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LEGAL DISCLAIMER, TERMS OF USE, PRIVACY POLICY, HIPAA NOTICE, AND PRACTITIONER MENTORSHIP TERMS
This website is owned and operated by Natural Health Spa, LLC, through Lori Puskar, DC, referred to throughout these terms as “Dr. Lori,” “Natural Health Spa,” the “Company,” “we,” “our,” or “us.”
Natural Health Spa, LLC conducts two distinct professional activities under one business and through one website.
First, Dr. Lori Puskar is a licensed healthcare practitioner who provides individualized healthcare and patient services within the scope of her professional license, education, training, and clinical judgment.
Second, Dr. Lori provides professional education, mentorship, and consulting services to practitioners through the Natural Health Spa, LLC Practitioner Mentorship Program.
Patient services and practitioner mentorship are separate professional relationships. Each relationship is governed by its own applicable intake forms, consents, financial agreements, privacy documents, and signed service agreements. The provisions on this website supplement those individual documents and may be incorporated into them by reference.
By visiting this website, submitting information, registering for an account, purchasing a product, scheduling an appointment, enrolling in a service, participating in a program, or accessing information or materials made available by Natural Health Spa, LLC, you acknowledge and agree to the terms applicable to your use of the website and the services you receive.
If you do not agree with these terms, you should not use this website, purchase products through it, or participate in services offered through it.
DEFINITIONS
For purposes of these terms:
“Patient” means an individual who has been formally accepted for patient care by Dr. Lori Puskar and who has completed the required patient intake, consent, privacy, and financial documentation.
“Practitioner” or “Mentorship Participant” means a person who enrolls in practitioner mentorship, consulting, professional education, case review, business consulting, or related practitioner services offered through Natural Health Spa, LLC.
“Website Visitor” or “User” means any person who visits, views, accesses, submits information through, creates an account on, or otherwise uses this website.
“Services” means the patient services, educational services, practitioner mentorship, consultations, programs, classes, webinars, digital materials, and other services offered by Natural Health Spa, LLC.
“Products” means nutritional products, dietary supplements, topical products, educational materials, books, downloadable resources, or other items offered or distributed by Natural Health Spa, LLC.
“Content” means the text, articles, videos, images, photographs, recordings, presentations, courses, forms, documents, protocols, worksheets, designs, graphics, emails, social media content, and other information or materials made available by or through Natural Health Spa, LLC.
GENERAL WEBSITE AND EDUCATIONAL DISCLAIMER
The information provided through this website, including articles, videos, classes, emails, newsletters, social media posts, product descriptions, recipes, educational programs, presentations, downloadable materials, and other general communications, is provided for informational and educational purposes.
General website content is not individualized healthcare advice. It is not intended to replace a personal examination, consultation, diagnosis, treatment plan, or ongoing relationship with a qualified healthcare professional who is familiar with your individual circumstances.
The health information presented on this website may discuss general health principles, natural health, functional nutrition, laboratory considerations, dietary choices, nutritional products, lifestyle practices, exercise, stress, sleep, physiology, and other subjects related to health and wellness. Such information cannot account for every individual’s health history, current condition, medications, allergies, contraindications, laboratory findings, or other personal circumstances.
You should not use general website content as the sole basis for diagnosing a condition, changing a prescribed medication, delaying medical care, beginning or discontinuing treatment, or making a significant healthcare decision.
You should consult an appropriate licensed healthcare professional before beginning or changing an exercise, dietary, nutritional, supplement, or lifestyle program, particularly if you are pregnant, nursing, preparing for surgery, taking prescription or over-the-counter medication, receiving treatment for a diagnosed condition, or experiencing new or worsening symptoms.
Natural Health Spa, LLC does not encourage any individual to discontinue prescribed medication or reject appropriate medical evaluation or treatment.
ESTABLISHMENT OF A DOCTOR PATIENT RELATIONSHIP
Viewing this website, submitting a form, communicating through email or social media, purchasing a product, attending a public webinar, downloading educational material, or receiving general information does not, by itself, establish a doctor patient relationship with Dr. Lori Puskar.
A doctor patient relationship is created only after Dr. Lori has agreed to accept an individual as a patient and the individual has completed all required intake documents, informed consents, privacy acknowledgments, financial agreements, and other clinical documentation applicable to the services being provided.
Dr. Lori reserves the right to determine whether an individual is an appropriate candidate for the services offered by Natural Health Spa, LLC.
Submitting an application, scheduling request, inquiry, or payment does not guarantee acceptance as a patient. If an individual is not accepted for patient care, general communications or product purchases do not create a continuing professional obligation or treatment relationship.
PATIENT SERVICES
Dr. Lori Puskar provides individualized patient services within the lawful scope of her professional license, education, training, and clinical experience.
Depending upon the patient and the nature of the professional relationship, services may include chiropractic evaluation and care, nutritional evaluation, laboratory review, dietary and lifestyle recommendations, nutritional product recommendations, health education, progress assessments, and other services permitted within Dr. Lori’s professional scope.
The nature and extent of services provided to a particular patient will be determined through the clinical relationship and documented in the patient’s records and signed agreements.
Recommendations are based upon the information reasonably available at the time. Patients are responsible for providing complete and accurate information regarding their health history, symptoms, diagnoses, medications, supplements, allergies, prior procedures, laboratory findings, medical treatment, and changes in their condition.
A patient’s failure to disclose relevant health information may affect the appropriateness or safety of recommendations.
Dr. Lori may recommend that a patient obtain additional examination, diagnostic testing, emergency care, medical evaluation, specialist consultation, mental health services, or another form of professional care whenever appropriate.
Natural Health Spa, LLC does not represent that every condition or circumstance can or should be managed through the services offered by the practice.
PATIENT RESPONSIBILITY AND CONTINUING MEDICAL CARE
Patients remain responsible for their own healthcare decisions and for maintaining appropriate relationships with medical physicians and other healthcare providers.
Nothing provided by Natural Health Spa, LLC should be interpreted as a direction to disregard another licensed provider’s advice or discontinue treatment without appropriate professional consultation.
Patients should notify Dr. Lori promptly of any significant change in health, new diagnosis, medication change, pregnancy, planned surgery, hospitalization, emergency event, adverse reaction, or recommendation made by another healthcare provider that may affect their care.
Patients are responsible for following instructions concerning product use, dosage, diet, exercise, laboratory testing, appointment attendance, referrals, and follow-up care.
Failure to follow recommendations, provide requested information, attend appointments, complete testing, or seek recommended outside care may limit the ability of Dr. Lori to provide appropriate services.
NO GUARANTEE OF PATIENT RESULTS
Healthcare outcomes are individual and depend upon many factors that cannot be predicted or controlled.
Natural Health Spa, LLC does not guarantee that any patient will experience a particular improvement, symptom change, laboratory result, weight change, health outcome, or other result.
Testimonials, reviews, case examples, educational illustrations, and discussions of prior experiences describe individual circumstances. They do not represent, promise, or guarantee that another individual will experience the same result.
Statements describing the possible benefits of a service, dietary change, lifestyle strategy, supplement, or educational program should not be interpreted as a warranty or guarantee.
The absence of improvement does not necessarily mean that services were improperly provided. Health conditions and responses may be affected by genetics, age, underlying disease, medications, lifestyle, environment, participation, compliance, stress, sleep, nutrition, and many other factors.
EMERGENCIES AND URGENT MEDICAL CONDITIONS
This website, email, text messaging, patient portals, social media accounts, practitioner mentorship communications, and online forms are not intended for emergency medical situations.
Natural Health Spa, LLC does not provide continuous emergency monitoring and cannot guarantee that an electronic communication will be reviewed immediately.
Anyone experiencing a medical emergency, severe or rapidly worsening symptoms, difficulty breathing, chest pain, loss of consciousness, signs of stroke, suicidal thoughts, severe allergic reaction, uncontrolled bleeding, or another potentially urgent condition should call 911 or seek immediate emergency medical care.
Electronic messages should not be used as a substitute for emergency services.
TELEHEALTH AND ELECTRONIC SERVICES
Certain patient or practitioner services may be conducted through telephone, video conference, secure portal, email, or another form of electronic communication when legally and professionally appropriate.
Telehealth allows communication when the parties are in different physical locations. It may involve real-time audio, video, electronic records, photographs, laboratory reports, or other information.
Telehealth has possible benefits, including improved access and convenience, but also has limitations and risks. These may include interrupted connections, technology failures, unauthorized access, reduced ability to perform a physical examination, limitations in observing physical findings, delayed communication, misunderstanding, and privacy risks associated with electronic systems.
Telehealth does not replace an in-person examination when an in-person examination is necessary.
Patients participating in telehealth will be asked to complete any consent required for the particular service. Practitioners participating in mentorship may also be required to agree to technology, recording, privacy, and communication provisions.
The availability of telehealth patient services may depend upon the patient’s physical location, Dr. Lori’s licensing authority, applicable state law, the nature of the patient’s condition, and Dr. Lori’s professional judgment.
Natural Health Spa, LLC may decline, discontinue, or convert an electronic service to an in-person service when electronic communication is not appropriate or sufficient.
DIETARY, NUTRITIONAL, AND LIFESTYLE INFORMATION
Some services and website information may concern diet, nutritional products, exercise, sleep, stress, hydration, lifestyle, and other personal health practices.
Individuals should use reasonable judgment and seek appropriate professional guidance before making a substantial change to their diet, supplements, exercise, medication, or lifestyle.
Information presented through general website content does not take into account an individual’s complete medical history, nutritional requirements, allergies, intolerances, medication use, eating disorder history, pregnancy, nursing status, kidney or liver function, surgical history, or other relevant considerations.
Individuals are responsible for monitoring their own response and seeking appropriate medical attention if they experience an unexpected or adverse reaction.
DIETARY SUPPLEMENTS AND PRODUCTS
Natural Health Spa, LLC may recommend, distribute, or sell dietary supplements, nutritional products, topical products, educational materials, and other health-related items.
The sale or purchase of a product does not, by itself, establish a doctor patient relationship.
Products should be used only according to their labeling and the individualized instructions provided, when applicable.
The purchaser is responsible for reviewing product ingredients, labels, warnings, allergen information, contraindications, dosage instructions, expiration information, and storage requirements.
A person who is pregnant, nursing, taking medication, preparing for surgery, receiving treatment for a health condition, or considering a product for a child should consult an appropriate healthcare professional before use.
Do not use a product to replace prescribed medication or necessary medical care.
Natural Health Spa, LLC may receive revenue or profit from products sold through the practice or website. A product recommendation may be based upon Dr. Lori’s professional judgment, familiarity with the product, clinical experience, ingredient quality, or suitability for the patient’s needs.
No dietary supplement is represented as a substitute for necessary medical diagnosis or treatment.
Where required in connection with dietary supplement statements:
THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE, OR PREVENT ANY DISEASE.
