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.

Notice of Privacy Practices.

We are required by law to protect the privacy of your health information, provide this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.

  1. Uses And Disclosures We May Make Without Written Authorization. We may use or disclose your health information for certain purposes without your written authorization, including the following:
    • Treatment. We may use or disclose your information for purposes of treating you. For example, we may disclose your information to another health care provider so they may treat you; to provide appointment reminders; or to provide information about treatment alternatives or services we offer.
    • Payment. We may use or disclose your information to obtain payment for services provided to you. For example, we may disclose information to your health insurance company or other payer to obtain pre-authorization or payment for treatment.
    • Healthcare Operations. We may use or disclose your information to operate our Community and ensure quality care, including staff training, quality improvement, and administrative activities.
    • Other Uses or Disclosures. We may also use or disclose your information as permitted or required by law, including for public health activities, health oversight, law enforcement purposes, judicial or administrative proceedings, workers’ compensation, research (when approved), specialized government functions, to avert serious threats to health or safety, and to coroners, funeral directors, or organ procurement organizations.

 

  1. Disclosures We May Make Unless You Object. Unless you instruct us otherwise, we may disclose your information as described below.
    • To a member of your family, relative, friend, or other person who is involved in your healthcare or payment for your healthcare. We will limit the disclosure to the information relevant to that person’s involvement in your healthcare or payment.
    • To maintain our Community directory. If a person asks for you by name, we will only disclose your name, general condition, and location in our Community. We may also disclose your religious affiliation to clergy.

 

  1. Uses and Disclosures with Your Written Authorization. Other uses and disclosures not described in this Notice will be made only with your written authorization, including most uses or disclosures of psychotherapy notes; for most marketing purposes; or if we seek to sell your information. You may revoke your authorization by submitting a written notice to the Privacy Contact identified below. The revocation will not be effective to the extent we have already taken action in reliance on the authorization. Information disclosed pursuant to your authorization, or as otherwise permitted or required by the Privacy Rule or other applicable law, may be subject to redisclosure by the recipient and may no longer be protected by federal privacy regulations, unless additional confidentiality protections apply under applicable law.

 

  1. Special Protections for Certain Substance Use Disorder Records. Some health information we maintain may be protected by additional federal confidentiality rules for substance use disorder (SUD) treatment records under 42 CFR Part 2.
    • If applicable, these records receive special privacy protections and generally may not be used or disclosed without your written consent, except as permitted or required by law.
    • SUD records may be used or disclosed for treatment, payment, and healthcare operations as allowed by law; however, they may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless:
      • You provide specific written consent, or
      • A court issues a lawful order after notice and an opportunity for you to be heard.
    • These additional protections apply only to information that identifies a person as having sought or received substance use disorder treatment and that is subject to federal confidentiality requirements.
    • We will not use or disclose substance use disorder records to investigate or prosecute you, or to support civil, criminal, administrative, or legislative actions against you, unless permitted by law and consistent with federal confidentiality requirements.

 

  1. Your Rights Concerning Your Protected Health Information. You have the following rights concerning your health information. To exercise any of these rights, you must submit a written request to the Privacy Officer.
    • You may inspect and obtain an electronic or paper copy of your medical records and other health information we have about you. We may charge you a reasonable cost-based fee for providing the records. We may deny as permitted by law.
    • You may request additional restrictions on the use or disclosure of information for treatment, payment or healthcare operations. We are not required to agree to the requested restriction except in the limited situation in which you or someone on your behalf pays for an item or service, and you request that information concerning such item or service not be disclosed to a health insurer.
    • We normally contact you by telephone or mail at your home address. You may request that we contact you by alternative means or at alternative locations. We will accommodate reasonable requests.
    • You may request that your protected health information be amended. We may deny certain requests as permitted by law.
    • You may receive an accounting of certain disclosures we have made of your protected health information. You may receive the first accounting within a 12-month period free of charge. We may charge a reasonable cost-based fee for all subsequent requests during that 12-month period.
    • You may obtain a paper copy of this Notice upon request. You have this right even if you have agreed to receive the Notice electronically.
    • If your records include substance use disorder information subject to federal confidentiality rules, you may have additional rights regarding consent, access, and disclosure of that information as provided by law

 

  1. Changes to this Notice. We reserve the right to change the terms of this Notice at any time, and to make the new Notice effective for all protected health information that we maintain. If we materially change our privacy practices, we will post a copy of the current Notice in a clear and prominent location within the Community. You may obtain a copy of the Notice from our receptionist or Privacy Officer.

 

  1. Complaints. If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.
  • The Community designated Privacy Officer is the Administrator. Questions or complaints may be made directly to the administrator. Complaints may also be submitted by completing a Grievance Form and returning the form to the Administrator. You may also contact the Compliance Hotline for further information or to file a complaint. Phone: 1-888-869-7060 Email: compliance@evergreenhcg.com
  1. Effective Date. This Notice is effective February 16, 2026.

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.

Notice of Privacy Practices.

