notice of privacy practices

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: March 20, 2026

YOUR RIGHTS

You have the right to:

• Inspect or receive an electronic or paper copy of your medical record and other health information we maintain about you. We generally respond within 30 days and may charge only a reasonable, cost-based fee when allowed by law.

• Ask us to correct information you believe is inaccurate or incomplete. We may deny the request in certain circumstances, but we will explain the reason in writing, generally within 60 days.

• Ask us to contact you in a specific way, such as by phone, text, email, or mail, or at an alternative address. We will accommodate reasonable requests.

• Ask us to limit certain uses or disclosures of your information. We are not always required to agree. However, if you pay for a service in full and ask us not to disclose that information to a health plan for payment or health care operations, we will honor the request unless disclosure is required by law.

• Request an accounting of certain disclosures made during the six years before your request. One accounting during any 12-month period will be provided without charge.

• Receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

• Designate a legally authorized representative to exercise your privacy rights. We will verify that person’s authority before taking action.

• File a complaint if you believe your privacy rights have been violated. You will not be penalized or retaliated against for filing a complaint.

YOUR CHOICES

You may tell us whether and how to:

• Share relevant information with family members, close friends, caregivers, or others involved in your care or payment for your care.

• Share information during disaster-relief efforts.

If you cannot communicate your preference, we may share information when we reasonably believe it is in your best interest or when necessary to prevent or lessen a serious and imminent threat to health or safety.

We will obtain your written authorization before using or disclosing your information for marketing, selling your information, or most uses and disclosures of psychotherapy notes. True North Medical Care does not sell patient information.

Uses or disclosures not described in this Notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance on it.