Effective Date: January 1, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

Wildflower Peaks Mental Health, P.C. is required by law to protect your Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

 

How We May Use and Disclose PHI

-For Treatment
-To provide, coordinate, or manage your care.

-For Payment
-To obtain reimbursement from insurance companies.

-For Healthcare Operations
-For quality assessment, licensing, and administrative activities.

 

Other Permitted or Required Disclosures

We may disclose PHI:

-If required by law

-For public health reporting

-To prevent a serious threat to health or safety

-For abuse or neglect reporting

-For court orders or subpoenas

Your Rights

You have the right to:

-Request restrictions

-Request confidential communications

-Inspect and obtain copies of your record

-Request amendments

-Receive an accounting of disclosures

-File a complaint with the U.S. Department of Health & Human Services

We will not use or disclose your information without written authorization except as described in this Notice.

Contact:
Wildflower Peaks Mental Health, P.C.
(480) 779-0474
info@wildflowerpeaksmentalhealth.com