INDEPENDENT MANUFACTURERS AND THIRD-PARTY PRODUCTS
Natural Health Spa, LLC may carry, recommend, or discuss products manufactured by Standard Process, MediHerb, Systemic Formulas, Energetix, Marco Pharma, CellCore, or other independent manufacturers.
Unless expressly stated in writing, Dr. Lori Puskar and Natural Health Spa, LLC are not owned by, controlled by, employed by, or acting as an agent for any independent manufacturer.
All company names, product names, trademarks, and logos remain the property of their respective owners.
Independent manufacturers remain responsible for their own manufacturing practices, ingredient sourcing, labels, warranties, instructions, representations, product changes, recalls, and quality-control procedures.
Natural Health Spa, LLC cannot guarantee the continuous availability, formulation, appearance, packaging, or price of a third-party product.
FREE OR DISCOUNTED HEALTHCARE SERVICES
When an advertisement offers a free, discounted fee, or reduced fee healthcare service, examination, or treatment, the following notice applies:
THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT.
APPOINTMENTS AND ATTENDANCE
Patients and practitioners are expected to attend scheduled appointments and consultations.
At least 24 hours’ notice is generally required to cancel or reschedule an appointment unless a different policy is stated in the applicable signed agreement.
A missed appointment or late cancellation may be charged the applicable appointment fee or considered used under the applicable service agreement.
Repeated missed appointments, late cancellations, inappropriate conduct, failure to communicate, nonpayment, or failure to follow administrative requirements may result in suspension or termination of services.
Appointments are subject to availability. Natural Health Spa, LLC does not guarantee that a particular appointment time, practitioner service, product, or program will remain continuously available.
PRICES, PAYMENTS, REFUNDS, AND FINANCIAL AGREEMENTS
Prices, fees, services, and product offerings are subject to change.
The specific fees, payment schedule, cancellation terms, refund provisions, appointment terms, and financial obligations applicable to a patient or practitioner will be stated in the applicable enrollment document, invoice, checkout page, financial agreement, or signed service agreement.
By purchasing or enrolling, the patient, practitioner, or purchaser agrees to pay the fees associated with the selected product or service.
A payment plan, when offered, is generally a method of paying the total agreed price and is not necessarily a month-to-month membership or a right to cancel the underlying agreement.
Products designated as final sale are nonrefundable unless otherwise required by law. Opened, used, damaged, or improperly stored health products may not be eligible for return.
Nothing in these terms eliminates a cancellation, refund, or consumer right that cannot legally be waived.
A disagreement concerning a product, appointment, or service should be brought promptly to Natural Health Spa, LLC so that the matter can be reviewed.
PRACTITIONER MENTORSHIP AND CONSULTING
Natural Health Spa, LLC, through Dr. Lori Puskar, provides separate mentorship, consulting, and professional educational services to practitioners.
Practitioner mentorship may include professional education, case organization, clinical reasoning, laboratory considerations, nutritional and supplement considerations, patient communication, practice management, business strategy, professional development, mindset, and related subjects.
The mentorship relationship is separate from Dr. Lori’s patient practice.
Mentorship is intended to provide personalized education and professional insight based upon Dr. Lori’s clinical, teaching, business, and professional experience.
It does not create a doctor patient relationship between Dr. Lori and the participating practitioner.
It also does not create a doctor patient relationship between Dr. Lori and any patient or client of the participating practitioner.
Dr. Lori does not become the practitioner’s supervising physician, medical director, employer, partner, joint venturer, treating provider, or provider of record unless a separate written agreement expressly establishes such a relationship.
The practitioner remains an independent professional and is responsible for all decisions made within the practitioner’s own practice.
PRACTITIONER LICENSURE, SCOPE, AND PROFESSIONAL RESPONSIBILITY
Every participating practitioner is solely responsible for understanding and complying with the laws, licensing rules, certification limitations, ethical obligations, advertising requirements, documentation standards, informed-consent requirements, privacy rules, and professional standards applicable to the practitioner.
Mentorship does not expand the practitioner’s license, certification, legal authority, competence, or scope of practice.
Information discussed during mentorship must not be used to perform an act that the practitioner is not legally permitted, properly trained, or professionally competent to perform.
The practitioner is responsible for independently reviewing and determining whether any educational information, clinical consideration, product, laboratory test, business strategy, or recommendation discussed during mentorship is lawful and appropriate for use in the practitioner’s particular circumstances.
The practitioner is responsible for obtaining advice from the practitioner’s licensing board, attorney, accountant, insurance professional, supervising provider, medical director, or other qualified advisor whenever appropriate.
The practitioner remains solely responsible for the evaluation, diagnosis, treatment, recommendations, documentation, referrals, billing, advertising, and professional services provided to the practitioner’s patients or clients.
Dr. Lori does not assume responsibility for a practitioner’s acts, omissions, errors, scope-of-practice violations, clinical decisions, business decisions, documentation, representations, or patient outcomes.
NO GUARANTEE OF PRACTITIONER RESULTS
Natural Health Spa, LLC does not guarantee that mentorship will produce a particular clinical, financial, business, professional, personal, or patient outcome.
A practitioner’s results may depend upon training, experience, participation, implementation, business conditions, patient population, location, licensing limitations, financial circumstances, marketing, management, and other factors outside the control of Dr. Lori.
Examples, case discussions, clinical pearls, business observations, and professional experiences are provided for educational purposes and should not be interpreted as a promise that another practitioner will receive the same result.
PATIENT AND CLIENT PRIVACY DURING PRACTITIONER MENTORSHIP
A practitioner who discusses a patient or client during mentorship must protect that individual’s confidentiality and privacy.
