HIPAA Notice of Privacy Practices
Last updated: Draft, October 29, 2026.
This notice describes how health information about you or your athlete may be used and disclosed, and how you can get access to it. Please review it carefully.
About this notice
Echo Motion, LLC (“we”) is required by law to keep protected health information private, to give you this notice of our legal duties and privacy practices, to follow the notice that is currently in effect and to tell you if a breach affects your unsecured health information.
“Health information” means information that identifies you or your athlete and relates to a physical or mental health condition, disability, care or payment for care. For example: intake forms, support needs, training notes and Regional Center or Self-Determination Program authorizations and billing.
How we may use and share health information
We may use and share health information without your written permission for:
- Training and care. So our coaches can plan and adapt training safely, and to coordinate with your care team when needed.
- Payment. To request authorization and bill your Regional Center, Self-Determination Program fiscal agent or other payer for services.
- Operations. To run our programs, train staff and review the quality of our services.
- Emergencies. To get help for you or your athlete in an emergency.
- As required by law. For example, to report suspected abuse or neglect, respond to court orders, comply with health oversight agencies or prevent a serious threat to health or safety.
We will not use or share health information for marketing, sell it or share it for any other purpose without your written permission. You can take back your permission in writing at any time.
We may share information with a family member, caregiver or support person who is involved in your care if you agree, or if you are not present and we believe it is in your best interest.
Your rights
You have the right to:
- See or get a copy of your health information. We may charge a reasonable, cost-based fee.
- Ask us to correct information you think is wrong or incomplete.
- Ask us to limit what we use or share. We are not required to agree, except when you pay in full out of pocket and ask us not to share with your health plan.
- Ask for confidential communications, such as a different phone number or address.
- Get a list of certain times we shared your information.
- Get a copy of this notice on paper at any time.
- Choose someone to act for you, such as a parent, guardian or conservator.
To use any of these rights, contact us using the information below.
Changes to this notice
We may change this notice. The new notice will apply to all information we have about you. We will post it on this page and have copies at the gym.
Questions or complaints
Contact our Privacy Officer: Privacy Officer name, Echo Motion, 3124 E Colorado Blvd, Ste 101, Pasadena, CA 91107, (626) 344-8562, email melissa@echomotionfitness.com.
If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/complaints or 1-877-696-6775. We will not retaliate against you for filing a complaint.