Notice of Privacy Practices

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

Who we are

Auréen Health is a brand name used by two separate, independently operated practices. In California: Auréen Health, A Nursing Corporation. In Utah: Auréen Health, a registered DBA of Balance Mind and Wellness LLC. In this Notice, “we,” “us,” and “our” refer to the practice serving your state. We are required by law to protect the privacy of your protected health information (“PHI”), to give you this Notice, and to follow its terms.

How we may use and disclose your PHI without your authorization

• Treatment: to provide and coordinate your care, for example sharing information with another provider or your pharmacy.
• Payment: to bill and collect for services, for example charging the card on file.
• Health care operations: to run the practice, including quality review, training, and appointment reminders by phone, text, or email.
• Others involved in your care: with your agreement or after giving you the opportunity to object, or in an emergency if it is in your best interest.
• As required or permitted by law: public health activities; reporting abuse, neglect, or domestic violence; health oversight; court orders, subpoenas, and law enforcement requests that meet legal requirements; serious threats to health or safety; workers’ compensation; coroners, medical examiners, and funeral directors; and specialized government functions.

Uses that require your written authorization

Marketing, sale of PHI, and most other uses not described in this Notice require your written authorization. You may revoke an authorization in writing at any time. Revoking it does not affect disclosures already made.

Re-disclosure

Once information is disclosed outside the practice, it may no longer be protected by these rules.

Your rights

You have the right to:

• Request restrictions on how we use or disclose your PHI, including the right to restrict disclosure to a health plan for services you paid for in full out of pocket.
• Request confidential communications.
• Inspect and get a copy of your records. A reasonable, cost-based fee may apply.
• Ask us to amend your records.
• Receive an accounting of disclosures for up to six years.
• Receive a paper copy of this Notice.
• Be notified of a breach of your PHI.

Our duties

We must maintain the privacy of your PHI, provide this Notice, and follow it. We reserve the right to change this Notice and apply the changes to all PHI we maintain. Material changes will be posted on this page and made available to you.

Complaints

You may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights: 200 Independence Avenue SW, Washington, D.C. 20201, 1-877-696-6775, www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

Privacy Officer

Laura Barker, FNP-C, Auréen Health. Phone: (805) 669-9442. Email: hello@aureenhealth.com