The practitioner should share only the minimum information reasonably necessary for the educational discussion.
Unless a different written arrangement has been approved in advance, the practitioner must remove or conceal information that could identify the patient or client before submitting records, laboratory reports, photographs, histories, intake forms, emails, messages, or other materials.
Identifying information may include names, initials, addresses, email addresses, telephone numbers, full-face photographs, birth dates, exact service dates, medical record numbers, account numbers, insurance numbers, identification numbers, unique personal characteristics, or other information that could reasonably identify an individual.
The practitioner remains responsible for obtaining any patient authorization or consent required for case discussion and for complying with HIPAA, state privacy laws, professional confidentiality rules, employment requirements, and the practitioner’s own privacy policies.
A practitioner should not transmit protected health information through ordinary email, ordinary text messaging, social media messaging, group chats, or other unsecured methods.
Dr. Lori may refuse to receive, retain, or review information that has not been appropriately de-identified or securely submitted.
If identifiable protected health information will be shared, the parties must first determine whether a separate patient authorization, Business Associate Agreement, secure communication process, or other privacy arrangement is necessary.
The practitioner must immediately notify Natural Health Spa, LLC if the practitioner believes that protected or confidential information was disclosed improperly.
PRACTITIONER PRIVACY AND CONFIDENTIALITY
Natural Health Spa, LLC will use reasonable care to protect private personal, professional, business, financial, and practice information shared by a practitioner during a private mentorship relationship.
Practitioner information may be used or disclosed when reasonably necessary to provide the mentorship, schedule services, process payments, maintain records, obtain professional advice, administer the business, investigate suspected misconduct, enforce an agreement, protect legal rights, or comply with a subpoena, licensing inquiry, court order, governmental request, or other legal obligation.
Dr. Lori will not intentionally publish the name of a participating practitioner, the practitioner’s practice information, or a mentorship discussion as a testimonial or identifiable case example without appropriate permission.
Dr. Lori may retain and use general professional knowledge, fully de-identified educational observations, and nonidentifying learning points arising from mentorship discussions.
GROUP MENTORSHIP, WEBINARS, AND OTHER PARTICIPANTS
Some mentorship services may include webinars, group calls, workshops, or discussions involving multiple practitioners.
Each participant is expected to preserve the confidentiality of information shared by other participants.
A participant may not record, photograph, screenshot, transcribe, publish, repeat, distribute, or disclose another participant’s personal, professional, business, patient, or client information without permission.
Natural Health Spa, LLC may establish confidentiality rules and remove a participant who violates them. However, Natural Health Spa, LLC cannot guarantee that every participant will comply with confidentiality requirements.
Participants should use discretion when deciding what information to share during a group session. Highly sensitive personal, financial, business, employment, or case information should be reserved for an appropriate private communication.
OWNERSHIP OF PRACTITIONER MENTORSHIP MATERIALS
All practitioner mentorship content and materials created or supplied by Dr. Lori Puskar or Natural Health Spa, LLC remain the property of their respective owner.
These materials may include written documents, clinical organization systems, protocols, presentations, recordings, worksheets, forms, questions, templates, diagrams, examples, business systems, educational sequences, original explanations, messages, videos, webinars, photographs, graphics, course content, and other proprietary information.
Enrollment in mentorship does not transfer ownership of any material or intellectual property to the practitioner.
The practitioner receives only the limited permission expressly provided in these terms and the separate Practitioner Mentorship Agreement.
PERMITTED USE OF MENTORSHIP INFORMATION
A participating practitioner may apply the general knowledge and professional understanding gained through mentorship when independently serving the practitioner’s own patients or clients, provided that such use is lawful, appropriate, and within the practitioner’s professional scope.
The practitioner may use authorized materials internally within the practitioner’s own practice only to the extent permitted by Dr. Lori.
Materials expressly identified as patient handouts may be provided to the practitioner’s patients in their authorized form. Copyright, authorship, branding, and ownership notices must remain intact.
The practitioner may not provide mentorship materials to another practitioner, consultant, educator, company, school, association, product representative, or training organization without prior written permission.
PROHIBITED USE OF MENTORSHIP MATERIALS
Unless prior written permission is provided by Dr. Lori or Natural Health Spa, LLC, a practitioner may not:
Unauthorized use may constitute a breach of contract and may also violate copyright, trademark, trade-secret, confidentiality, privacy, or other applicable law.
Natural Health Spa, LLC may suspend or terminate mentorship access and pursue appropriate legal or equitable remedies for unauthorized use.
These restrictions survive the conclusion or termination of the mentorship relationship.
THIRD-PARTY PRACTITIONER RECOMMENDATIONS
During mentorship, Dr. Lori may discuss laboratories, nutritional companies, software, educational organizations, professional services, business resources, or additional training.
The practitioner remains responsible for independently evaluating the quality, price, legality, suitability, terms, and risks of any third-party company, product, or service.
A recommendation does not create a partnership, agency relationship, guarantee, warranty, or assumption of responsibility for the independent third party.
Unless disclosed otherwise, mentorship recommendations are made based upon Dr. Lori’s professional opinion concerning what may be useful for the practitioner.
NOTICE OF PRIVACY PRACTICES
This section describes how medical information about patients may be used and disclosed and how patients may obtain access to that information.
Please review it carefully.
Natural Health Spa, LLC is committed to protecting the privacy and security of protected health information.
Protected health information may include information relating to a patient’s past, present, or future physical or mental health, healthcare services, payment for healthcare services, and identifying information associated with that information.
