Notice of Privacy Practices (NPP)
Effective Date: January 3rd, 2026
“THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.”
Our Responsibilities and Pledge: The clinic is required by law to maintain the privacy of your Protected Health Information (PHI)
A pledge to follow the terms of the NPP currently in effect and to notify affected individuals following a breach of unsecured PHI.
We May Use and Disclose Your PHI (Without Authorization)
PHI is shared internally or externally without the patient’s specific written permission for
Treatment: including disclosing information to other treating providers (e.g., a specialist or pharmacy).
Payment: using and disclosing information (e.g., diagnosis codes and service dates) to bill and collect payment from your insurance plan or other third parties.
Health Care Operations: using information to run our business, improve the quality of care, train staff, and conduct necessary business management activities.
Required Disclosures (Without Authorization) such as:
- Public Health Activities: Reporting communicable diseases, births, or deaths.
- Victims of Abuse, Neglect, or Domestic Violence.
- Health Oversight Activities (e.g., audits, investigations).
- Judicial and Administrative Proceedings (e.g., court orders or subpoenas).
Law Enforcement Purposes.
Serious Threat to Health or Safety: That is a Duty to Warn
Patient Rights:
Right to Confidential Communication: The right to request that we communicate with you about health matters in a certain way or at a specific location (e.g., only call your mobile phone, not your home number).
Right to Amend: The right to ask the clinic to amend or correct information you believe is wrong or incomplete.
Right to Access & Copy: The right to inspect and obtain an electronic or paper copy of your medical and billing records (with some exceptions).
Right to Request Restriction: The right to request limits on the information we use or disclose for treatment, payment, or operations (Note: The clinic is not required to agree, except in the case of self-pay requests to an insurer).