HIPAA Notice of Privacy Practices

Your Best Health – Adult & Pediatrics
Effective Date: October 20, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU OR YOUR CHILD MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW CAREFULLY.

Our Pledge Regarding Medical Information

We understand that medical information about you, your child, and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive at Your Best Health – Adult & Pediatrics. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by our practice.

Our Legal Duties

We are required by law to:

• Make sure that medical information that identifies you or your child is kept private.
• Give you this notice of our legal duties and privacy practices with respect to medical information about you.
• Follow the terms of the notice that is currently in effect.
• Notify you following a breach of unsecured protected health information.

How We May Use and Disclose Medical Information About You

The following categories describe different ways that we use and disclose medical information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of the categories.

• For Treatment: We may use medical information about you or your child to provide, coordinate, or manage your medical treatment and any related services. We may disclose medical information about you to doctors, nurses, technicians, medical students, or other personnel who are involved in taking care of you. For example, a doctor treating you for a specific condition may need to know if you have other health problems that could affect our treatment plan.
• For Payment: We may use and disclose medical information about you so that the treatment and services you receive at our clinic may be billed to and payment may be collected from you, an insurance company, or a third party. For example, we may need to give your health insurance plan information about a clinical visit so your plan will pay us or reimburse you for the visit.
• For Healthcare Operations: We may use and disclose medical information about you for our clinic operations. These uses and disclosures are necessary to run the practice and make sure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you.
• Appointment Reminders: We may use and disclose medical information to contact you as a reminder that you have an appointment for treatment or medical care at the clinic.
• Treatment Alternatives and Health-Related Benefits: We may use and disclose medical information to tell you about or recommend possible treatment options, alternatives, or health-related benefits and services that may be of interest to you.
• As Required By Law: We will disclose medical information about you when required to do so by federal, state, or local law.
• To Avert a Serious Threat to Health or Safety: We may use and disclose medical information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.

Special Situations

• Public Health Risks: We may disclose medical information about you for public health activities. These activities generally include the following: to prevent or control disease, injury, or disability; to report child abuse or neglect; to report reactions to medications or problems with products; to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.
• Health Oversight Activities: We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
• Lawsuits and Disputes: If you are involved in a lawsuit or a dispute, we may disclose medical information about you in response to a court or administrative order. We may also disclose medical information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
• Law Enforcement: We may release medical information if asked to do so by a law enforcement official as part of law enforcement activities or in response to a court order, subpoena, warrant, summons, or similar process.

Other Uses of Medical Information

Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you. Written authorization is explicitly required for most uses and disclosures of psychotherapy notes, uses and disclosures of PHI for marketing purposes, and disclosures that constitute a sale of PHI.

Your Rights Regarding Medical Information About You

You have the following rights regarding medical information we maintain about you:

• Right to Inspect and Copy: You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually, this includes medical and billing records. To inspect and copy medical information that may be used to make decisions about you, you must submit your request in writing to our Privacy Officer. If you request a copy of the information, we may charge a reasonable fee for the costs of copying, mailing, or other supplies associated with your request.
• Right to Amend: If you feel that medical information we have about you or your child is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the clinic. To request an amendment, your request must be made in writing and submitted to our Privacy Officer. In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not in writing or does not include a reason to support the request.
• Right to an Accounting of Disclosures: You have the right to request an “accounting of disclosures.” This is a list of certain disclosures we made of medical information about you, excluding disclosures made for treatment, payment, and healthcare operations. To request this list or accounting of disclosures, you must submit your request in writing to our Privacy Officer.
• Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or healthcare operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care or the payment for your care, like a family member or friend. We are not required to agree to your request, except if you request that we not disclose PHI to a health plan for payment or healthcare operations purposes, and the PHI pertains solely to a healthcare item or service for which you have paid out-of-pocket in full. To request restrictions, you must make your request in writing to our Privacy Officer.
• Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing to our Privacy Officer. We will accommodate all reasonable requests.
• Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with the clinic or with the Secretary of the Department of Health and Human Services. To file a complaint with the clinic, contact our Privacy Officer. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

Contact Information

To exercise any of your rights listed in this notice, please submit your written request to our designated site privacy representative: