At Morter Wellness, we want you to have clear information about your privacy rights and the cost of your care. The notices below explain our privacy practices and your right to receive a Good Faith Estimate when applicable.
Your Right to a Good Faith Estimate
If you do not have health insurance, or if you are not using health insurance to pay for your care, you have the right to receive a Good Faith Estimate explaining how much your non-emergency health care is expected to cost.
If you schedule an item or service 3 to 9 business days before the scheduled service date, your Good Faith Estimate must generally be provided no later than 1 business day after scheduling. If you schedule an item or service at least 10 business days before the scheduled service date, it must generally be provided no later than 3 business days after scheduling. You may also ask for a Good Faith Estimate before scheduling care; when you request one without scheduling, it must generally be provided no later than 3 business days after your request.
If you receive a bill that is at least $400 more than your Good Faith Estimate from a provider or facility, you may be able to dispute the bill.
Please save a copy or picture of your Good Faith Estimate. For more information about your rights, visit CMS.gov/nosurprises or call 1-800-985-3059.
Morter Wellness
Dr. Katy Morter, DC & Dr. Ted Morter, DC
3201 NE 11th Street, Suite 13
Bentonville, AR 72712
479-268-4477
Notice of Privacy Practices
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.
Effective October 8, 2026
We are required by law to maintain the privacy of protected health information (PHI) and to provide individuals with notice of our legal duties and privacy practices with respect to PHI. We are required to follow the practices described in this Notice. We reserve the right to change our privacy practices and the terms of this Notice at any time. If we change our notice, we will post the revised notice in the facility and will have copies available upon request. You can receive a copy of the current notice at any time. This Notice describes how we have extended certain protections to your PHI and how, when, and why we may use and disclose your PHI. With certain exceptions, we will use or disclose your PHI in the minimum necessary manner to accomplish the intended purpose of the use or disclosure. We will share PHI as is necessary to provide quality health care and receive reimbursement for those services as permitted by law. To the extent there is stricter State or federal law regulating the privacy of your PHI, we will comply with the more strict provisions of law.
Uses and Disclosures of Your Protected Health Information
We are committed to maintaining the confidentiality of your health information. Your health information may be used and disclosed for purposes of treatment, payment, and health care operations. Outside of these permitted uses, we must have your written and signed authorization unless the law permits or requires the use or disclosure without your authorization. You have the right to revoke that authorization in writing except to the extent any action has been taken in reliance on the authorization.
Treatment. We may use your PHI to treat you. For example, we may ask you to have laboratory tests or radiology imaging, and we may use the results to help us reach a diagnosis. People who work for our practice, including our doctors, may use or disclose your PHI in order to treat you or assist others in your treatment. We may also disclose your PHI to other health care providers for purposes related to your treatment.
Payment. We may use and disclose your PHI in order to bill and collect payment for the services and items you may receive from us. We may contact your health insurer to verify eligibility and benefits and may provide your insurer with details regarding your treatment to determine coverage or payment. We may also use your PHI to bill you directly for services and items and may disclose your PHI to other health care providers and entities to assist in their billing and collection efforts.
Health care operations. We may use and disclose your PHI to operate our business, including evaluating the quality of care you received and conducting cost management and business planning activities. We may disclose PHI to other health care providers and entities to assist in their health care operations as permitted by law.
Business Associates. It may be necessary for us to provide your health information to certain outside persons or entities that assist us with our health care operations, such as auditing, accreditation, or legal services. These business associates are required to properly safeguard the privacy of your health information.
Treatment Alternatives. We may use and disclose your PHI to tell you about possible treatment options or alternatives that may be of interest to you.
Individuals Involved in Your Care or Payment of Your Care. Subject to specific limitations, we may disclose your PHI to friends or family involved in, or who help pay for, your health care.
As Required by Law. We will disclose your PHI when required to do so by federal, state, or local law.
Appointments and Services. We may contact you to provide appointment reminders, information about treatment alternatives, or other health-related benefits and services that may be of interest to you. You have the right to request, and we will accommodate reasonable requests, to receive communications regarding your health information by alternative means or at alternative locations. You may request confidential communication by sending your written request to the Privacy Officer.
Uses and disclosures requiring authorization. The following uses and disclosures will be made only with your authorization: uses and disclosures for marketing purposes; uses and disclosures that constitute the sale of protected health information; uses and disclosures of psychotherapy notes; and other uses and disclosures not described in this Notice.
Special Use and Disclosure Situations
We may use or disclose medical information about you without your prior authorization for several other reasons. Subject to applicable requirements, this may include public health purposes, required abuse or neglect reporting, health oversight audits or inspections, research, funeral arrangements and organ donations, workers’ compensation purposes, emergencies, certain law-enforcement requests, valid judicial or administrative orders, prevention of a serious threat to health or safety, coroners and medical examiners, military and veterans’ activities, national security and intelligence activities, protective services, and correctional institutions as allowed by law.
We may use or disclose your medical information for research purposes only with your prior authorization or a proper waiver of authorization from an IRB or Privacy Board.
Your Rights Regarding Your Health Information
Restrictions on Use and Disclosure. You have the right to request that we restrict how we use and disclose your health information. These restrictions must be made in writing to our Privacy Officer and signed by you or your representative. We are not required to agree to your restrictions. However, if you pay for a service in full out of pocket, you may ask us not to share information about that service with your health plan, and we will honor that request unless a law requires us to share it. We cannot agree to limit uses or disclosures that are required by law.
Access to Your Health Information. You have the right to inspect and copy your health information. Requests must be made in writing to our Privacy Officer and signed by you or your representative. We will make PHI available in electronic format upon request where available. We may charge a fee for permitted costs associated with your request. We may deny a request in certain limited circumstances; however, you may request a review of our denial.
Amendments. You have the right to request that your health information be amended or corrected. We will respond within 60 days unless an extension is taken. In certain cases, we may deny your request and provide written notice explaining the basis and your rights. Amendment requests must be in writing, signed by you or your representative, and state the reasons for the amendment.
Accounting for Disclosures. You have the right to receive an accounting of certain disclosures of your health information made by us in the six years before your request, subject to certain exceptions, restrictions, and limitations. Requests must be made in writing and signed by you or your representative. The first accounting in any 12-month period is free; a reasonable fee may be charged for subsequent accountings within the same 12-month period.
Notification of Breach. We will comply with applicable privacy laws requiring notification in the event of a breach of your PHI.
Paper or Electronic Copy. You have the right to receive a paper copy of this or any revised Notice and/or an electronic copy by email upon request to the Privacy Officer.
Right to File a Complaint. If you believe we may have violated your privacy rights, or you disagree with a decision we made about access to your PHI, you may file a complaint with the Privacy Officer listed below. You may also file a written complaint with the Secretary of the U.S. Department of Health and Human Services at 200 Independence Avenue, SW, Washington, D.C. 20201 or call 1-877-696-6775. There will be no retaliation for filing a complaint.
Authorization for Other Uses and Disclosures. We will obtain your written authorization for uses and disclosures that are not identified by this Notice or permitted by applicable law. Any authorization you provide may be revoked at any time in writing. After you revoke your authorization, we will no longer use or disclose your PHI for the reasons described in the authorization, except to the extent action has already been taken. We are required to retain records of your care.
Questions or Complaints
Privacy Officer: Dr. Katy Morter
Morter Wellness
3201 NE 11th St., Suite 13
Bentonville, AR 72712
(479) 268-4477
A copy of this Notice of Privacy Practices will be made available upon request.