Notice of Privacy Practices

Mindful Behavioral Health

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.

Effective Date: 9/9/2026

Your Rights

You have the right to:

  • Get a copy of your paper or electronic medical record
  • Correct your paper or electronic 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

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 summary, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information you believe is incorrect or incomplete. We may say no, but we will 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 only, or a specific email address) or send mail to a different address. We will accommodate 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 operations. We are not required to agree, and may say no if it could affect your care, but if we agree, we will honor that request unless the information is needed for emergency treatment. If you pay out-of-pocket in full for a service, you can ask us not to share that information with your health insurer, and we will agree unless the law requires otherwise.

Get a list of those with whom we’ve shared your information

You can ask for an accounting of disclosures we’ve made of your health information over the prior six years (excluding disclosures for treatment, payment, and health care operations). The first accounting each year is free; we may charge a reasonable fee for additional requests within 12 months.

Get a copy of this notice

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

Choose someone to act for you

If someone has medical power of attorney or is your legal guardian, that person can exercise your rights and make choices about your health information on your behalf, once we verify their authority.

File a complaint

If you believe your privacy rights have been violated, you may contact our Privacy Official using the information below, or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:

We will not retaliate against you for filing a complaint.