Natural Health Spa, LLC is required by law to maintain the privacy and security of protected health information, provide patients with notice of its legal duties and privacy practices, follow the privacy notice currently in effect, and notify affected individuals following a breach of unsecured protected health information as required by law.
USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION
Treatment
Natural Health Spa, LLC may use or disclose protected health information to provide, coordinate, or manage patient care.
Information may be shared with another healthcare provider, laboratory, pharmacy, imaging provider, consultant, specialist, hospital, emergency provider, or other person involved in the patient’s care when permitted by law.
Payment
Protected health information may be used or disclosed to bill for services, collect payment, process transactions, verify benefits, respond to payment questions, manage accounts, or conduct other payment-related activities.
Healthcare Operations
Protected health information may be used or disclosed in connection with healthcare operations.
Healthcare operations may include quality assessment, staff training, credentialing, compliance, auditing, legal consultation, accounting, business planning, security, record management, customer service, and evaluation of professional performance.
Business Associates
Natural Health Spa, LLC may provide protected health information to independent businesses that perform services on behalf of the practice, including billing companies, technology providers, record platforms, laboratories, payment processors, legal advisors, consultants, data-storage providers, and administrative services.
When required, Natural Health Spa, LLC will enter into an appropriate written agreement requiring the business associate to protect the information.
Appointment Reminders and Service Communications
Protected health information may be used to contact a patient regarding appointments, test results, treatment alternatives, health-related benefits, services, administrative matters, or follow-up care.
Individuals Involved in Care or Payment
Natural Health Spa, LLC may share information with a family member, friend, personal representative, or another person involved in the patient’s care or payment when the patient agrees, does not object, or when disclosure is otherwise permitted by law.
When a patient is unable to express a preference, professional judgment may be used to determine whether a limited disclosure is in the patient’s best interest.
Public Health and Safety
Protected health information may be used or disclosed for lawful public-health activities, including disease reporting, product recalls, reporting adverse events, preventing disease, and reporting abuse, neglect, or exploitation.
Serious Threat to Health or Safety
Information may be used or disclosed when necessary and permitted by law to prevent or reduce a serious and imminent threat to the health or safety of the patient, another person, or the public.
Legal and Administrative Proceedings
Protected health information may be disclosed in response to a court order, subpoena, discovery request, warrant, summons, administrative proceeding, law-enforcement inquiry, or other lawful process.
Health Oversight
Information may be disclosed to licensing boards, governmental agencies, accreditation organizations, auditors, inspectors, and other health-oversight authorities as authorized or required by law.
Workers’ Compensation
Protected health information may be disclosed for workers’ compensation, disability, or similar programs as authorized or required by law.
Required by Law
Natural Health Spa, LLC will use or disclose protected health information when required by federal, state, or local law.
USES REQUIRING PATIENT AUTHORIZATION
Uses and disclosures not otherwise permitted by law will be made only with the patient’s written authorization.
A patient may revoke an authorization in writing, except to the extent that Natural Health Spa, LLC has already acted in reliance upon it.
Written authorization is generally required for most uses of psychotherapy notes, most uses of protected health information for marketing, and the sale of protected health information, when applicable.
Certain types of information, including substance-use treatment information, mental-health information, genetic information, HIV-related information, reproductive-health information, and other specially protected records, may be subject to additional federal or state protections.
PATIENT PRIVACY RIGHTS
Subject to applicable law, patients may have the following rights:
Right to Access Records
A patient may request to inspect or obtain a paper or electronic copy of protected health information maintained by Natural Health Spa, LLC.
Certain limited exceptions may apply.
A reasonable cost-based fee may be charged for copying, supplies, postage, or preparation in accordance with applicable law.
Right to Request an Amendment
A patient may request that protected health information be corrected or amended.
The request should be made in writing and explain the reason for the requested change.
Natural Health Spa, LLC may deny a request when permitted by law but will provide an explanation and information concerning the patient’s rights.
An original entry may not necessarily be deleted even when an amendment is accepted.
Right to Request Restrictions
A patient may ask Natural Health Spa, LLC to limit certain uses or disclosures of protected health information.
Natural Health Spa, LLC is not required to agree to every requested restriction, except where the law requires otherwise.
Right to Confidential Communications
A patient may request communication by an alternative method or at an alternative address.
Reasonable requests will be accommodated when required by law.
Right to an Accounting of Disclosures
A patient may request a list of certain disclosures of protected health information made during the period allowed by law.
The accounting will not include every type of disclosure, including certain disclosures made for treatment, payment, healthcare operations, or pursuant to the patient’s authorization.
Right to a Paper Copy
A patient may request a paper copy of this Notice of Privacy Practices even if the notice was provided electronically.
Right to Choose a Personal Representative
A patient may authorize another person to act as the patient’s personal representative, subject to verification and applicable law.
Right to File a Complaint
A patient who believes that privacy rights have been violated may submit a written complaint to the Privacy Officer of Natural Health Spa, LLC or to the United States Department of Health and Human Services.
Natural Health Spa, LLC will not retaliate against a patient for filing a good-faith privacy complaint.
PRIVACY COMPLAINTS AND PRIVACY OFFICER
Privacy questions, requests, or complaints may be directed to:
Privacy Officer
Natural Health Spa, LLC
Lori Puskar, DC
1178 NE Cleveland Street
Clearwater, Florida 33755
Email: chat@drloripuskar.com
A complaint should provide sufficient information for the matter to be reviewed.
BREACH NOTIFICATION AND SECURITY
Natural Health Spa, LLC will maintain reasonable administrative, physical, and technical safeguards designed to protect the confidentiality, integrity, and availability of protected health information.
