HIPAA NOTICE OF PRIVACY PRACTICES &
COOKIE POLICY– Functional Medicine Lifestyle
Functional Medicine Lifestyle
At Functional Medicine Lifestyle, your privacy is important to us. This Privacy
Policy describes how we collect, use, share, and protect your personal information
when you use our website, services, or communicate with us.
Please read this Privacy Policy carefully. By using our website or services, you
agree to the terms described here.
If you have any questions, you may contact us at:
info@functionalmedicinelifestyle.com
1. ABOUT FUNCTIONAL MEDICINE LIFESTYLE
Functional Medicine Lifestyle provides nutrition and integrative wellness support
services based on functional health principles and integrative nutrition training.
We support individuals, including those with complex health conditions, through:
• Nutrition guidance
• Lifestyle and wellness education
• Functional health coaching principles
• Lab and supplement- (when applicable and authorized)
We are not a medical practice, and we do not diagnose, treat, or cure medical
conditions, but collaborate with your symptoms and your licensed health care
provider when needed.
2. KEY TERMS
For purposes of this Privacy Policy:
• “Personal Information” means any information that identifies or can
reasonably identify you.
• “Services” means nutrition and wellness support services provided by
Functional Medicine Lifestyle.
• “Website” means https://functionalmedicinelifestyle.com
• “We,” “us,” “our” refers to Functional Medicine Lifestyle, owned by
Anisha Shukla, MS (Integrative Nutrition).
3. WHEN THIS PRIVACY POLICY APPLIES
This Privacy Policy applies when you:
• Visit our website
• Contact us via email or forms
• Book or inquire about services
• Communicate with us electronically or otherwise
4. INFORMATION WE COLLECT
We may collect the following types of information:
A. Personal Identifiers
• Name
• Email address
• Phone number
• Contact details
B. Wellness & Health-Related Information (Voluntary)
• Nutrition history
• Lifestyle information
• Self-reported health concerns
• Lab results (only if provided and authorized)
C. Technical Information
• IP address
• Browser type
• Device information
• Website usage data
D. Communication Data
• Emails
• Messages
• Form submissions
5. HOW WE COLLECT INFORMATION
We collect information:
• Directly from you (forms, email, intake systems)
• Automatically through cookies and analytics tools
• When you interact with our website or services
6. HOW WE USE YOUR INFORMATION
We may use your information to:
• Provide nutrition and wellness support services
• Respond to inquiries and communications
• Schedule and manage services
• Improve website functionality and user experience
• Maintain business operations
• Comply with legal obligations
• We may use or disclose, as needed, your protected health information to
support the business activities of this office. These activities include, but are
not limited to, improving quality of care, providing information about
treatment alternatives or other health-related benefits and services,
developing or maintaining and supporting computer systems, legal services,
and conducting audits and compliance programs, including fraud, waste, and
abuse investigations.
8. HIPAA NOTICE (IMPORTANT)
Some information you provide may be considered Protected Health Information
(PHI) under HIPAA if collected through structured intake systems or wellness
services involving health-related data.
When PHI is collected:
• It is stored in HIPAA-compliant systems where applicable
• Access is limited to authorized personnel only
• It is protected under administrative, technical, and physical safeguards
• It may only be shared with third parties when legally permitted or with your
written authorization
We may use HIPAA-compliant vendors under Business Associate Agreements
(BAAs) to support scheduling, documentation, communiction, or service deliver
8. HOW WE SHARE INFORMATION
We do not sell your personal information.
We may share information only in the following cases:
• With your written consent
• With HIPAA-compliant service providers (under BAAs)
• With licensed healthcare providers or laboratories (if authorized)
• To comply with legal obligations
• In connection with business operations or restructuring
• We will use and disclose your protected health information to provide,
coordinate, or manage your care and any related services. This includes the
coordination or management of your care with a third party. For example,
your protected health information may be provided to a health care provider
to whom you have been referred to ensure the necessary information is
accessible to diagnose or treat you
9. DATA SECURITY
We use reasonable safeguards to protect your information, including:
• Secure systems and encrypted platforms where applicable
• Access controls and authentication
• Limited internal access to information
• Use of HIPAA-compliant tools when handling PHI
However, no system is 100% secure, and we cannot guarantee absolute security of
data transmitted online.
10. YOUR RIGHTS
You may:
• Request access to your information
• Request corrections or updates
• Request deletion of certain data (subject to legal requirements)
• Withdraw consent where applicable
• Opt out of marketing communications
11. PAYMENT
Your protected health information may be used to bill or obtain payment for your
services. This may include certain activities that your health insurance plan may
undertake before it approves or pays for your services, such as determining
eligibility or coverage for insurance benefits and reviewing services provided to
you for medical necessity.
