Notice of Privacy Practices

We may use or disclose your PHI for the following purposes:

Treatment

We may use and share your PHI to provide, coordinate, manage, and improve your healthcare. This may include communicating with healthcare professionals, healthcare facilities, pharmacies, laboratories, or other individuals or organizations involved in your care, when appropriate.

Payment

We may use your PHI to process payment for healthcare services, collect amounts owed, verify payment information, and work with secure third-party payment processors or other service providers involved in payment processing.

Healthcare Operations

We may use your PHI to operate and improve our practice. Examples include:

• Quality assessment and improvement activities
• Compliance and auditing
• Fraud prevention
• Risk management
• Staff training
• Credentialing and licensing
• Business planning and administration
• Security and system maintenance

HIPAA permits or requires us to use or disclose your PHI in certain circumstances without your authorization, including:

• Public health activities
• Reporting abuse, neglect, or domestic violence when required by law
• Health oversight activities
• Law enforcement purposes
• Judicial or administrative proceedings
• Workers' compensation claims
• Organ and tissue donation
• Medical examiners, coroners, and funeral directors
• National security and other authorized government functions
• Compliance with applicable federal, state, or local laws

We may also use or disclose your PHI for research when permitted by law.

Most uses and disclosures of psychotherapy notes (to the extent any are maintained), uses and disclosures of your PHI for marketing purposes, and any sale of your PHI require your written authorization. Any other use or disclosure of your PHI not described in this Notice or otherwise permitted by law will be made only with your written authorization. If you provide authorization, you may revoke it at any time by submitting a written request, except to the extent we have already relied upon that authorization.

You have the right to:

• Inspect and obtain a copy of your medical records.
• Request corrections to your medical records.
• Request restrictions on certain uses or disclosures of your PHI.
• Request that we not disclose PHI about a healthcare item or service to your health plan when you have paid for that item or service in full, out of pocket.
• Request confidential communications by alternative methods or at alternative locations.
• Receive an accounting of certain disclosures of your PHI.
• Receive a paper or electronic copy of this Notice at any time, even if you previously agreed to receive it electronically.

Certain requests may be subject to limitations permitted by applicable law.

We are required by law to:

• Maintain the privacy and security of your PHI.
• Provide you with this Notice describing our legal duties and privacy practices.
• Follow the privacy practices described in this Notice.
• Notify you if a breach occurs that may have compromised the privacy or security of your PHI.

If you have questions about this Notice or believe your privacy rights have been violated, please contact:

Privacy Officer
Verilane
Phone: +1 (425) 224-5408
Email: privacy@verilane.co

1018 Market St, Suite 261012
Kirkland, WA 98033

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Filing a complaint will not affect the care you receive, and we will not retaliate against you for exercising your rights.