Patients may exercise privacy and medical-record rights by contacting From Pain To Wellness. Some requests must be made in writing so that we can verify the request and document the action taken.
| Request | What the patient should do | Internal destination |
|---|---|---|
| Copy/access to records | Submit the practice’s medical records request/authorization form or contact the office for instructions. | Front Office / reception@frompaintowellness.com |
| Amendment/correction request | Submit a written request identifying the information and requested amendment. | Front Office / privacy@frompaintowellness.com as applicable |
| Confidential communications | Submit a request stating the preferred method or location for communications. | Front Office / privacy@frompaintowellness.com as applicable |
| Restriction request | Submit a written request describing the information/use/disclosure to be restricted. | privacy@frompaintowellness.com |
| Accounting of disclosures | Submit a written request identifying the period requested. | privacy@frompaintowellness.com |
| Privacy complaint | Contact the Practice Manager / Privacy Contact. | Practice Manager / privacy@frompaintowellness.com |
Contact: From Pain To Wellness, LLC, 1 Trans Am Plaza, Suite 100, Oakbrook Terrace, IL 60181 | (630) 627-7500 | privacy@frompaintowellness.com
