Effective date: June 2, 2026
THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
My Family Resource is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, to notify you following a breach of unsecured PHI, and to abide by the terms of the Notice currently in effect. This Notice applies to the information and records we create and maintain regarding your care.
The following describes the ways we may use and disclose your health information. Not every use or disclosure will be listed, but all permitted uses and disclosures will fall within one of these categories.
We may use your health information to provide, coordinate, or manage your care and related services, including consultation with and referral to other providers involved in your care.
We may use and disclose your health information to obtain payment for services, such as preparing a billing statement or providing a superbill at your request for submission to your insurer.
We may use your health information for operations such as quality assessment, clinical supervision, training, and administrative activities necessary to run the practice and ensure quality care.
We may contact you to provide appointment reminders or to discuss scheduling, using the contact information and preferences you provide.
Psychotherapy notes receive special protection. We will not use or disclose your psychotherapy notes without your written authorization, except in limited circumstances permitted or required by law (for example, certain legal proceedings or to prevent serious harm).
Other uses and disclosures — including most uses for marketing purposes and any sale of PHI — will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
We may use or disclose your health information without your authorization in the following circumstances, as permitted or required by law:
As required by law; for public health activities; to report suspected abuse, neglect, or domestic violence involving a child, elder, or person with a disability; for health oversight activities; in response to a court order, subpoena, or other legal process; for certain law enforcement purposes; to avert a serious and imminent threat to the health or safety of you or others; for specialized government functions; and for workers’ compensation as authorized by law.
You have the right to inspect and request a copy of health information we maintain about you, in accordance with applicable law. We may charge a reasonable, cost-based fee.
You may request that we amend health information you believe is incorrect or incomplete. We may deny your request under certain circumstances, and will explain our reasons in writing.
You have the right to request a list of certain disclosures we have made of your health information.
You may request a restriction on how we use or disclose your information. We are not required to agree to all requests, but we will accommodate reasonable requests where required by law.
You may ask us to communicate with you in a certain way or at a certain location (for example, by a specific phone number). We will accommodate reasonable requests.
You have the right to obtain a paper copy of this Notice upon request, even if you have agreed to receive it electronically.
You have the right to be notified if there is a breach of your unsecured protected health information.
We are required by law to maintain the privacy and security of your protected health information; to notify you promptly if a breach occurs that may have compromised your information; to follow the duties and privacy practices described in this Notice and give you a copy of it; and not to use or share your information other than as described here unless you tell us we may in writing.
We reserve the right to change this Notice and to make the revised Notice effective for information we already have as well as information we receive in the future. The current Notice will be posted on our website and available upon request, with its effective date shown above.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.
To file with HHS, visit www.hhs.gov/ocr/privacy/hipaa/complaints.
To exercise any of your rights, request a paper copy of this Notice, or ask questions about our privacy practices, please contact us through our Contact page.