PATIENT POLICIES

---

Effective Date: December 8, 2025

These Patient Policies apply to all patients of Elevated Health & Wellness, LLC, including in-person and telehealth services. By scheduling an appointment or receiving services, you acknowledge that you have read, understood, and agreed to these policies.

We are committed to protecting your personal health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

We may use and disclose your protected health information (PHI) for:

• Treatment
   
• Payment
   
• Healthcare operations
   

You have the right to:

• Inspect and obtain a copy of your medical records
   
• Request corrections
   
• Request restrictions
   
• Request confidential communications
   
• Receive a copy of this Notice upon request
   

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services.

A full Notice of Privacy Practices is available upon request.

By participating in telehealth services with [Your Practice Name], you acknowledge and agree to the following:

• Telehealth involves the delivery of healthcare services using electronic communication.
   
• Telehealth has limitations and may not be appropriate for all medical conditions.
   
• Technical issues (internet, audio, or video failure) may interfere with visits.
   
• Telehealth is not appropriate for emergencies.
   

By scheduling a telehealth appointment, you:

• Consent to receive care via telehealth
   
• Understand the limitations
   
• Accept responsibility for being in a private and safe location during your visit
   

If you experience a medical emergency, you should call 911 immediately.

We value your time and the time of our providers.

• Appointments must be canceled or rescheduled with at least 24 hours notice.
   
• Late cancellations and no-shows may result in a $40 fee.
   
• Repeated no-shows may result in dismissal from the practice.
   

Missed appointments create gaps in care access for other patients and impact clinic operations.

• Payment is due at the time of service unless otherwise arranged.
   
• Program fees, supplements, labs, and services are non-refundable once rendered or ordered.
   
• Insurance coverage varies by plan and service. Patients are responsible for any balance not covered by insurance.
   

• Prescription requests require appropriate evaluation and provider approval.
   
• Refills may require an active patient relationship and recent visit.
   
• Controlled substances are prescribed according to state and federal regulations.
   

We may use third-party vendors for:

• Laboratory testing
   
• Supplement fulfillment
   
• Diagnostic services
   

We are not responsible for:

• Shipping delays
   
• Manufacturer shortages
   
• Third-party pricing changes
   

Results may take several days to return depending on the vendor.

This website is intended for informational purposes only and does not replace medical care.

• No medical advice is established by website use.
   
• We make no guarantees regarding treatment outcomes.
   
• Unauthorized use of the website is prohibited.
   
• All content is the intellectual property of [Your Practice Name].
   

We are committed to providing a website that is accessible to the widest possible audience. We continuously work to improve accessibility and usability.

If you experience any difficulty accessing content on this website, please contact us at:

Phone: 219-224-3205
Email: contact@elevatedhealthandwellness.org

Patients are responsible for:

• Providing accurate health history
   
• Updating insurance information
   
• Following treatment plans
   
• Maintaining respectful behavior
   

Disruptive or abusive behavior toward staff may result in dismissal from the practice.

These policies may be updated at any time. Updates will be posted on this page with a revised effective date.

Elevated Health & Wellness, LLC
Phone: 219-224-3205
Email: contact@elevatedhealthandwellness.org
Address: 209 E. 86th Court, Suite D, Merrillville, IN 46410