We are required by law to maintain the privacy of your protected health information, to notify you of our legal duties and privacy practices with respect to your protected health information, and to notify affected individuals following a breach of unsecured protected health information. This Notice summarizes our duties and your rights concerning your information. Our duties and your rights are set forth more fully in 45 CFR § Part 164. We are required to abide by the terms of our Notice that is currently in effect.

  1. Uses And Disclosures We May Make Without Written Authorization. We may use or disclose your health information for certain purposes without your written authorization, including the following:
  • Treatment. We may use or disclose your information for purposes of treating you. For example, we may disclose your information to another health care provider so they may treat you; to provide appointment reminders; or to provide information about treatment alternatives or services we offer.
  • Payment. We may use or disclose your information to obtain payment for services provided to you. For example, we may disclose information to your health insurance company or other payer to obtain pre-authorization or payment for treatment.
  • Healthcare Operations. We may use or disclose your information for certain activities that are necessary to operate our Center and ensure that our patients receive quality care. For example, we may use information to train or review the performance of our team or make decisions affecting the Center.
  • Other Uses or Disclosures. We may also use or disclose your information for certain other purposes allowed by 45 CFR § 164.512 or other applicable laws and regulations, including the following:
    • To avoid a serious threat to your health or safety, or the health or safety of others.
    • As required by state or federal law, such as reporting abuse, neglect, or certain other events.
    • As allowed by workers compensation laws for use in workers compensation proceedings.
    • For certain public health activities such as reporting certain diseases.
    • For certain public health oversight activities such as audits, investigations, or licensure actions.
    • In response to a court order, warrant, or subpoena in judicial or administrative proceedings.
    • For certain specialized government functions, such as the military or correctional institutions.
    • For research purposes, if certain conditions are satisfied.
    • In response to certain requests by law enforcement to locate a fugitive, victim, or witness, or to report deaths or certain crimes.
    • To coroners, funeral directors, or organ procurement organizations as necessary to allow them to carry out their duties.
  1. Disclosures We May Make Unless You Object. Unless you instruct us otherwise, we may disclose your information as described below.
  • To a member of your family, relative, friend, or other person who is involved in your healthcare or payment for your healthcare. We will limit the disclosure to the information relevant to that person’s involvement in your healthcare or payment.
  • To maintain our Center directory. If a person asks for you by name, we will only disclose your name, general condition, and location in our Center. We may also disclose your religious affiliation to clergy.
  • To contact you to raise funds for our Company. You may opt out of receiving such communications at any time by notifying the Privacy Officer.
  1. Uses and Disclosures with Your Written Authorization. Other uses and disclosures not described in this Notice will be made only with your written authorization, including most uses or disclosures of psychotherapy notes; for most marketing purposes; or if we seek to sell your information. You may revoke your authorization by submitting a written notice to the Privacy Contact identified below. The revocation will not be effective to the extent we have already taken action in reliance on the authorization.

  2. Your Rights Concerning Your Protected Health Information. You have the following rights concerning your health information. To exercise any of these rights, you must submit a written request to the Privacy Officer.

  • You may request additional restrictions on the use or disclosure of information for treatment, payment, or healthcare operations. We are not required to agree to the requested restriction except in the limited situation in which you or someone on your behalf pays for an item or service, and you request that information concerning such item or service not be disclosed to a health insurer.
  • We normally contact you by telephone or mail at your home address. You may request that we contact you by alternative means or at alternative locations. We will accommodate reasonable requests.
  • You may inspect and obtain a copy of records that are used to make decisions about your care or payment for your care, including an electronic copy. We may charge you a reasonable cost-based fee for providing the records. We may deny your request under limited circumstances, e.g., if we determine that disclosure may result in harm to you or others.
  • You may request that your protected health information be amended. We may deny your request for certain reasons, e.g., if we did not create the record or if we determine that the record is accurate and complete.
  • You may receive an accounting of certain disclosures we have made of your protected health information. You may receive the first accounting within a 12-month period free of charge. We may charge a reasonable cost-based fee for all subsequent requests during that 12-month period.
  • You may obtain a paper copy of this Notice upon request. You have this right even if you have agreed to receive the Notice electronically.
  1. Changes to this Notice. We reserve the right to change the terms of this Notice at any time, and to make the new Notice effective for all protected health information that we maintain. If we materially change our privacy practices, we will post a copy of the current Notice in a clear and prominent location within the Center. You may obtain a copy of the operative Notice from our receptionist or Privacy Officer.

  2. Complaints. You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated. All complaints to the Secretary of Health and Human Services must be in writing. You may file a complaint with us by notifying our Privacy Officer. We will not retaliate against you for filing a complaint.

The Center designated Privacy Officer is the Executive Director. Complaints or questions may be submitted to the Center Privacy Officer by completing a Concern/Comment form and returning the form to the Center Executive Director. You may also call 1-888-869-7060 for further information or to file a complaint. The designated Privacy Officer for Evergreen Healthcare Group is the Director of Compliance. Complaints or questions may be submitted to Evergreen Healthcare Group’s Privacy Officer by sending an email to compliance@evergreenhcg.com or by calling 1-888-869-7060.

  1. Effective Date. This Notice is effective September 4, 2017.

Questions? We’re Ready to Help.