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HIPAA Disclosure
Effective Date: as of the date of booking
Your Privacy Rights
At Celestial Alchemy & Harmonics, your privacy is of utmost importance. As a provider of energy healing, sound therapy, and related services, I may collect health-related or personal information to tailor services to your unique needs. This disclosure outlines how I protect and use your information in compliance with the Health Insurance Portability and Accountability Act (HIPAA) where applicable.1. Use and Disclosure of Information
Your personal and health-related information will be used solely for:
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Providing and customizing services.
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Communicating about your appointments and related follow-ups.
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Complying with legal or regulatory requirements, if necessary.
I will not share your information with third parties without your explicit written consent, except where required by law.
2. Client Responsibilities
By booking a session, you agree to provide accurate and truthful information to ensure the best service outcomes. You also acknowledge that my services are holistic in nature and do not replace professional medical advice or treatment.
3. Protection of Your Information
I implement appropriate technical, administrative, and physical safeguards to protect your information from unauthorized access, use, or disclosure.
4. Client Rights
You have the right to:
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Access any health-related information you’ve provided.
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Request corrections to inaccurate or incomplete information.
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Request limitations on the use or disclosure of your information.
To exercise these rights, please contact me directly at [Your Contact Information].
5. Acknowledgment
By proceeding with the booking, you acknowledge and agree to this HIPAA disclosure and the terms of information use outlined herein.
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Non-Disclosure Agreement (NDA)
This Non-Disclosure Agreement is entered into by and between Celestial Alchemy & Harmonics and the client as of the date of booking.
1. Confidential Information
For the purposes of this Agreement, "Confidential Information" includes any personal, spiritual, or sensitive information shared by the Recipient or disclosed during the session or booking process, as well as any proprietary techniques, materials, or insights provided by the Service Provider.
2. Obligations of Confidentiality
Both parties agree:
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To maintain the confidentiality of all shared information and not to disclose it to any third party without prior written consent.
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To use Confidential Information solely for the intended purpose of the session or service.
3. Exceptions
This Agreement does not apply to information that:
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Was already publicly known at the time of disclosure.
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Was independently developed or discovered without reliance on the Confidential Information.
4. Duration
The obligations of confidentiality under this Agreement will remain in effect indefinitely unless otherwise agreed upon in writing.
5. Governing Law
This Agreement shall be governed by the laws of Franklin County, OH.
6. Acknowledgment
By proceeding with the booking, the Recipient acknowledges and agrees to the terms of this Non-Disclosure Agreement.