No electronic system can be guaranteed completely secure.
When a reportable breach of unsecured protected health information occurs, Natural Health Spa, LLC will provide notification as required by applicable law.
Patients, practitioners, employees, and contractors should promptly report suspected unauthorized access, loss, theft, misdirection, or disclosure of confidential information.
CONFIDENTIAL ELECTRONIC COMMUNICATIONS
Email, text messages, portal messages, and other electronic communications may contain confidential information or protected health information intended only for the designated recipient.
If you receive a communication in error, you should not read, copy, distribute, forward, publish, or use it. You should notify the sender and permanently delete the communication and any attachments.
Ordinary email and text messaging may not be encrypted. Patients and practitioners should not send highly sensitive health, financial, identifying, or confidential information through an unsecured method unless specifically instructed.
GENERAL WEBSITE PRIVACY POLICY
Natural Health Spa, LLC may collect information voluntarily provided by website visitors, patients, practitioners, customers, and prospective clients.
This may include names, contact information, scheduling information, account information, purchase history, form responses, communications, and other information submitted through the website.
The website and its service providers may also collect technical information, including browser type, device information, Internet Protocol address, pages visited, referring source, and information collected through cookies or similar technologies.
Information may be used to:
Natural Health Spa, LLC does not sell protected health information.
Personal information may be provided to service providers that assist with website hosting, scheduling, payment processing, communications, recordkeeping, analytics, security, legal compliance, or business administration.
Information may also be disclosed when required by law or reasonably necessary to protect the rights, safety, security, property, or legal interests of Natural Health Spa, LLC or another person.
CHILDREN’S PRIVACY
This website is not directed to children under 13 for independent use.
A parent or legal guardian should supervise and authorize any submission of information concerning a minor.
Patient services involving a minor may require the consent of a parent, guardian, or other legally authorized person, subject to applicable law.
ACCOUNT SECURITY AND USER RESPONSIBILITIES
A user who creates an account is responsible for maintaining the confidentiality of usernames, passwords, and account-access information.
Accounts are personal and may not be shared without authorization.
Users must provide accurate and current information and promptly update information that changes.
Natural Health Spa, LLC may rely upon instructions received through an authenticated account until notified of unauthorized access.
Users should promptly report suspected unauthorized access or misuse.
Natural Health Spa, LLC may suspend or terminate an account when information is inaccurate, security has been compromised, payment obligations have not been met, or these terms have been violated.
COMMUNICATIONS FROM NATURAL HEALTH SPA, LLC
By submitting contact information, scheduling services, purchasing products, or creating an account, you authorize Natural Health Spa, LLC to send communications reasonably related to your inquiry, appointment, account, purchase, services, programs, administrative notices, or requested information.
Marketing communications may be discontinued by using the unsubscribe method provided or by contacting Natural Health Spa, LLC.
Appointment reminders and administrative messages may continue when reasonably necessary to administer an active professional or customer relationship.
WEBSITE AVAILABILITY AND CHANGES
Natural Health Spa, LLC may update, revise, suspend, discontinue, or remove website content, products, services, accounts, programs, features, or access at any time.
The website may occasionally be unavailable because of maintenance, security concerns, technical failures, service-provider interruptions, or circumstances outside the Company’s control.
Natural Health Spa, LLC is not responsible for losses caused solely by temporary website unavailability or technology interruptions, except where responsibility cannot legally be excluded.
Website content may become outdated because of changes in law, regulation, research, product formulation, professional standards, pricing, availability, or accepted practices.
Natural Health Spa, LLC does not promise that every historical article, recording, post, or resource will be continuously reviewed or updated.
INTELLECTUAL-PROPERTY OWNERSHIP
The website and its original content, features, design, organization, and functionality are owned by or licensed to Dr. Lori Puskar and Natural Health Spa, LLC.
Protected content may include text, articles, videos, audio, photographs, graphics, logos, designs, forms, worksheets, protocols, educational programs, presentations, course materials, program names, written explanations, downloads, databases, and other materials.
The content is protected by applicable copyright, trademark, trade-secret, confidentiality, unfair-competition, and other proprietary-rights laws.
No ownership interest is transferred by viewing the website, purchasing a product, enrolling in a service, becoming a patient, or participating in mentorship.
All rights not expressly granted are reserved.
LIMITED WEBSITE PERMISSION
A user may view the website and print a reasonable number of pages for personal, noncommercial use.
A user may temporarily store website files automatically cached by a web browser for ordinary display purposes.
Content specifically offered for download may be downloaded and used only for the purpose and under the terms stated when it is provided.
No other permission is granted.
PROHIBITED USE OF WEBSITE CONTENT
Without prior written permission, users may not:
PROHIBITED CONDUCT
Users may not use the website to engage in unlawful, fraudulent, threatening, abusive, defamatory, obscene, harassing, infringing, deceptive, or harmful conduct.
Users may not:
Natural Health Spa, LLC may investigate suspected violations, preserve evidence, restrict access, terminate accounts, and cooperate with lawful governmental or legal requests.
USER SUBMISSIONS, REVIEWS, AND TESTIMONIALS
A user who submits a review, testimonial, comment, photograph, video, or other content represents that the submission is truthful, lawful, and does not violate another person’s privacy, confidentiality, intellectual-property, or publicity rights.
Natural Health Spa, LLC will not publicly use identifiable patient information as a testimonial or marketing case example without appropriate authorization.
When a user voluntarily submits content for publication and grants permission for its use, Natural Health Spa, LLC may edit the content for length, grammar, clarity, format, or privacy while preserving its essential meaning.
