Notice Of Privacy Practices

Your Rights

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 receive an electronic or paper copy of your medical record and other health information that we maintain about you.

Ask us how to make such a request.

We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask us to correct your medical record

You can ask us to correct health information about you that you believe is incorrect or incomplete.

Ask us how to make such a request.

We may deny your request, but if we do, we will explain the reason for the denial to you in writing within the time required by law.

Request confidential communications

You can ask us to contact you in a specific way—for example, at a particular telephone number—or to send mail to a different address.

We will agree to reasonable requests for confidential communications.

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 health care operations.

We are not required to agree to your request, and we may say no if, for example, the restriction could affect your care.

If we agree to your request, we will comply with the restriction except when the information is needed to provide emergency treatment or disclosure is otherwise required by law.

If you pay for a health care service or item completely out-of-pocket, you can ask us not to share information about that service or item with your health insurer for purposes of payment or health care operations.

We will agree to that request unless disclosure is required by law.

Get a list of those with whom we've shared information

You can ask for an accounting of certain disclosures of your health information made during the six years before the date of your request.

The accounting will identify the disclosures covered by law, including who received the information and the purpose of the disclosure.

The accounting generally does not include disclosures made for treatment, payment, health care operations, or certain other disclosures excluded by law.

We will provide one accounting in a 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests within the same 12-month period, as permitted by law.

Get a copy of this privacy notice

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

We will provide you with a paper copy promptly.

You may also access this notice on our website.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices about your health information on your behalf.

We will verify that the person has the appropriate legal authority to act for you before taking action.

File a complaint if you believe your privacy rights have been violated

You can complain to us if you believe we have violated your privacy rights.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

You will not be retaliated against for filing a privacy complaint.

Your Choices

For certain health information, you can tell us your preferences about what we share.

You have some choices regarding how we use and share information when we:

• Tell family members, friends, or other people involved in your care about your condition or treatment;
• Provide disaster-relief assistance;
• Provide mental health care;
• Market our services or communicate about products or services;
• Sell health information; or
• Conduct fundraising activities.

For these circumstances, you may have the right to agree or object to certain uses or disclosures, or your written authorization may be required, depending on the circumstances and applicable law.

If you are unable to communicate your preference because of an emergency, we may use our professional judgment to determine whether a disclosure is in your best interest.

Our Uses and Disclosures

We may use and share your health information in the following ways, as permitted or required by law.

Treat you

We may use your health information and share it with other health care professionals who are treating you.

Example: A health care professional treating you may need to review information about your medications, diagnosis, symptoms, treatment history, or other health information in order to coordinate your care.

Run our organization

We may use and share your health information to operate our practice, improve the quality of our services, coordinate care, and contact you when necessary.

Example: We may use health information to review the quality and effectiveness of the services we provide.

Bill for your services

We may use and share your health information to bill and collect payment from health plans, insurance companies, third-party payers, or other entities responsible for payment.

Example: We may provide information to your health insurance plan so that it can determine whether a service is covered or process a claim.

Other Ways We May Use or Share Your Health Information

We are allowed or required to share your health information in other circumstances, generally without your written authorization, when permitted or required by applicable law.

Help with public health and safety issues

We may share health information about you for certain public health and safety purposes, including to:

• Prevent or control disease, injury, or disability;
• Report certain health conditions or events;
• Report adverse reactions to medications or medical products;
• Report problems with products or devices;
• Help with product recalls;
• Prevent or reduce a serious threat to the health or safety of a person or the public; or
• Carry out other activities permitted or required by public health laws.

Do research

We may use or share your health information for research purposes when permitted by law and subject to applicable privacy protections and required approvals.

Comply with the law

We will share information about you when federal, state, or local law requires us to do so.

Respond to organ and tissue donation requests

We may share health information with organizations involved in organ donation or transplantation when permitted by law.

Work with a medical examiner or funeral director

We may share health information with a coroner, medical examiner, or funeral director when necessary to carry out their duties, as permitted by law.

Address workers' compensation, law enforcement, and other government requests

We may use or share health information:

• For workers' compensation claims;
• For law enforcement purposes when permitted or required by law;
• With health oversight agencies for activities authorized by law;
• With government agencies for specialized government functions; or
• For other government requests when permitted by applicable law.

Respond to lawsuits and legal actions

We may share health information in response to a court or administrative order, subpoena, discovery request, or other lawful process when permitted or required by law.

Substance Use Disorder Patient Records

To the extent that Neurosolace Behavioral Health maintains your substance use disorder patient records that are subject to 42 CFR Part 2, we will comply with the additional confidentiality protections applicable to those records.

