign a written consent before Epiphany Wellness can share information for treatment purposes or for health care operations. However, federal law permits Epiphany Wellness to disclose information without your written permission:
- Pursuant to an agreement with a Qualified Service Organization; ● For research, audit or evaluations;
- To report a crime committed on Epiphany Wellness’ premises or against Epiphany Wellness personnel;
- To medical personnel in a medical emergency;
- To appropriate authorities to report suspected child abuse or neglect; ● As allowed by a court order.
For example, Epiphany Wellness can disclose information without your consent to obtain legal or financial services, or to another medical facility to provide healthcare to you, as long as there is a Qualified Service Organization Agreement in place. Before Epiphany Wellness can use or disclose any information about your health in a manner that is not described above, it must obtain your specific written consent allowing it to make the disclosure. Any such written consent may be revoked by you either verbally in person or in writing.
Epiphany Wellness collects health information about you and stores it in an electronic health record. This is your medical record. The medical record is the property of Epiphany Wellness, however, some information in the medical record belongs to you. The Health Insurance Portability and Accountability Act (HIPAA) requires our agency to maintain the privacy of your medical record. HIPAA generally requires that any uses or disclosures of information in your medical record be limited to the minimum necessary to the purposes of the uses or disclosures. HIPAA also provides you certain rights with respect to the information in your medical record which are described below.
Information relating to your treatment is protected by federal regulations specific to drug and alcohol treatment, which are known as 42 CFR Part 2. These regulations protect the confidentiality of information relating to the identity, diagnosis, prognosis, or treatment of any person in a drug or alcohol treatment program. Epiphany Wellness may not disclose records relating to your treatment without your written consent, except
in narrowly limited circumstances. Under 42 CFR Pt 2, the terms of written consent to disclose information must specify the scope and types of information to be disclosed, the parties to whom the information may be disclosed, the purpose of the disclosure and the timeframe of the consent. You may revoke a consent to disclose information relating to drug and alcohol verbally or in writing at any time.
At Epiphany Wellness, we ask for your written consent to disclose treatment information for certain purposes, including releasing treatment information to or obtaining information from your other medical providers, obtaining payment from insurance or other payors, contacting your family and/or support persons either for treatment purposes or in the case of medical or other emergencies. Epiphany Wellness will not disclose your treatment information for these purposes without your written consent.
Epiphany Wellness may disclose treatment information without your written consent under certain narrow circumstances as permitted by 42 CFR Part 2. For treatment purposes, Epiphany Wellness is permitted to use and disclose treatment information internally and to entities with which it shares administrative control. Epiphany Wellness staff may disclose treatment information to outside auditors, regulatory agencies, and evaluators and for certain research purposes. Epiphany Wellness may disclose treatment information without your written consent when necessary in a life-threatening medical emergency and may disclose to report a crime on the premises or against personnel. Lastly, information may be disclosed without consent where the state mandates child abuse and neglect reporting; when cause of death is being reported; or when required by a valid court order that contains specific required findings. Our Alumni staff may contact you to share information about your treatment experience or to send you reminder notices of future events.
Your Health Information Rights
In addition to protecting privacy and confidentiality, HIPAA and 42 CFR Part 2 afford you the following rights with respect to your medical record, drug or alcohol treatment information, and/or behavioral health treatment information:
- You have the right to a paper copy of this written notice of the agency’s privacy practices.
- You have a right to request a copy of your treatment record or to receive your health information through a reasonable alternative means or at an alternative location. The agency requires that all such requests be put in writing. A reasonable fee will be charged for copying your health information.
- You have a right to request that the agency amends health information that is incorrect or incomplete. If the agency determines not to amend the health information, it will provide you with an explanation of the reason for the denial and your rights to disagree with the denial.
- You have a right to request restrictions on otherwise permitted uses and disclosures of your health information. The agency is not obligated to comply with such requests.
