Effective Date: September 2025

This Notice of Privacy Practices (“Notice”) describes how Zivara Health may use and disclose your protected health information (PHI) and your rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Please review it carefully.

1. Our Responsibilities

• We are required by law to protect the privacy and security of your PHI.
• We must provide you with this Notice explaining our legal duties and privacy practices.
• We must notify you in case of a breach of unsecured PHI.
• We will not use or disclose your PHI without your authorization except as described in this Notice.

2. How We May Use and Disclose PHI Without Authorization

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

• Treatment: To provide, coordinate, or manage your healthcare (e.g., sharing information with labs, pharmacies, or other providers).
• Payment: To bill and collect payment for services (e.g., sharing info with your insurance company, if applicable).
• Healthcare Operations: To run our practice and improve services (e.g., quality assessment, staff training, audits).
• Legal Requirements: When required by federal, state, or local law.
• Public Health and Safety: To prevent or control disease, report adverse reactions, or protect against threats.
• Law Enforcement: In response to a court order, subpoena, or legal process.
• Research: When permitted by law and approved by a review board.
• Workers’ Compensation: As authorized to comply with workers’ compensation laws.
• Other Uses Permitted by HIPAA: Such as organ donation, coroners, and military or national security activities.

3. Uses and Disclosures Requiring Authorization

We will obtain your written authorization before:

• Using your PHI for marketing purposes.
• Selling your PHI.
• Disclosing psychotherapy notes (if applicable).
• Any other use not described in this Notice.

You may revoke an authorization at any time in writing.

4. Your Rights Regarding PHI

You have the right to:

• Access: Request to see or get a copy of your medical records (may be subject to fees).
• Amend: Request corrections to your records if you believe they are incorrect or incomplete.
• Restrict: Request restrictions on how we use or disclose your PHI (though we may not be able to agree in all cases).
• Confidential Communications: Request that we communicate with you in a specific way (e.g., home vs. work phone).
• Accounting of Disclosures: Request a list of disclosures we have made of your PHI.
• Paper Copy: Request a paper copy of this Notice, even if you agreed to receive it electronically.

5. How to Exercise Your Rights

To exercise your rights or ask questions about this Notice, contact us at:

Zivara Health LLC
Email: info@zivarahealth.com
Phone: 945-527-6888
Address: Dallas TX

6. Changes to This Notice

We reserve the right to change this Notice at any time. Updated versions will be posted on our website and available upon request.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

• Zivara Health Privacy Officer at the contact information above, or
• The U.S. Department of Health and Human Services, Office for Civil Rights (OCR).

We will not retaliate against you for filing a complaint.