We will not use or disclose Part 2-protected substance use disorder patient records for investigations or legal proceedings against you without:

• Your written consent; or
• A court order and subpoena, as required by applicable law.

Other uses and disclosures of Part 2-protected records may also require your written consent or may be subject to additional restrictions under federal law.

If Neurosolace Behavioral Health maintains Part 2-protected records, those records will be handled in accordance with applicable federal and state requirements.

Mental Health Records and Maryland Privacy Law

Neurosolace Behavioral Health will comply with applicable federal and Maryland laws governing the confidentiality, use, and disclosure of health information and mental health records.

Maryland law provides additional protections for certain mental health records and may impose restrictions on disclosure beyond those applicable to ordinary medical records.

Where Maryland law provides greater protection for your health information or mental health records than federal law, Neurosolace Behavioral Health will comply with the more protective requirement.

We will disclose mental health records only as permitted or required by applicable law, including when disclosure is authorized by you or another person legally authorized to act on your behalf, when disclosure is permitted or required by law, or when another applicable legal exception applies.

Marketing and Sale of Health Information

Most uses and disclosures of your health information for marketing purposes require your written authorization.

We will not sell your health information without your written authorization except as otherwise permitted by law.

If you provide written authorization for a use or disclosure of your health information, you may revoke that authorization in writing at any time, except to the extent that we have already relied on it.

Fundraising

We may contact you about fundraising activities.

You have the right to opt out of receiving fundraising communications from us.

If we have your substance use disorder patient records that are subject to 42 CFR Part 2, we will provide the notices and choices required by applicable federal law before using Part 2 information for fundraising communications.

Family Members, Friends, and Other People Involved in Your Care

Unless you object, we may share relevant health information with a family member, close personal friend, or another person you identify who is involved in your health care or payment for your health care.

We may also disclose information to these individuals when you are present and have an opportunity to object, or when, based on our professional judgment, it is appropriate to do so and you do not object.

If you are unable to communicate your preference because of an emergency or incapacity, we may use our professional judgment to determine whether disclosure is in your best interest.

Other Uses and Disclosures

Other uses and disclosures of your health information not described in this notice will be made only with your written authorization, unless the disclosure is otherwise permitted or required by law.

Certain uses and disclosures—including most uses of psychotherapy notes, certain marketing communications, and the sale of protected health information—require your written authorization.

If you provide authorization, you may revoke it in writing at any time, except to the extent we have already relied upon the authorization.

Our Responsibilities

Neurosolace Behavioral Health is required by law to:

• Maintain the privacy and security of your protected health information;
• Provide you with this notice describing our legal duties and privacy practices;
• Follow the duties and privacy practices described in this notice while it is in effect;
• Notify you promptly if a breach occurs that may have compromised the privacy or security of your information, as required by law; and
• Not use or disclose your information other than as described in this notice unless you authorize us to do so in writing or the use or disclosure is otherwise permitted or required by law.

If you authorize us to use or disclose your health information, you may change your mind and revoke that authorization in writing at any time, except to the extent that we have already relied upon it.

Our Commitment to Your Privacy

Neurosolace Behavioral Health takes the confidentiality of your health information seriously.

We maintain administrative, technical, and physical safeguards designed to protect the privacy and security of your health information.

We will comply with applicable federal and Maryland privacy and confidentiality requirements, including requirements applicable to protected health information and, when applicable, substance use disorder patient records and mental health records.

Changes to the Terms of This Notice

We may change the terms of this Notice of Privacy Practices.

Any revised notice will apply to all health information we maintain about you, including information created or received before the revised notice becomes effective, to the extent permitted by law.

If we make a material change to our privacy practices, we will update this notice as required by law.

The most current version of this notice will be available upon request and will be made available on our website.

Questions or Privacy Concerns

If you have questions about this Notice of Privacy Practices, believe your privacy rights have been violated, or would like additional information about our privacy practices, please contact our Privacy Officer.

You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html.

You may submit a complaint through the Office for Civil Rights complaint process or by contacting the Office for Civil Rights directly.

Neurosolace Behavioral Health will not retaliate against you for filing a complaint.

Effective Date

This Notice of Privacy Practices is effective as of October 5, 2026.

Neurosolace Behavioral Health reserves the right to revise this notice as necessary to comply with changes in federal or Maryland law and changes in our privacy practices.

A current copy of this notice will be available on the Neurosolace Behavioral Health website and upon request.