Natural Health Spa, LLC may remove or decline to publish a submission at its discretion.
Testimonials represent individual experiences and are not guarantees of future outcomes.
RELIANCE ON WEBSITE INFORMATION
Natural Health Spa, LLC makes reasonable efforts to provide useful and accurate information.
The Company does not warrant that every website statement, third-party reference, product description, historical article, link, or educational resource is complete, error-free, continuously current, or appropriate for every individual.
Use of general website information is at the user’s own discretion and does not replace individualized professional advice.
THIRD-PARTY CONTENT AND LINKS
The website may contain links to independent laboratories, product manufacturers, scheduling systems, payment processors, education providers, professional resources, social media platforms, or other third-party websites.
Links are provided for convenience and do not necessarily constitute an endorsement, partnership, warranty, or guarantee.
Natural Health Spa, LLC does not control and is not responsible for the content, availability, security, privacy practices, terms, representations, products, services, fees, errors, or conduct of independent third parties.
Users access third-party websites and services at their own discretion and subject to the third party’s own terms and policies.
DISCLAIMER OF WARRANTIES
To the fullest extent permitted by law, the website and general website content are provided on an “as available” basis.
Natural Health Spa, LLC does not warrant that the website will be uninterrupted, completely secure, free from error, or free from harmful components.
No general statement on the website creates a warranty concerning a product, patient outcome, practitioner outcome, business result, or professional result.
Any express written warranty supplied by an independent product manufacturer is governed by that manufacturer’s terms.
Nothing in this section eliminates a warranty, duty, patient right, or consumer protection that cannot legally be waived.
LIMITATION OF LIABILITY
To the fullest extent permitted by law, Dr. Lori Puskar and Natural Health Spa, LLC are not responsible for indirect, incidental, consequential, special, exemplary, or punitive damages arising solely from:
Nothing on this website attempts to waive liability or professional duties that cannot lawfully be waived, including duties arising from licensed patient care.
Any limitation applicable to a particular patient service, mentorship service, product, or program may also be stated in the separate signed agreement governing that relationship.
INDEMNIFICATION
To the fullest extent permitted by law, a user or practitioner agrees to defend, indemnify, and hold harmless Dr. Lori Puskar, Natural Health Spa, LLC, and their employees, contractors, representatives, successors, and assigns from claims, liabilities, losses, penalties, judgments, expenses, and reasonable attorneys’ fees arising from:
This provision does not require indemnification for conduct finally determined to have resulted solely from the gross negligence, intentional misconduct, or other nonwaivable responsibility of the person requesting indemnification.
SUSPENSION AND TERMINATION
Natural Health Spa, LLC may suspend or terminate access to the website, an account, patient services, practitioner mentorship, digital materials, or other services when reasonably necessary.
Grounds may include nonpayment, harassment, threats, dishonesty, disruptive conduct, privacy violations, unauthorized recording, misuse of intellectual property, unlawful activity, professional misconduct, security risks, breach of an agreement, or conduct creating a significant legal, ethical, reputational, or safety concern.
The financial and legal consequences of termination will be determined by the applicable signed agreement and law.
Confidentiality, privacy, payment, intellectual-property, limitation-of-liability, indemnification, and dispute provisions survive termination when their nature requires continued effect.
INFORMAL DISPUTE RESOLUTION
Before initiating formal legal proceedings, a party should provide written notice describing the dispute and the requested resolution.
The parties agree to make a good-faith effort to resolve the matter through direct written communication.
Nothing in this section prevents a party from seeking immediate relief when necessary to protect confidential information, intellectual property, patient privacy, safety, or another right that could suffer irreparable harm.
ARBITRATION, CLASS-ACTION WAIVER, AND JURY-TRIAL WAIVER
To the extent these terms are incorporated into a signed or electronically accepted agreement, and except where prohibited by law, an unresolved dispute arising from the website, an online transaction, practitioner mentorship, products, or services shall be resolved through binding individual arbitration rather than a jury trial.
Arbitration shall be conducted before a neutral arbitrator through the American Arbitration Association or another mutually agreed arbitration provider under the applicable rules.
The arbitration shall take place in Pinellas County, Florida, unless the parties agree to another location or remote proceeding.
A qualifying claim may be brought in small-claims court.
Either party may seek injunctive relief in court to prevent actual or threatened misuse of confidential information, intellectual property, protected health information, or proprietary materials.
Disputes must be brought individually. Neither party may pursue a class, collective, consolidated, or representative proceeding to the extent such a waiver is legally enforceable.
By agreeing to binding arbitration, the parties understand that they are giving up the right to have an arbitrable dispute decided by a judge or jury.
Patient-care disputes may also be subject to additional provisions contained in the applicable signed patient agreement and applicable healthcare law.
GOVERNING LAW AND VENUE
These terms shall be governed by the laws of the State of Florida, without regard to conflict-of-law principles.
Any court proceeding permitted under these terms shall be brought in a state or federal court having jurisdiction in Pinellas County, Florida, unless another location is required by law or by an applicable signed agreement.
The parties consent to the personal jurisdiction of those courts for permitted proceedings.
LEGAL AND EQUITABLE REMEDIES
The remedies described in these terms are cumulative and do not exclude another remedy available under contract, statute, common law, or equity.
Unauthorized use or disclosure of confidential information, protected health information, or intellectual property may cause harm that cannot be adequately remedied through money damages alone.
Natural Health Spa, LLC may seek temporary, preliminary, or permanent injunctive relief to prevent or stop such conduct.