- You may request that we provide you with a written accounting of all disclosures made by us during a specific time period (not to exceed 6 years). We ask that such requests be made in writing on a form provided by our facility. Please note that an accounting will not apply to any of the following types of disclosures: disclosures made with your written consent for reasons of treatment, payment or health care operations; disclosures made to you or your legal representative, or any other individual involved with your care. You will not be charged for your first accounting request in any 12-month period. However, for any requests that you make thereafter, you will be charged a reasonable, cost-based fee
Your health information cannot be given to your employer, used or shared for things like sales calls or advertising unless you give your permission by signing a consent form. You must cancel your authorization in writing. The authorization form will give you instructions on where to send the written notice or will direct you to another place to find this information.
You have the right to correct any mistakes on your health information. Any request to change a health record must be submitted in writing.
You have a right to revoke consent to one or more parties and leave the rest of the consent in effect.
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 an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually 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 health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to 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, home or office phone) or to send mail to a different address. We will say “yes” to all 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.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice 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. We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
You can complain if you feel we have violated your rights by contacting us using the information on page 1.
You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting
We will not retaliate against you for filing a complaint.
Your Health Information Use Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- Share information with your family, close friends, or others involved in your care
- Share information in a disaster relief situation
- Include your information in a hospital directory
- Contact you for fundraising efforts
If you are not able to tell us your preference, for example, if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
- Marketing purposes
- Sale of your information
- Most sharing of psychotherapy notes
In the case of fundraising:
- We may contact you for fundraising efforts, but you can tell us not to contact you again.
Uses and Disclosures With Your Authorization
Except as outlined below, Epiphany Wellness will not use or disclose your personal health information (PHI) without your written authorization. The authorization form is available from Epiphany Wellness (at the address and phone number below). You have the right to revoke your authorization at any time, except to the extent that Epiphany Wellness has taken action in reliance on the authorization.
The law permits Epiphany Wellness to use and disclose your PHI for the following reasons without your authorization:
For your treatment
We may use or disclose your PHI to physicians, psychologists, nurses, and other authorized health care professionals who need your PHI in order to conduct an examination, prescribe medication, or otherwise provide health care services to you.
To obtain payment
We may use or disclose your PHI to insurance companies, government agencies, or health plans to assist us in getting paid for our services. For example, we may release information such as dates of treatment to an insurance location in order to obtain payment.
For our health care operations
We may use or disclose your PHI in the course of activities necessary to support our health care operations such as performing quality checks on employee services. We may also disclose PHI to other persons not in Epiphany Wellness’ workforce or to companies who help us perform our health services (referred to as “Business Associates”) . We require these business associates to appropriately protect the privacy of your information.
As permitted or required by law
In some cases, we are required by law to disclose PHI. Such disclosures may be required by statute; regulation court order; government agency; reasonable belief of abuse, neglect, or domestic violence; or for judicial and administrative proceedings and enforcement purposes.
For public health activities
We may disclose your PHI for public health purposes such as reporting communicable disease results to public health departments as required by law or when required for law enforcement purposes.
For health oversight activities
We may disclose your PHI in connection with governmental oversight, such as for licensure, auditing, and for the administration of government benefits.
To avert serious threat to health and safety
We may disclose PHI if we believe in good faith that doing so will prevent or lessen a serious or imminent threat to the health and safety of a person or the public.
Changes to This Notice of Privacy Practices
We reserve the right to improve this Notice of Privacy Practices at any time moving forward and make the new provisions effective for all information that it maintains, including information that was created or received prior to the date of such modification. Until an amendment is made, we remain in compliance with this Notice as required by
law. If our privacy practices change, we will provide all current and forthcoming clients with a copy of the revised Notice of Privacy Practices
Complaints Regarding Privacy Practices
Complaints about this Notice of Privacy Practices and/or handling your health information should be directed to:
461 Rt. 168
Blackwood, NJ 08012
If you are not satisfied with the manner of which this office handles a complaint, you may submit a formal complaint to one of the regional US Department of Health and Human Services Offices for Civil Rights. A list of these offices can be found online at: https://www2.ed.gov/about/offices/list/ocr/addresses.html
In the event that you have a question about our policies, you can contact us at: 866-601-1409