Last updated 1-3-2024

  • HIPAA stands for the Health Insurance Portability and Accountability Act. HIPAA was passed by the U.S. government in 1996 to establish privacy and security protections for health information. Under HIPAA, certain information about a person’s health or healthcare services is classified as Protected Health Information (PHI)
  • Most popular email services (ex. Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email. When we send you an email, or you send us an email, the information that is sent is not encrypted. This means a third party may be able to access the information and read it since it is transmitted over the Internet. In addition, once the email is received by you, someone may be able to access your email account and read it.
  • Our office uses Google Workspace and Cloud Identity services in connection with PHI, which support HIPAA compliance. Information stored on our computers is encrypted.
  • Email is a very popular and convenient way to communicate for a lot of people, so in their latest modification to the HIPAA act, the federal government guided email and HIPAA. The information is available in a pdf (page 5634) on the U.S. Department of Health and Human Services website ‐ http://www.gpo.gov/fdsys/pkg/FR‐2013‐01‐25/pdf/2013‐01073.pdf 
  • The guidelines state that if a patient has been made aware of the risks of unencrypted email, and that same patient provides consent to receive health information via email, then a health entity may send that patient personal medical information via unencrypted email.
    Important – Text messaging and your safety. 

  • Your health care and privacy is important to us. To provide you with the best possible care, we may send convenient text messages to our patients to confirm, amend, or cancel appointments. The mobile device(s) you provide here will be associated with your patient files and contact information you have provided. You are currently set to receive text messages for appointment reminders. (Gianina G. Knoth is not responsible for texting you may have signed up via the Body and Soul Wellness Retreat if you are also a client of the Body and Soul Wellness Retreat.) 

  • If you wish to change your preferences regarding text messages or if you wish to decline to receive all text messages from Gianina G. Knoth, please inform us immediately via gg@thisisnotwhatisignedupfor.org or by calling 954-796-0005. Please be advised for your safety and privacy, we DO NOT recommend texting us directly for any reason. Instead, please call the office at 954-796-0005 and request a callback. 

  • Please be advised that your practitioner, Gianina G. Knoth, will give you the option to use this app for HIPPA secure text messaging if you would like to contact us in this way. Please understand, that you will have to download the app onto your phone to do so. The app is free. If you would like to use this app for secure, HIPAA-approved text messaging, please let your provider know. If you do choose to use this app, it does not guarantee instant access to your provider. This app is also not to be used for emergency care or medical advice of any kind. Please call 954-796-0005 for assistance, including requesting a call back from your provider during business hours. 

By using this site or using any sign-up form, which includes your email, phone number, or any other contact method including calling our office and/or leaving a message you agree to share your private information. Do not include private medical information or personal information other than contact information on any form or within text, email, or phone messages. Request a callback.

By using any above communication methods you agree to the following:

"I understand the risks of sending unencrypted email and unencrypted text messages to Gianina Knoth/This Is Not What I Signed Up For, LLC, which may include but is not limited to, my personal health information. I do hereby permit Gianina Knoth, and/or the Body and SOul Wellness Retreat, to send me personal health information, which may be via unencrypted email and/or another electronic method, and understand the risk I assume if I choose to communicate via text or email with Gianina Knoth/This Is Not What I Signed Up For, LLC. 




This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment, or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition, and related health care services.

Uses and Disclosures of Protected Health Information

Your protected health information may be used and disclosed by your provider, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of the provider’s practice, and any other use required by law .

Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. For example, your protected health information may be provided to a provider to whom you have been referred to ensure that the provider has the necessary information to diagnose or treat you.

Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.

Healthcare Operations: We may use or disclose, as-needed, your protected health information in order to support the business activities of your provider’s practice. These activities include, but are not limited to, quality assessment activities, employee review activities, training of medical students, licensing, and conducting or arranging for other business activities. For example, we may disclose your protected health information to medical school students that see patients at our office. In addition, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your provider. We may also call you by name in the waiting room when your provider is ready to see you. We may use or disclose your protected health information, as necessary, to contact you to remind you of your appointment.

We may use or disclose your protected health information in the following situations without your authorization. These situations include: as Required By Law, Public Health issues as required by law, Communicable Diseases: Health Oversight: Abuse or Neglect: Food and Drug Administration requirements: Legal Proceedings: Law Enforcement: Coroners, Funeral Directors, and Organ Donation: Research: Criminal Activity: Military Activity and National Security: Workers’ Compensation: Inmates: Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.

Other Permitted and Required Uses and Disclosures Will Be Made Only With Your Consent, Authorization or Opportunity to Object unless required by law. You may revoke this authorization, at any time, in writing, except to the extent that your provider or the provider’s practice has taken an action in reliance on the use or disclosure indicated in the authorization.

The following is a statement of your rights concerning your protected health information.

You have the right to inspect and copy your protected health information. Under federal law, however, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information.

You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.

Your provider is not required to agree to a restriction that you may request. If the provider believes it is in your best interest to permit the use and disclosure of your protected health information, your protected health information will not be restricted. You then have the right to use another Healthcare Professional.

You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively i.e. electronically.

You may have the right to have your provider amend your protected health information. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.

You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information.

We reserve the right to change the terms of this notice and will inform you by mail of any changes. You then have the right to object or withdraw as provided in this notice.

You may complain to us or the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.
We are required by law to maintain the privacy of and provide individuals with, this notice of our legal duties and privacy practices concerning protected health information. If you have any questions about this form, please contact us at your convenience.