HIPAA Notice of Privacy Practices

• Treatment. To provide, coordinate, and manage your care, including communicating with laboratories, pharmacies, and other providers involved in your care.
• Payment. To bill and collect payment for services, including from you or a health plan where applicable.
• Health care operations. To run our practice, improve quality, train, and conduct business planning and administration.
• Business associates. To vendors that perform services for us (such as technology, scheduling, communication, and billing services) under written agreements requiring them to protect your information.
• Appointment reminders and service communications. To contact you about appointments, results, and services by phone, email, or text message, consistent with your preferences.

We may use or disclose your PHI without your authorization when required or permitted by law, including:

• As required by federal, state, or local law.
• For public health activities, such as reporting disease or adverse events.
• To report suspected abuse, neglect, or domestic violence as required by law.
• For health oversight activities, such as audits and licensure.
• In response to a court or administrative order, subpoena, or other lawful process.
• For certain law enforcement purposes.
• To avert a serious threat to health or safety.
• To coroners, medical examiners, and funeral directors, and for organ and tissue donation.
• For specialized government functions and workers' compensation, as permitted by law.

With your agreement, or if you do not object when given the opportunity, we may share relevant information with a family member, friend, or other person you identify who is involved in your care or payment for your care.

We will not use or disclose your PHI for marketing, sell your PHI, or use or disclose psychotherapy notes (where applicable) without your written authorization. Other uses and disclosures not described in this notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

• Get a copy of your health record. You may request to see or receive an electronic or paper copy of your medical record. We may charge a reasonable, cost-based fee.
• Request a correction. You may ask us to amend health information you believe is incorrect or incomplete. We may deny the request and will explain why in writing.
• Request confidential communications. You may ask us to contact you in a specific way or at a specific address. We will accommodate reasonable requests.
• Request restrictions. You may ask us to limit what we use or share. We are not required to agree, except that we must agree not to share information with your health plan about a service you paid for in full out of pocket, unless the law requires it.
• Get a list of disclosures. You may request an accounting of certain disclosures we made in the six years before your request.
• Get a copy of this notice. You may request a paper copy of this notice at any time.
• Choose someone to act for you. A person with your medical power of attorney or a legal guardian may exercise your rights.

Contact our Privacy Officer at 469-224-9969. Some requests must be made in writing; we will tell you how to submit them.

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at 469-224-9969, or with the U.S. Department of Health and Human Services Office for Civil Rights by visiting hhs.gov/ocr/complaints or calling 1-877-696-6775. We will not retaliate against you for filing a complaint.

We may change the terms of this notice, and the changes will apply to all information we have about you. The current notice will be available on this website and upon request.