Effective date: September 27, 2026
Your information. Your rights. Our responsibilities.
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.
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 see or 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” to your request, 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, such as at home, office or by cell 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, and we may say “no,” for example, if it could affect your care. If we agree, we may still share the information if you need emergency treatment.
- 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 payment or operations with your health insurer. We will say “yes” unless a law requires us to share it.
Get a list of those with whom we've shared information
- You can ask for a list, called an accounting, of the times we've shared your health information for six years before the date you ask, who we shared it with and why.
- We will include all disclosures except those about treatment, payment and health care operations, and certain other disclosures, such as those you asked us to make. We will provide one accounting each year for free and may charge a reasonable, cost-based fee for another 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 agreed to receive it electronically. We will provide a paper copy promptly.
Choose someone to act for you
- If someone has authority to act for you, such as under a medical power of attorney or as a legal guardian, that person can exercise your rights and make choices about your health 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 below.
- 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 1-877-696-6775, or visiting hhs.gov/hipaa/filing-a-complaint.
- 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 in the situations below, tell us what you want us to do and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
- Share information with your family, close friends or others involved in your care or payment for your care.
- Share information in a disaster-relief situation.
If you cannot tell us your preference, for example if you are unconscious, we may share information if we believe it is in your best interest. We may also share 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 and most sharing of psychotherapy notes. We may contact you about fundraising, but you can tell us not to contact you again.
If we have substance-use-disorder patient records about you that are subject to 42 CFR Part 2, we will give you clear and obvious notice in advance and a choice about whether to receive fundraising communications that use your Part 2 information.
Our uses and disclosures
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 the practice, improve your care and contact you when necessary.
Bill for your services
We can use and share your health information to bill and receive payment from health plans or other entities.
We are also allowed or required to share your information in other ways that contribute to the public good, such as public health and research. We must meet legal conditions before sharing information for these purposes.
Help with public health and safety issues
We can share health information about you for certain situations, including preventing disease; helping with product recalls; reporting adverse reactions to medications; reporting suspected abuse, neglect or domestic violence; and preventing or reducing a serious threat to anyone's health or safety.
Do research
We can use or share your information for health research as permitted by law.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to verify that we comply with federal privacy law.
Respond to organ and tissue donation requests
We can share health information about you with organ-procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner or funeral director when an individual dies.
Address workers' compensation, law enforcement and other government requests
We can use or share health information about you for workers' compensation claims; for law-enforcement purposes or with a law-enforcement official; with health-oversight agencies for activities authorized by law; and for special government functions such as military, national-security and presidential protective services.
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
In all cases, including those listed above, if we have substance-use-disorder patient records about you that are subject to 42 CFR Part 2, we cannot use or share information in those records in civil, criminal, administrative or legislative investigations or proceedings against you without either your consent or a court order and a subpoena.
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 by letting us know in writing.
For more information, visit hhs.gov/hipaa/for-individuals/notice-privacy-practices.
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, in our office, and on our website.
Practice information
- Privacy Official: Anat Burda, DPT, IMT-C
- Privacy contact email: anat@restwell.today
- Privacy contact phone: (702) 337-3444
- Mailing address: 8876 Spanish Ridge Ave., Suite 204, Las Vegas, NV 89148