Notice of Privacy Practices

Effective date: July 24, 2026

Your Information. Your Rights. Our Responsibilities.

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.

Your Rights

You have the right to:

• Get a copy of your electronic or paper medical record
• Correct your medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we've shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices in the way that we use and share information as we:

• Tell family and friends about your condition
• Provide disaster relief

We never use or share your information for marketing or sell your information without your written permission — and we do not fundraise.

Our Uses and Disclosures

We may use and share your information as we:

• Treat you
• Run our practice
• Bill for your services
• Help with public health and safety issues
• Do research
• Comply with the law
• Respond to organ and tissue donation requests
• Work with a medical examiner or funeral director
• Address workers' compensation, law enforcement, and other government requests
• Respond to lawsuits and legal actions

To the extent that we have your substance use disorder patient records, subject to 42 CFR Part 2, we will not share that information for investigations or legal proceedings against you without (1) your written consent or (2) a court order and a subpoena.

Your Rights — in detail

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary, usually within 30 days of your request, and may charge a reasonable, cost-based fee. Most of your records are also available anytime through your patient portal.

Ask us to correct your medical record. You can ask us to correct health information you think is incorrect or incomplete. We may say no, but we'll tell you why in writing within 60 days.

Request confidential communications. You can ask us to contact you in a specific way (for example, cell phone instead of email) or at a different address. We will say yes to all reasonable requests.

Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, and may say no if it would affect your care. If you pay for a service or item out-of-pocket in full, you can ask us not to share that information with your health insurer for payment or operations purposes; we will say yes unless a law requires us to share it.

Get a list of those with whom we've shared information. You can ask for an accounting of the times we've shared your health information in the six years before your request — who we shared it with and why. We'll include all disclosures except those for treatment, payment, and health care operations, and certain others (such as any you asked us to make). One accounting per year is free; we may charge a reasonable, cost-based fee for additional requests within 12 months.

Get a copy of this privacy notice. You can ask for a paper copy at any time, even if you agreed to receive it electronically.

Choose someone to act for you. If someone is your legal guardian or holds your medical power of attorney, that person can exercise your rights and make choices about your health information. We will verify their authority before acting.

File a complaint if you feel your rights are violated. You can complain to us using the contact information in this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights: 200 Independence Avenue S.W., Washington, D.C. 20201 · 1-877-696-6775 · hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

Your Choices — in detail

For certain health information, you can tell us your choices about what we share. If you have a clear preference in the situations below, tell us, and we will follow your instructions.

You have both the right and the choice to tell us to:

• Share information with your family, close friends, or others involved in your care or in paying for your care
• Share information in a disaster relief situation

If you are not able to tell us your preference — for example, if you are unconscious — we may share your information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.

We never share your information in these cases unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

Fundraising: We do not use or share your health information for fundraising.

Our Uses and Disclosures — in detail

How do we typically use or share your health information?

Treat you. We can use your health information and share it with other professionals who are treating you. Example: your nurse practitioner reviews your labs with our medical director to plan your care, or sends your prescription to the pharmacy that fills it.

Run our practice. We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: we use your health information to manage your treatment and services.

Bill for your services. We can use and share your health information to bill and collect payment for your services. Example: we use your information to prepare your invoice and process your payment.

How else can we use or share your health information? We are allowed or required to share your information in other ways — usually in ways that contribute to the public good — and we must meet many conditions in the law before doing so.

In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR Part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.

Help with public health and safety issues — preventing disease, product recalls, adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, and preventing or reducing a serious threat to anyone's health or safety.

Do research. We can use or share your information for health research.

Comply with the law. We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.

Respond to organ and tissue donation requests.

Work with a medical examiner or funeral director when an individual dies.

Address workers' compensation, law enforcement, and other government requests — workers' compensation claims, law enforcement purposes, health oversight agencies for activities authorized by law, and special government functions such as military, national security, and presidential protective services.

Respond to lawsuits and legal actions — in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time — let us know in writing.

For more information: hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request and on our website.

Texas Law — Additional Protections

Your health information is also protected by the Texas Medical Records Privacy Act, which in some areas is stricter than federal law.

Electronic disclosure. We create, receive, maintain, and transmit health information electronically. This posted notice informs you that your protected health information is subject to electronic disclosure, as required by Texas Health & Safety Code § 181.154. We will obtain a separate authorization from you before electronically disclosing your protected health information for any purpose other than treatment, payment, health care operations, disclosure to another covered entity for those purposes, or as otherwise authorized or required by state or federal law.

Marketing and sale. Texas law places additional limits on using health information for marketing and prohibits the sale of protected health information. We never sell your health information.

Questions and Contact

Information about filing a complaint with the Texas Medical Board or the Texas Board of Nursing is available through the Notices page linked in the footer of our website, at conscious.health/notices.