HIPAA Notice of Privacy Practices

Effective Date: 08/01/2025

This Notice describes how your protected health information (PHI) may be used and disclosed and how you can access this information. Please review it carefully.

Your Rights

You have the right to:

  • Get a copy of your paper or electronic health record.

  • Request corrections to your health record.

  • Request confidential communications.

  • Ask for restrictions on certain uses/disclosures.

  • Get a list of those with whom your information has been shared.

  • Receive a copy of this Notice at any time.

My Responsibilities

  • Maintain the privacy of your health information.

  • Notify you if a breach occurs involving your PHI.

  • Provide you with this Notice and follow the terms within it.

How I Use and Share Information

Your PHI may be used or shared in the following ways:

  • Treatment: To provide, coordinate, or manage your healthcare.

  • Payment: To bill and obtain payment from you, your insurance, or other sources.

  • Healthcare Operations: For quality assessment, licensing, and training.

I may also share your information if required by law, to prevent serious harm, or in cases of abuse/neglect reporting.

For questions or concerns about HIPAA rights, contact me directly at (913) 204-0242. You may also file a complaint with the U.S. Department of Health and Human Services (HHS).