Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information (PHI).
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your PHI.
• We must follow the duties and privacy practices described in this Notice and give you a copy upon request.
• We will not use or share your PHI other than as described here unless you tell us we can in writing. If you give permission, you may change your mind at any time.

How We May Use and Disclose PHI

• Treatment: We can use and share PHI with other professionals who are treating you.
• Payment: We can use and share PHI to bill and receive payment from health plans or other entities.
• Health Care Operations: We can use and share PHI to run our practice, improve your care, and contact you when necessary.

We may also use or disclose PHI for the following purposes without your authorization, as permitted or required by law:

• Public health and safety issues (e.g., disease reporting, product recalls)
• Research (with required approvals/protections)
• Responding to organ and tissue donation requests
• Working with a medical examiner or funeral director
• Addressing workers’ compensation, law enforcement, and other government requests
• Responding to lawsuits and legal actions
• To avert a serious threat to health or safety

Other uses and disclosures of PHI not described in this Notice will be made only with your written authorization (for example, most uses of psychotherapy notes, marketing, or sale of PHI).

Your Rights

• Inspect & Copy: You can ask to see or get a copy of your medical record and other PHI we have about you.
• Request an Amendment: You can ask us to correct PHI you think is incorrect or incomplete.
• Accounting of Disclosures: You can ask for a list of certain disclosures we have made of your PHI.
• Request Restrictions: You can ask us not to use or share certain PHI for treatment, payment, or operations.
• Confidential Communications: You can ask us to contact you in a specific way (for example, at a certain phone number or address).
• Paper Copy: You can ask for a paper copy of this Notice at any time.

To exercise these rights, contact us using the information below.

Questions or Complaints

If you have questions, want to exercise your rights, or believe your privacy rights have been violated, contact us at (888) 918-2075 or through our Contact Us page. You can also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate for filing a complaint.