HIPAA 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.

Our Commitment to Your Privacy

Irving Injury Center is committed to protecting the privacy of your health
information. We create a record of the care and services you receive at our
practice. We need this record to provide you with quality care and to comply with
certain legal requirements. This notice applies to all records of your care
generated by this practice and describes our legal duties and your rights
regarding your protected health information (PHI).

How We May Use and Disclose Your Health Information

  • Treatment: To provide, coordinate, or manage your
    healthcare and related services, including coordinating with other providers and
    specialists involved in your care.
  • Payment: To bill and receive payment for the treatment and
    services you receive, including disclosures to insurers, attorneys, and other
    payers in connection with a personal injury claim or Letter of Protection
    (LOP).
  • Health Care Operations: For practice operations, including
    quality assessment, training, and business planning.
  • Appointment Reminders & Health Services: To contact you
    with appointment reminders or information about treatment alternatives or other
    health-related benefits and services.
  • Individuals Involved in Your Care: With your agreement, to
    share relevant information with a family member, friend, or other person you
    involve in your care or payment for your care.
  • As Required by Law / Public Interest: When required by
    federal, state, or local law, and for public-health activities, reporting abuse
    or neglect, health oversight, judicial or administrative proceedings, law
    enforcement, and to avert a serious threat to health or safety.

Uses and Disclosures That Require Your Written Authorization

Most uses and disclosures of psychotherapy notes (if any), uses and disclosures
for marketing purposes, and disclosures that constitute a sale of PHI require your
written authorization. Other uses and disclosures not described in this notice
will be made only with your written authorization, which you may revoke at any
time in writing.

Special Protections for Substance Use Disorder Records

If we create or receive substance use disorder (SUD) treatment records
protected by federal law (42 CFR Part 2), those records receive heightened
protection. Unlike other health information, Part 2-protected records generally
require your written consent before they may be used or disclosed for treatment,
payment, or health care operations, except as specifically permitted by law.

Redisclosure Warning

Once your health information is disclosed pursuant to this notice or with your
authorization, it may be subject to redisclosure by the person or entity that
receives it and may no longer be protected by federal HIPAA privacy rules.

More Protective Laws Apply

Where Texas law (including the Texas Medical Records Privacy Act / HB 300) or
other law provides greater privacy protections than HIPAA, we will follow the more
protective law. Texas law may require your consent for certain electronic
disclosures of your health information.

Your Rights Regarding Your Health Information

  • Access and Copies: You have the right to inspect and obtain
    a copy of your health information. Under Texas law, we will provide access within
    15 business days of a proper request. We do not charge our patients a fee for
    copies of their own records.
  • Amendment: You may request that we amend health information
    you believe is incorrect or incomplete.
  • Accounting of Disclosures: You may request a list of certain
    disclosures we have made of your health information.
  • Restrictions: You may request restrictions on certain uses
    and disclosures, including restricting disclosure to a health plan for services
    you paid for in full out of pocket.
  • Confidential Communications: You may request that we
    communicate with you in a certain way or at a certain location.
  • Paper Copy: You have the right to a paper copy of this
    notice, even if you agreed to receive it electronically.
  • Breach Notification: You have the right to be notified
    following a breach of your unsecured protected health information.

Our Duties

Irving Injury Center is required by law to maintain the privacy of your health
information, to provide you with this notice of our legal duties and privacy
practices, to follow the terms of the notice currently in effect, and to notify
you following a breach of unsecured health information. We reserve the right to
change our privacy practices and to make the new provisions effective for all
protected health information we maintain. A revised notice will be posted in our
office and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint
with our Privacy Officer, Dr. Marilyn Yates, D.C., at the address above, or with
the Secretary of 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.

Privacy Officer: Dr. Marilyn Yates, D.C.  | 
clinic@irvinginjurycenter.com
Effective Date: 6/15/2026