Effective February 4, 2026
IMPORTANT:
THE FOLLOWING IS A BRIEF SUMMARY OF YOUR RIGHTS AND OUR RESPONSIBILITIES AS DETAILED IN THE ATTACHED NOTICE OF PRIVACY PRACTICES (THE “NOTICE”). THIS SUMMARY IS FOR YOUR CONVENIENCE AND IS NOT A SUBSTITUTE FOR READING THE ENTIRE NOTICE AND DOES NOT MODIFY THE TERMS OF THE NOTICE.
- Uses and Disclosures of Your Health Information. We may use and disclose your health information without your written authorization for treatment, payment, and health care operations, and as permitted or required by law, as described in the full Notice. Some records, such as substance use disorder treatment records protected by federal law, are subject to additional restrictions.
- Other Uses and Disclosures. Except as described in the Notice, we will not use or disclose your medical information without your written authorization. You can revoke an authorization at any time, except to the extent that we have already taken action in reliance on the authorization.
- Your Health Information Rights. You have a number of rights under state and/or federal law which are subject to the terms and conditions specified in the Notice:
a) You may request restrictions on certain uses and disclosures of your information
b) You may request that you receive your information from us in a certain way
c) You may inspect and copy your medical records
d) You may request an amendment to any record you believe is inaccurate
e) You may request an accounting of disclosures made of your records - Changes to the Notice. We reserve the right to change the Notice. If we do so, we will post it in our facilities, [and on our website] and provide a copy upon request.
- Complaints. You may file a complaint to our Compliance Officer at (360) 776-9853 or with the federal government as detailed in the Notice. You will not be penalized for filing any complaint.