Organizations Covered: From Pain To Wellness, LLC and From Pain To Wellness Lab
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
1. This Notice applies to From Pain to Wellness, LLC and From Pain To Wellness Lab and to their operations at 1 Transam Plaza Drive, Suites 100, 110, and 140, including the main office, separate physical therapy suite, laboratory, telehealth, billing, and related administrative operations. The organizations may share protected health information with each other as permitted by law for treatment, payment, and health care operations.
For treatment, we may share information with physicians, advanced practice providers, Behavioral Pain Specialists, physical therapists, pharmacies, laboratories, and other providers involved in your care; for example, your medical provider may share relevant information with your physical therapist. For payment, we may submit claims and supporting information to a health plan or other payer. For health care operations, we may use or disclose information for quality review, staff supervision and training, credentialing, accreditation, auditing, compliance, patient safety, and business management.
2. We may also use or disclose protected health information without written authorization when permitted or required by law, including the purposes described below.
These purposes include disclosures to you or your personal representative; to persons involved in your care or payment; for public health, abuse or neglect reporting, health oversight, research, workers’ compensation, disaster relief, organ or tissue donation, and decedent matters; to prevent a serious threat to health or safety; for authorized law enforcement, judicial, administrative, and government activities; to our business associates; and as otherwise required by law. Mental health, genetic-testing, HIV-related, substance use disorder, and other specially protected information will be used or disclosed only as allowed by the stricter federal or Illinois law that applies. To the extent we maintain records protected by 42 CFR Part 2, those records or testimony describing them will not be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against you without your written consent or a qualifying court order accompanied by a subpoena or other legal requirement.
3. Most uses or disclosures of psychotherapy notes, uses of protected health information for marketing, and any sale of protected health information require your written authorization. Other uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
4. We may contact you to schedule or remind you of visits, provide test or prescription information, coordinate care, discuss treatment alternatives, or tell you about health-related services. When permitted by law, we may share relevant information with family members, caregivers, or others involved in your care or payment, consistent with your stated preferences.
5. You may ask us to restrict certain uses or disclosures of your protected health information. We are not generally required to agree. However, if you pay in full out of pocket for a health care item or service, we will agree not to disclose information about that item or service to your health plan for payment or health care operations unless disclosure is required by law. Requests should be made to the Practice Manager before a claim is submitted.
6. You have the right to request confidential communications; inspect or obtain an electronic or paper copy of your health information; request an amendment; receive an accounting of certain disclosures made during the prior six years; and obtain a paper copy of this Notice. Requests may be directed to the Practice Manager. Medical-record requests are processed by Front Office staff and may be sent to reception@frompaintowellness.com. Privacy questions and privacy-rights requests may also be sent to privacy@frompaintowellness.com. Requests may be required in writing. We generally provide requested records within 30 days, respond to amendment requests within 60 days, and may charge a reasonable, cost-based fee when permitted by law.
7. We are required by law to maintain the privacy and security of protected health information, provide this Notice of our legal duties and privacy practices, and notify affected individuals following a breach of unsecured protected health information.
8. We are required to abide by the terms of this Notice currently in effect.
9. We reserve the right to change the terms of this Notice and make the revised terms effective for all protected health information we maintain. A revised Notice will be available upon request, posted in our patient-facing service locations, and posted on our website.
10. You may complain to the organizations and to the Secretary of the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. Complaints to the organizations may be directed to the Practice Manager at 630-627-7500, emailed to privacy@frompaintowellness.com, or mailed to the address below. You may also file with the HHS Office for Civil Rights at hhs.gov/hipaa/filing-a-complaint or 1-877-696-6775. You will not be retaliated against for filing a complaint.
11. For further information or to exercise a privacy right, contact the Practice Manager at From Pain To Wellness, 1 Transam Plaza Drive, Suites 100 and 140, Oakbrook Terrace, Illinois 60181, telephone 630-627-7500, or email privacy@frompaintowellness.com.
12. This Notice is in effect as of July 30, 2026.