12. COOKIES POLICY
What Are Cookies?
Cookies are small text files stored on your device when you visit a website.
How We Use Cookies
We use cookies to:
• Improve website performance
• Understand user behavior and traffic
• Enhance user experience
• Support website functionality
Types of Cookies Used
• Essential cookies: Required for website operation
• Analytics cookies: Help us understand website usage
• Functionality cookies: Improve user experience
Third-Party Cookies
We may use third-party services such as analytics providers to help us understand
website performance.
These third parties may collect usage data in accordance with their own privacy
policies.
Managing Cookies
You can control or disable cookies through your browser settings. However,
disabling cookies may affect website functionality.
12. CHILDREN’S PRIVACY
Our website and services are not intended for individuals under 18 years of age.
We do not knowingly collect personal information from children.
13. CALIFORNIA PRIVACY RIGHTS
California residents may have additional rights under applicable privacy laws,
including:
• Access to personal data collected
• Request deletion of personal information
• Opt-out of certain data sharing practices
14. DISCLOSURES
DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION:
We may use or disclose your protected health information in the following situations
without your authorization. These situations include the following uses and
disclosures: as required by law; for public health purposes; for health care oversight
purposes; for abuse or neglect reporting; pursuant to Food and Drug Administration
requirements; in connection with legal proceedings; for law enforcement purposes; to
coroners, funeral directors and organ donation agencies; for certain research purposes;
for allegations of certain criminal activities; for certain military activity and national
security purposes; for workers’ compensation reporting; relating to certain inmate
reporting; and other required uses and disclosures. Under the law, we must make
certain disclosures to you upon your request, and when required by the Secretary of the
Department of Health and Human Services to investigate or determine our compliance
with the requirements of HIPAA. State laws may further restrict these disclosures.
USES AND DISCLOSURES THAT REQUIRE YOUR AUTHORIZATION:
Other permitted and required uses and disclosures will be made only with your
consent, authorization or opportunity to object unless permitted or required by
law. Without your authorization, we are expressly prohibited from using or disclosing
your protected health information for marketing purposes. We may not sell your
protected health information without your authorization. Your protected health
information will not be used for fundraising. If you provide us with an authorization
for certain uses and disclosures of your information, you may revoke such
authorization at any time, in writing, except to the extent that we have taken an action
in reliance on the use or disclosure indicated in the authorization.
YOUR RIGHTS WITH RESPECT TO YOUR PROTECTED HEALTH INFORMATION:
You have the right to request a restriction on the use or disclosure of your protected
health information. Your request must be in writing and state the specific restriction
requested and to whom you want the restriction to apply. We are not required to agree
to a restriction that you may request, except if the requested restriction is on a
disclosure to a health plan for a payment or health care operations purpose regarding a
service that has been paid in full out-of-pocket.
You have the right to request to receive confidential communications from us by
alternative means or at an alternate location. We will comply with all reasonable
requests submitted in writing which specify how or where you wish to receive these
communications.
You have the right to request to access, inspect, and copy your protected health
information.
You have the right to request an amendment of your protected health information. If
we deny your request for amendment, you have the right to file a statement of
disagreement with us. We may prepare a rebuttal to our statement, and we will provide
you with a copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures of your protected
health information that we have made, paper or electronic, except for certain
disclosures that were pursuant to an authorization, for purposes of treatment, payment,
healthcare operations (unless the information is maintained in an electronic health
record); or for certain other purposes.
You have the right to obtain a paper copy of this Notice, upon request, even if you
have previously requested its receipt electronically by e-mail.
BREACH OF HEALTH INFORMATION:
We will notify you if a breach of your unsecured protected health information is
discovered. Notification will be made to you no later than 60 days from the discovery
of the breach and will include a brief description of how the breach occurred, the
protected health information involved, and contact information for you to ask
questions.
COMPLAINTS:
Complaints about this Notice or how we handle your protected health information,
please contact us. You may also submit a formal complaint to the Department of
Health and Human Services, Office for Civil Rights. We will not retaliate against you
for filing a complaint.
15. CHANGES TO THIS POLICY
We may update this Privacy Policy from time to time. Updates will be posted on
this page with a revised effective date.
16. CONTACT INFORMATION
Functional Medicine Lifestyle
Owner: Anisha Shukla, MS (Integrative Nutrition)
Email: info@functionalmedicinelifestyle.com
Website: https://functionalmedicinelifestyle.com
ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES.
By going on this website and reading this disclosure for yourself, a minor, or a
personal representative, you acknowledge this agreement that you have received or
been allowed to receive the Functional Medicine Lifestyle Notice of Privacy Practices.