You have the right to:

1. Access your medical record

You may request to view or obtain a copy of your health records.

2. Request corrections

You may ask that we correct information you believe is inaccurate or incomplete.

3. Request confidential communication

You may request that we contact you in a specific way (e.g., phone, email, portal).

4. Request restrictions

You may ask us not to use or share certain information for treatment, payment, or healthcare operations.
We are not required to agree to all requests but will consider each one.

5. Receive an accounting of disclosures

You may request a list of when your health information was shared for purposes other than treatment, payment, and healthcare operations.

6. Obtain a paper or electronic copy of this Notice

You may request a copy at any time.

7. Choose someone to act for you

If a legal guardian or medical power of attorney has authority over your healthcare decisions, that person may exercise your rights.

8. File a complaint without retaliation

If you believe your privacy rights have been violated, you may file a complaint with:

• This practice

• The U.S. Department of Health & Human Services (HHS)

You will not be penalized for filing a complaint.

You may decide whether certain information is shared:

• Sharing information with family or involved individuals

• Sharing information in an emergency

• Sharing information for disaster relief

If you are unconscious or unable to communicate, we may share information if we believe it is in your best interest.

We may use or disclose your health information in the following ways:

1. For treatment

To provide, coordinate, or manage your care.

2. For payment

To bill for services, including communicating with your insurance plan once credentialed.

3. For healthcare operations

To run and improve the practice, train staff (if applicable), and maintain quality standards.

4. As required by law

We will disclose information when required by federal, state, or local law.

5. For public health and safety

We may share information to:

• Report adverse events

• Prevent disease

• Assist with product recalls

• Report abuse, neglect, or domestic violence (as required by law)

• Reduce or prevent a serious threat to health or safety

6. For health oversight activities

We may share information with agencies authorized to conduct audits, inspections, or investigations.

7. For law enforcement

We may disclose information to comply with legal proceedings or court orders.

8. For coroners, medical examiners, and funeral directors

As needed for identification or determining cause of death.

9. For workers’ compensation

As authorized by law.

10. For research (with authorization or waiver)

Only when approved by a privacy or ethics board.

11. For specialized government functions

Including military, national security, or protective services, as applicable.

We will never share your information unless you give written permission for:

• Marketing purposes

• Sale of your information

• Most sharing of psychotherapy notes

You may revoke permission at any time.

• We are required by law to maintain the privacy and security of your protected health information (PHI).

• We will notify you promptly if a breach occurs that may compromise your privacy or security.

• We must follow the duties and privacy practices described in this Notice.

• We will not use or share your information in ways not listed here unless you provide written authorization

We may update this Notice from time to time. The revised Notice will be available on our website and in the patient portal and will apply to all information we maintain