Notice of Privacy Practices

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

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. THIS NOTICE APPLIES TO THE PRIVACY PRACTICES OF HARMONY HEALTH PRIMARY CARE.

The entities above are collectively referred to herein as Harmony Health Primary Care. We are committed to the protection of your health information created and/or maintained by Harmony Health Primary Care, including any information that we receive from other health care providers or facilities. 

We at Harmony Health Primary Care pledge to provide you with quality health care, and to have a relationship with you that is built on trust. This trust includes our commitment to respect the privacy and confidentiality of your health information. Harmony Health Primary Care maintains your records for the time period required by law. Once the retention period has expired, Harmony Health Primary Care destroys the records. If you have any questions regarding the

retention period of your records, please contact the Harmony Health Primary Care Privacy Officer (see contact information at the end of this Notice).

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 get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.

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

Ask us to correct your medical record

• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.

• We may say “no,” but we'll tell you why in writing within 60 days.

Request 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.

• We will say “yes” to all reasonable requests.

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 operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or operations with your health insurance. We will say “yes” unless a law requires us to share that information. 

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

• 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, who we shared it with, and why.

• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

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.

Choose someone to act for you

• If you have given someone medical power of attorney, have activated a health care proxy, or if someone is your legal guardian, that person can exercise your rights and make choices about your health care information.

• We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

• You can complain if you feel we have violated your rights by contacting us using the information at the end of this Notice.

• 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 1-877-696-6755, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

• We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and the choice to tell us whether or not to:

• Share information with your family, close friends, or others involved in your care.

• Share information in a disaster relief situation.

• Include your information in a facility directory.

If you (or someone empowered to act on your behalf) are not able to tell us your preference — for example, if you are unconscious and have no health care proxy — we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or

safety.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes.

• Sale of your information.

• Most sharing of psychotherapy notes.

• Substance abuse treatment records protected by 42 CFR Part 2.

• HIV/AIDS testing or test results.

• Certain genetic information.

• Certain information about sexually transmitted diseases.

In the case of fundraising: we may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information? We typically use or share your health information in the following ways.

TREAT YOU: We can use your health information and share it with other professionals who are treating you.

RUN OUR ORGANIZATION: We can use and share your health information to run our operations, improve your care, and contact you when necessary.

BILL FOR YOUR SERVICES: We can use and share your health information to bill and get payment from health plans or other entities.

How Else Can We Use or Share Your Health Information?

We are allowed or required to share your information in other ways — usually in ways that contribute to the public good,

such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

• Help with public health and safety issues (preventing disease, product recalls, reporting adverse reactions, reporting suspected abuse or neglect, reducing a serious threat to health or safety).

• Research, subject to applicable legal safeguards.

• Compliance with the law, including reporting to the Department of Health and Human Services.

• Organ and tissue donation requests.

• Coordination with a medical examiner or funeral director.

• Workers' compensation, law enforcement, and other government requests, including health oversight activities and special government functions.

• Response to lawsuits and legal actions, including court or administrative orders and subpoenas.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

• We must follow the duties and privacy practices described in this notice and give you a copy of it.

• We will not use or share your information other than as described here unless you tell us we can in writing. If you

tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this Notice, and the changes will apply to all information we have about you. The new notice will be available upon request at Harmony Health Primary Care and on our website at harmonyhealthpcp.com

Contact Person for This Notice

If you have any questions about this Notice or a complaint about our privacy practices, please contact our Privacy Officer at:

Kristin McAvoy

225 Water Street, Suite A-115

Plymouth, MA 02360

Phone: (508) 296-5473

Fax: 1-888-707-4856

Email: hello@harmonyhealthpcp.com

Effective Date of Notice: 10/1/2026