Welcome
to Our Policies
Below you can find our policies for your reference.
Cancellation and No show Policy
Late Arrival, Cancellation, and No-Show Policy (As of November 16, 2025)
We value your time and strive to provide timely and high-quality care to all of our patients. In order to maintain an efficient schedule and respect the time of other patients and staff, we kindly ask that you review and adhere to our appointment policies:
Late Arrival
If you arrive more than 10 minutes late to your scheduled appointment, we may need to reschedule your visit.
Depending on provider availability, you may be seen for a shorter appointment or asked to wait until the next available opening. Please call us if you anticipate being late.
Cancellation Policy
We request at least 24 hours' notice for any appointment cancellations. This allows us time to offer your appointment slot to another patient.
• Cancellations with less than 24 hours' notice may be subject to a cancellation fee of $ 50.
No-Show Policy
A “no-show” is when a patient misses an appointment without prior notification.
• Missed appointments without notice will result in a no-show fee of $ 50.
• Repeated no-shows may lead to restrictions on scheduling future appointments or dismissal from the practice.
We understand that emergencies and unexpected events happen. We encourage you to communicate with us as soon as possible if you need to cancel or reschedule.
Thank you for your understanding and cooperation.
HIPAA Policy
Notice of Privacy Practices November 16, 2025
This Notice of Privacy Practices describes the personal health information we collect, how and when we may use or disclose this information.
It also describes your rights, and our responsibilities related to your Protected Health Information (PHI).
How will EWHW use your Protected Health Information?
1. We will use your health information for treatment. Information obtained by the staff will be recorded in your medical record and used to determine the course of treatment that should work best for you.
2. We will use your health information for payment. A bill may be sent to you. The information on or with the bill may include information that identifies you as well as your diagnosis, procedures and supplies used during your visit.
3. We will use your health information for regular health operations. Members of the quality improvement team may use information from your health record to assess the care and outcomes in your case and others like it. This information may then be used as we strive to continually improve the quality and effectiveness of the health care we provide.
Additional ways we may use your health information:
1. There are some services provided in our organization through contracts with business associates. We may disclose your health information to them.
2. Unless you notify us that you object, we may use your name for directory purposes. 3. We may disclose information to notify a family member, a personal representative or another person responsible for your care of your location and general condition.
4. We may disclose your information for research purposes when researchers have established protocols to ensure your privacy.
5. We may contact you to provide appointment reminders or information about treatment alternatives for you. However, you may Opt Out by mailing a letter to EWHW at the address below requesting to Opt Out of this practice. See Opt Out/Revoke Authorization information below.
6. We may use your information to enable product recall, repairs or replacement.
7. We may use your information to comply with laws such as workers compensation or similar programs.
8. We may disclose your information to public health or legal authorities charged with preventing or controlling disease, injury or disabilities.
9. We may disclose your information to correctional institutes or law enforcement.
Your health information rights:
• Obtain a copy of this notice.
• Inspect and copy your health record.
• Amend your health record.
• Obtain an accounting of the disclosures of your health information.
• Request communications of your health information by alternative means.
• Request a restriction on certain uses and disclosure of the information if those services were paid for out of pocket and in full, unless required by State or Federal Law.
• Revoke your authorization to use or disclose your health information.
See OPT OUT/Revoke Authorization Section below.
EWHW is required to:
• Maintain the privacy of your health information.
• Provide you with this notice describing our legal duties and privacy practices.
• Abide by this agreement.
• Notify you if we are unable to agree to a requested restriction.
• Accommodate reasonable requests you may have to communicate health information by alternative means.
• Obtain a separate authorization for the use and disclosure of psychotherapy notes, marketing purposes and sale of PHI
• Obtain a separate authorization for the use or disclosure of any other use not disclosed in this Notice of Privacy Practices.
• Inform you of any breach of information affecting your privacy and PHI. EWHW reserves the right to change our practices and to make the new provisions effective for all the protected health information we maintain.
Should our privacy practices change, we will provide you with a copy of the revised notice. We will not disclose or use your health information without your authorization (except as described in this notice). We will also discontinue to use or disclose your health information after we receive your written request.
OPT OUT/Revoke Authorization Process: Should you wish to Opt Out of the use or revoke an authorization regarding the use and disclosure of your PHI, please write a letter with your Name, Date of Birth and address along with your request to Opt Out or Revoke an authorization (be specific as possible) to: Empowered Women’s Health & Wellness Attention: Privacy Officer 506 S. 5th Ave. Denton, MD 21629