HIPAA Compliance Notice

Notice of Privacy Practices

Effective Date: July 28, 2025

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.

What is HIPAA?

The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that protects the privacy and security of your health information. This law gives you specific rights regarding your health information and requires healthcare providers to maintain the privacy and security of your information.

Your Rights Under HIPAA

You have the following rights regarding your health information:

1. Right to Access Your Health Information

You have the right to inspect and copy your health information, including medical and billing records. We may charge a reasonable fee for copying and mailing your records.

2. Right to Request Amendments

You have the right to request that we amend your health information if you believe it is incorrect or incomplete. We may deny your request in certain circumstances.

3. Right to an Accounting of Disclosures

You have the right to receive a list of certain disclosures of your health information that we have made. This does not include disclosures for treatment, payment, or healthcare operations.

4. Right to Request Restrictions

You have the right to request restrictions on how we use and disclose your health information. We are not required to agree to all restrictions, but we will consider your request.

5. Right to Request Confidential Communications

You have the right to request that we communicate with you about your health information in a certain way or at a certain location. For example, you may request that we contact you only at work or by mail.

6. Right to a Copy of This Notice

You have the right to receive a paper copy of this notice at any time, even if you have agreed to receive it electronically.

7. Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for the following purposes:

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This may include sharing information with other healthcare providers involved in your care.

Payment

We may use and disclose your health information to bill and collect payment for the services we provide. This may include sharing information with your insurance company or other third-party payers.

Healthcare Operations

We may use and disclose your health information for our healthcare operations, such as quality assessment, employee training, and business planning.

Required by Law

We may use and disclose your health information when required by federal, state, or local law.

Public Health Activities

We may disclose your health information for public health activities, such as reporting diseases, injuries, or vital events.

Health Oversight Activities

We may disclose your health information to health oversight agencies for activities authorized by law, such as audits, investigations, and inspections.

Judicial and Administrative Proceedings

We may disclose your health information in response to a court order, subpoena, or other lawful process.

Law Enforcement

We may disclose your health information to law enforcement officials in certain circumstances, such as to report a crime or respond to a court order.

Serious Threat to Health or Safety

We may disclose your health information if we believe it is necessary to prevent a serious threat to your health or safety or the health or safety of others.

Specialized Government Functions

We may disclose your health information for specialized government functions, such as military service, national security, or presidential protective services.

Workers' Compensation

We may disclose your health information as authorized by workers' compensation laws.

Uses and Disclosures Requiring Your Authorization

We must obtain your written authorization before using or disclosing your health information for purposes not described above, including:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures for marketing purposes
• Uses and disclosures that constitute the sale of your health information
• Other uses and disclosures not described in this notice

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your health information
• Provide you with this notice of our legal duties and privacy practices
• Notify you if a breach of your unsecured health information occurs
• Follow the terms of this notice
• Not use or disclose your health information other than as described in this notice unless you authorize us to do so in writing

Changes to This Notice

We reserve the right to change this notice and to make the revised notice effective for all health information we maintain. We will post the revised notice in our office and on our website, and we will provide you with a copy upon request.

Contact Information

If you have questions about this notice or want to exercise your rights, please contact our Privacy Officer:

Filing a Complaint

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