NOTICE OF PRIVACY PRACTICES
Mind & Microbiome Psychiatry, PLLC
Effective Date: December 15, 2025
This Notice Describes How Your Medical Information May Be Used and Disclosed
This Notice of Privacy Practices describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.
Mind & Microbiome Psychiatry, PLLC (“we,” “our,” or “the Practice”) is committed to protecting the privacy and confidentiality of your health information in accordance with applicable federal and state laws, including the Health Insurance Portability and Accountability Act (HIPAA).
Your Protected Health Information (PHI)
Protected Health Information (PHI) includes information we create or receive about your health, care, and payment for services that can identify you.
This may include:
• Medical and mental health history
• Assessment and treatment information
• Appointment and billing records
• Communications related to your care
How We May Use and Disclose Your Information
We may use and disclose your PHI for the following purposes:
1. Treatment
To provide, coordinate, or manage your care.
2. Payment
To obtain payment for services provided.
3. Healthcare Operations
To operate and improve the quality of care provided by the Practice.
4. Required by Law
When disclosure is required by federal or state law.
5. Public Health and Safety
To prevent or lessen a serious threat to your health or safety or the safety of others.
6. Abuse, Neglect, or Domestic Violence
When required to report suspected abuse or neglect
7. Law Enforcement or Legal Proceedings
In response to a court order, subpoena, or legal process when permitted.
Reproductive Health Privacy Protections
Mind & Microbiome Psychiatry, PLLC complies with applicable federal and state laws regarding the privacy of reproductive health information.
We will not use or disclose protected health information related to lawful reproductive health care for the purpose of investigating or imposing liability on individuals or providers where such use or disclosure is prohibited by law.
In certain situations, we may be required to obtain a signed attestation before disclosing information related to reproductive health care, as required by federal regulations.
Telehealth and Electronic Communication
Mind & Microbiome Psychiatry primarily provides services via telehealth. While we use secure, HIPAA-compliant platforms, no method of electronic communication is completely risk-free.
By engaging in telehealth services, you acknowledge and accept these inherent risks.
Your Rights Regarding Your Information
You have the right to:
• Access your records
• Request corrections to your information
• Request restrictions on certain uses or disclosures
• Request confidential communications
• Receive a copy of this Notice
• File a complaint if you believe your privacy rights have been violated
Our Responsibilities
We are required to:
• Maintain the privacy of your PHI
• Provide you with this Notice
• Follow the terms of this Notice
• Notify you in the event of a breach of your unsecured PHI
Uses Requiring Your Authorization
We will obtain your written authorization for uses not otherwise described in this Notice, including:
• Marketing communications
• Use of psychotherapy notes (when applicable)
• Any other use not permitted by law
You may revoke authorization at any time in writing.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Mind & Microbiome Psychiatry, PLLC
Email: hello@mindandmicrobiome.com
You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care.
Changes to This Notice
We reserve the right to update this Notice at any time. Any changes will be posted on this page with an updated effective date.
Contact Information
Mind & Microbiome Psychiatry, PLLC
Telehealth Services: Arizona
Email: hello@mindandmicrobiome.com