HIPAA Notice of Privacy Practices

Akwaaba Clinic is committed to protecting the privacy of your health information. We are required by the Health Insurance Portability and Accountability Act (HIPAA) to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.

Treatment. We may use and disclose your PHI to provide, coordinate, or manage your healthcare. For example, we may share information with specialists we refer you to, labs that process your tests, or pharmacies that fill your prescriptions.

Payment. We may use your PHI to bill and collect payment for services. For Direct Primary Care members, your membership fee does not involve insurance billing. However, if you use outside services (labs, specialists), those providers may bill your insurance.

Health Care Operations. We may use your PHI for activities necessary to operate the practice, such as quality review, staff training, and administrative functions.

As Required by Law. We will disclose your PHI when required to do so by federal, state, or local law — including public health reporting, abuse/neglect reporting, and court orders.

Emergency Situations. We may use or disclose your PHI to prevent or lessen a serious and imminent threat to your health or safety or the health or safety of others.

Right to Access. You have the right to inspect and receive a copy of your medical records. Requests must be made in writing. We will respond within 30 days.

Right to Amend. If you believe information in your record is incorrect or incomplete, you may request an amendment in writing. We may deny the request in certain circumstances.

Right to Restrict Disclosures. You may request that we restrict how we use or disclose your PHI. We are not required to agree to a restriction request except in limited circumstances.

Right to an Accounting of Disclosures. You may request a list of disclosures of your PHI made by us in the past six years, other than disclosures for treatment, payment, and health care operations.

Right to Confidential Communications. You may request that we communicate with you in a specific way or at a specific location (e.g., only by mail to a certain address).

Right to a Paper Copy. You have the right to receive a paper copy of this Notice upon request.

Right to Breach Notification. You have the right to be notified following a breach of your unsecured PHI.

We are required by law to:

• Maintain the privacy of your PHI
• Provide you with this Notice of our legal duties and privacy practices
• Abide by the terms of the Notice currently in effect
• Notify you following a breach of unsecured PHI

We reserve the right to change our privacy practices and the terms of this Notice. Changes will be made available on our website and in the office.

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS). To file a complaint with us, contact:

Privacy Officer — Akwaaba Clinic
134 Evergreen Pl, Suite 703, East Orange, NJ 07018
hello@drkordie.com
(973) 641-8836

To file a complaint with HHS, visit hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

This Notice is effective April 19, 2026 and applies to all PHI we create or receive.