
Notice of
Privacy Practices
Notice of Privacy Practices
Dual Harmony Integrative Health
Effective Date: April 21, 2026
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.
1. Our Commitment to Your Privacy
We are required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this notice of our legal duties and privacy practices. We must follow the terms of the notice currently in effect.
2. How We May Use and Disclose Your PHI
We may use and disclose your health information for the following purposes:
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Treatment: To provide, coordinate, or manage your health care. For example, we may disclose PHI to a specialist we refer you to.
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Payment: To bill and receive payment for the services we provide. For example, we may send information to your health insurance plan to confirm eligibility.
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Healthcare Operations: For activities necessary to run our practice and ensure patients receive quality care, such as internal audits or quality assessments.
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As Required by Law: We will disclose PHI when required to do so by federal, state, or local law (e.g., reporting domestic violence or responding to a court order).
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Public Health Risks: We may disclose PHI for public health activities, such as preventing disease or reporting adverse reactions to medications.
3. Uses and Disclosures That Require Your Authorization
For any purpose not listed above, we will only use or disclose your PHI with your written authorization. You may revoke this authorization at any time in writing. Specific examples requiring authorization include:
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Most uses and disclosures of psychotherapy notes.
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Uses and disclosures of PHI for marketing purposes.
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Disclosures that constitute a sale of your PHI.
4. Your Rights Regarding Your PHI
You have the following rights regarding the health information we maintain about you:
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Right to Inspect and Copy: You have the right to inspect and receive a copy of your electronic or paper medical records.
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Right to Amend: If you feel the information we have is incorrect or incomplete, you may ask us to amend it.
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Right to an Accounting of Disclosures: You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask.
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Right to Request Restrictions: You can ask us not to use or share certain health information for treatment, payment, or operations. We are not required to agree to your request, except if you pay for a service out-of-pocket in full and ask us not to share that info with your insurer.
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Right to Confidential Communications: You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
5. Breach Notification
We are required by law to notify you following a breach of your unsecured protected health information.
6. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
7. Contact Information
To exercise any of your rights or to file a complaint with our office, please contact:
Privacy Officer Dual Harmony Integrative Health
Phone: 904-333-0180
Email: info@dualharmonyhealth.com
