Notice of Privacy Practices Under HIPAA
Effective: March 2026
The purpose of this notice is to inform you about how medical information about you may be used and disclosed, as well as how to get access to that information. Please read it thoroughly and with full attention.
Our Legal Duty
According to the law, I must:
- Maintain the privacy of your Protected Health Information (PHI).
- Provide you with information about your legal rights and our privacy practices.
Additionally, I am allowed to:
- Amend our privacy practices and this notice at any time, as long as the changes are permitted by law.
- Update this notice before changing our privacy practices.
Your Protected Health Information
Your medical information will not be used or disclosed without your written permission, unless required by law. By writing to us, you may revoke your authorization. Using or disclosing your information for treatment, payment, or health-related operations does not require your consent.
Your PHI may be used and disclosed for treatment and billing purposes without your consent. Information may be given to office staff, insurance providers, business associates, etc., when appropriate.
Other Disclosures
- If you need emergency treatment, your consent is not necessary if I attempt to obtain it afterward.
- When compelled by federal, state, or law enforcement officials to use or disclose your PHI, I may do so without your consent.
- Your personal information may be disclosed if it coincides with the Mandatory Reporting Laws of my state, which normally refer to threats to someone's safety, health, or welfare.
What Rights Do You Have Over Your PHI?
- You are entitled to see and obtain copies of your protected health information. All requests must be in writing.
- If you request a list of the disclosures I have made, it will be provided within 60 days. Records of disclosure are kept for six years excluding law enforcement records or items for which consent has already been given.
- PHI you provided is subject to amendment under your consent. Any information that you think needs to be corrected or added can be requested by you.
Privacy Complaints
You can reach me directly by email at juliazatulovsky@gmail.com
You are entitled to notification in the event of a breach.