Notice of Privacy Practices

1. Purpose of This Notice

Mobile Integrative Medicine PLLC is committed to protecting the privacy and security of your health information. This notice explains how we may use and disclose your protected health information, your rights regarding that information, and our legal responsibilities under the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws.

Protected health information includes information about your health, medical conditions, treatments, medications, laboratory results, and other identifying information related to your healthcare.

2. How We May Use and Disclose Your Health Information

Treatment: We may use and share your health information with physicians, laboratories, pharmacies, specialists, and other healthcare professionals involved in your care. For example, we may share laboratory results with a specialist treating you.

Payment: We may use and disclose health information to collect payment for services, process transactions, verify benefits when applicable, and perform billing activities. For example, we may share necessary information with a billing service to process payment.

Healthcare Operations: We may use and disclose health information to operate our practice, improve the quality of care, maintain medical records, and conduct administrative activities. For example, we may review patient records to evaluate and improve our services.

Appointment Reminders and Healthcare Communications: We may contact you regarding appointments, test results, treatment recommendations, follow up care, and other healthcare services.

Business Associates: We may share necessary information with companies providing services on our behalf, including electronic health record providers, billing services, and technology vendors. These companies must protect your information as required by applicable law.

3. Other Uses and Disclosures Permitted or Required by Law

We may use or disclose health information without your written authorization when permitted or required by law, including for:

• Public health activities, disease prevention, product recalls, and reporting adverse medication reactions.
• Reporting suspected abuse, neglect, or domestic violence when permitted or required by law.
• Health oversight activities, including authorized audits, investigations, and licensing reviews.
• Compliance with federal or state laws and lawful government requests.
• Law enforcement activities when legally permitted or required.
• Judicial or administrative proceedings when applicable legal requirements are satisfied.
• Workers’ compensation matters as permitted by law.
• Preventing or reducing a serious and imminent threat to health or safety.
• Medical examiners, coroners, funeral directors, and organ or tissue donation activities when applicable.
• Health research when applicable legal requirements are met.

We will comply with applicable federal and Arizona laws that provide additional confidentiality protections for certain medical information.

4. Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your health information when HIPAA or another applicable law requires it.

Examples generally include marketing activities requiring authorization, the sale of protected health information, and most uses or disclosures of psychotherapy notes.

You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Other uses and disclosures not described in this notice will be made only with your written authorization unless otherwise permitted or required by law.

Information lawfully disclosed to another recipient may be redisclosed by that recipient and may no longer be protected by HIPAA, although other confidentiality laws may continue to apply.

5. Additional Protections for Substance Use Disorder Records

Certain substance use disorder treatment records receive additional federal confidentiality protections under 42 CFR Part 2.

When we create, receive, or maintain records protected by Part 2, we will handle those records according to the applicable confidentiality requirements.

Such records may be used or disclosed for treatment, payment, and healthcare operations when properly authorized or otherwise permitted by applicable law.

Part 2 protected records, or testimony describing their contents, generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless you provide the required written consent or the disclosure is authorized by a qualifying court order accompanied by a subpoena or other legal requirement.

Additional restrictions and patient rights may apply to these records.

If we use Part 2 protected information for fundraising when legally permitted, we will provide the required opportunity to decline those communications.

6. Your Rights Regarding Your Health Information

Right to Access Your Records: You have the right to inspect and obtain an electronic or paper copy of your medical records and other health information we maintain about you, subject to limited legal exceptions. We generally respond within 30 days and may charge a reasonable fee permitted by law.

Right to Request Corrections: You may request an amendment to information you believe is incorrect or incomplete. If we deny your request, we will provide a written explanation as required by law.

Right to Request Restrictions: You may ask us to limit certain uses or disclosures of your health information. We are not required to agree to every request. However, when you pay for a healthcare service in full out of pocket and request that we not disclose information about that service to your health plan for payment or healthcare operations, we must honor that restriction unless disclosure is required by law.

Right to Confidential Communications: You may request that we communicate with you using a particular phone number, mailing address, or other reasonable method. We will accommodate reasonable requests.

Right to an Accounting of Disclosures: You may request an accounting of certain disclosures of your health information during the previous six years, subject to applicable exceptions. One accounting during a 12 month period is provided without charge. Additional requests may involve a reasonable fee.

Right to a Copy of This Notice: You may request a paper or electronic copy of this Notice of Privacy Practices at any time, including if you previously received it electronically.

Right to Choose a Personal Representative: A legally authorized personal representative may exercise certain privacy rights on your behalf, subject to applicable law and verification of their authority.

Right to File a Complaint: You may file a complaint if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.

7. Your Choices Regarding Disclosure of Information

You may tell us your preferences regarding sharing information with family members, close friends, or others involved in your healthcare or payment for your care.

When you cannot communicate your preference, we may share relevant information if permitted by law and we reasonably determine that doing so is in your best interest.

You may also tell us your preferences regarding disclosures for disaster relief.

Certain uses of your information for marketing require your written authorization. If we conduct fundraising activities using your information as permitted by law, you may request that we stop contacting you for fundraising purposes.

8. Our Responsibilities

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

We must provide you with notice of our legal duties and privacy practices and follow the terms of the notice currently in effect.

We must notify affected individuals following a breach of unsecured protected health information as required by law.

We maintain appropriate administrative, physical, and technical safeguards to protect your information.

We reserve the right to revise this notice when our privacy practices or legal obligations change. Changes may apply to information we already maintain. The updated notice will be available upon request and through our practice website, if applicable.

9. Questions, Requests, and Complaints

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

Website: HHS Privacy Complaint Information
Phone: 1 877 696 6775
Mailing Address: 200 Independence Avenue SW, Washington, DC 20201

You will not be penalized or retaliated against for filing a complaint.