To the extent permitted by law and the applicable signed agreement, the prevailing party in a legal proceeding to enforce confidentiality or intellectual-property rights may seek reasonable attorneys’ fees and costs.
FORCE MAJEURE
Natural Health Spa, LLC is not responsible for a delay or inability to perform caused by circumstances reasonably beyond its control.
Such circumstances may include natural disasters, hurricanes, floods, fires, epidemics, pandemics, war, terrorism, civil unrest, governmental action, utility failure, Internet failure, labor disruption, transportation interruption, building closure, supplier interruption, illness, or technology failure.
When reasonably possible, Natural Health Spa, LLC will make appropriate efforts to reschedule or provide an alternative service.
COPYRIGHT AND INTELLECTUAL-PROPERTY COMPLAINTS
A person who believes that intellectual property appearing on this website infringes the person’s rights may submit a written notice containing:
Notices may be sent to:
Legal Department
Natural Health Spa, LLC
c/o Lori Puskar, DC
1178 NE Cleveland Street
Clearwater, Florida 33755
Email: chat@drloripuskar.com
Submitting an ordinary email does not necessarily constitute legally effective service of a subpoena, summons, complaint, or other legal process.
ELECTRONIC RECORDS AND SIGNATURES
The parties may conduct transactions electronically.
An electronic signature, typed name, checked acceptance box, digital acknowledgment, payment record, or other electronic process adopted with the intent to agree may serve as evidence of acceptance to the extent permitted by law.
Users are responsible for retaining copies of electronic agreements and providing accurate contact information.
Natural Health Spa, LLC may retain electronic records of acceptance, transactions, communications, forms, and signatures.
INCORPORATION INTO PATIENT AND PRACTITIONER AGREEMENTS
Patient agreements, practitioner mentorship agreements, financial agreements, intake documents, consent forms, and electronic enrollment forms may incorporate this website Legal Disclaimer, Terms of Use, Privacy Policy, HIPAA Notice, and Practitioner Mentorship Terms by reference.
When a signed agreement incorporates these terms, the version identified by its effective date and in effect at the time of acceptance shall form part of that agreement.
Natural Health Spa, LLC may retain an electronic or printed copy of the version accepted by the patient or practitioner.
If a specific signed agreement conflicts with these general website terms, the specific signed agreement will control concerning the subject addressed in that agreement, unless applicable law requires otherwise.
CHANGES TO THESE TERMS
Natural Health Spa, LLC may revise these website terms when services, laws, regulations, technology, privacy practices, or business operations change.
A revised version will be posted with an updated effective date.
Changes apply prospectively from the stated effective date unless the law or an applicable signed agreement provides otherwise.
Material changes affecting an active patient or practitioner agreement will be handled in accordance with the applicable agreement and legal requirements.
Continued general use of the website after revised terms are posted constitutes acceptance of the revised website-use terms.
ENTIRE AGREEMENT
These website terms, together with any applicable patient agreement, practitioner mentorship agreement, financial agreement, privacy authorization, consent form, invoice, enrollment page, checkout terms, or written addendum, constitute the agreement governing the applicable relationship.
Oral conversations, advertisements, social media statements, emails, or other informal communications do not modify a signed agreement unless the change is confirmed in writing by an authorized representative of Natural Health Spa, LLC.
SEVERABILITY
If a provision of these terms is determined to be invalid, illegal, or unenforceable, the provision shall be limited or removed only to the extent necessary.
The remaining provisions shall continue in full force and effect.
When legally permitted, an invalid provision shall be interpreted or replaced in a manner that most closely reflects its lawful purpose.
WAIVER
A failure by Natural Health Spa, LLC to enforce a provision on one occasion does not waive the right to enforce it later.
A waiver must be in writing and applies only to the specific circumstance identified.
ASSIGNMENT
Users, patients, and practitioners may not transfer or assign their rights, accounts, services, appointments, materials, or obligations without written permission.
Natural Health Spa, LLC may assign its rights and obligations in connection with a lawful sale, merger, reorganization, business transfer, or succession, subject to applicable patient-privacy and professional requirements.
NO THIRD-PARTY BENEFICIARIES
These terms are intended for the benefit of the parties to the applicable relationship.
Unless expressly stated, they do not create enforceable rights for an unrelated third party.
HEADINGS
Section titles and headings are provided for organization and convenience.
They do not limit or alter the meaning of the provisions.
QUESTIONS, CONCERNS, AND CUSTOMER SERVICE
Natural Health Spa, LLC is committed to addressing reasonable concerns regarding patient services, practitioner mentorship, products, privacy, website use, or billing.
Questions or concerns should first be directed to:
Natural Health Spa, LLC
c/o Lori Puskar, DC
1178 NE Cleveland Street
Clearwater, Florida 33755
Email: chat@drloripuskar.com
ACKNOWLEDGMENT
By using the website, purchasing a product, submitting information, or accepting a patient or practitioner agreement that incorporates these terms, you acknowledge that you have had an opportunity to review the applicable provisions.
Patients and practitioners will be required to complete separate documents appropriate to the individual services they receive.
The website terms do not replace an informed consent, patient intake form, HIPAA acknowledgment, financial agreement, telehealth consent, practitioner mentorship agreement, or another document that Natural Health Spa, LLC determines is necessary for the particular relationship.
Dr. Lori Puskar
Holistic Nutrition. Functional Medicine. Health Mentorship.
1178 NE CLEVELAND STREET
CLEARWATER, FL 33755
TEXT: 727.304.2592
© 2026. Dr Lori Puskar. All rights reserved.
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