- I provide care by live video for non-emergency concerns.

- Telehealth has limits, including a limited physical exam. If your concern needs in-person or emergency care, I'll tell you where to go.

- You must be physically in Tennessee during every visit.

- Telehealth is not emergency care. In an emergency, call 911 or go to the nearest emergency room.

- Your secure patient portal is the best way to reach me for non-urgent questions.

- I answer messages during office hours: Monday to Friday 9am to 5pm, Saturday 9am to 3pm. Messages after hours are answered the next business day.

- Appointment reminders come by text, email, and phone. Reply STOP to opt out of texts at any time.

- Email isn't fully secure, so please don't use it for sensitive topics or urgent concerns.

- I may order lab tests to guide your care. Lab and draw fees are paid to the lab or draw site.

- Prescriptions are based on my clinical judgment. I don't start or manage controlled substances.

- Please take medications as prescribed and tell me about any side effects.

- Self-pay visits: A $50 deposit holds your spot and comes off your visit total. The remaining balance is charged to your card on file after your visit. A superbill is available if you want to seek reimbursement on your own.

- Insurance visits: I accept UnitedHealthcare commercial plans starting November 15, 2026. I check your benefits before your visit, and your share (copay, coinsurance, or deductible) is charged after your visit.

- Missed appointments: Please give at least 24 hours' notice to cancel or reschedule. Missed or late-canceled visits carry a $50 fee.

- Forms and letters (letters of medical necessity, workplace forms) are $25 each. Prior authorizations for anything I order are free.

- Some self-pay care needs extra coordination, like referral letters or extensive record review, and may carry an added fee. I'll always tell you before any fee is charged.

- I protect your health information as required by HIPAA.

- Your information is used for your care, payment, and running the practice. It is never sold or used for marketing.

- You have the right to see, copy, and request changes to your records.

- See the full Notice of Privacy Practices below.

- You have the right to be treated with respect, to privacy, to clear information about your health and treatment options, and to take part in decisions about your care.

- I ask that you give honest and complete health information, ask questions when something isn't clear, follow your care plan, and keep or cancel appointments with 24 hours' notice.

NOTICE OF PRIVACY PRACTICES

Garrett Health Services, LLC

Effective November 1, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

THE PRACTICE'S DUTIES

Garrett Health Services, LLC ("the practice") is required by law to protect the privacy of your health information, give you this notice, follow the terms of the notice currently in effect, and notify you if a breach affects your unsecured health information. The practice may change this notice, and changes will apply to all information it holds. The current notice is always posted on this page, and you can request a paper copy at any time.

HOW YOUR INFORMATION MAY BE USED AND SHARED

Treatment: To provide and coordinate your care, such as sending prescriptions to your pharmacy, ordering labs or imaging, or sending referrals to other providers.

Payment: To bill and receive payment for your care, including sharing information with your health plan for claims or prior authorizations.

Health care operations: To run the practice, such as reviewing quality of care, consulting with my collaborating physician, and working with business associates (like my electronic health record and billing services) who are required by contract to protect your information.

Appointment reminders: To contact you by text, email, or phone about appointments and your care.

Family and friends: With people involved in your care, such as someone present at your visit, if you agree or don't object. In an emergency, information may be shared if it's in your best interest.

OTHER USES ALLOWED OR REQUIRED BY LAW

Your information may be shared when required by law; for public health activities, such as reporting disease or medication side effects; to prevent a serious threat to health or safety; for health oversight activities, such as audits and licensing; in response to a court order or subpoena; to law enforcement as required by law; to report suspected abuse or neglect; and for organ donation, coroners, or other purposes allowed by federal law.

USES THAT REQUIRE YOUR WRITTEN PERMISSION

The practice will not use or share your information for marketing, will not sell your information, and will not share psychotherapy notes without your written authorization. Any use not described in this notice requires your written authorization. You can revoke an authorization in writing at any time, except where action has already been taken.

YOUR RIGHTS

Access: You can see or get a copy of your health records, including an electronic copy. A reasonable, cost-based fee may apply.

Amendment: You can ask the practice to correct your records in writing. If the request is denied, you'll get a written explanation.

Restrictions: You can ask the practice to limit how your information is used or shared. The practice is not required to agree, except that if you pay for a service in full yourself, you can ask that it not be shared with your health plan, and that request will be honored.

Confidential communications: You can ask to be contacted in a certain way or at a certain address.

Accounting of disclosures: You can ask for a list of times your information was shared in the past six years, other than for treatment, payment, operations, or with your authorization.

Paper copy: You can ask for a paper copy of this notice at any time.

QUESTIONS OR COMPLAINTS

If you believe your privacy rights have been violated, you can file a complaint with the practice or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201, 1-877-696-6775, www.hhs.gov/ocr/complaints. You will not be penalized for filing a complaint.

Privacy Officer: Skyelar Garrett, APRN

114 N Cedar Ave, Ste FF, Cookeville, TN 38501

(615) 988-0110 | sgarrettaprn@garretthealthservices.com

Email: info@garretthealthservices.com
Phone: (615) 988-0110