Notice of Privacy Practices

Your Rights

You have certain rights regarding your health information. This section explains those rights and some of our responsibilities in helping you exercise them.

Get an Electronic or Paper Copy of Your Health Information

You may ask to inspect or obtain an electronic or paper copy of health information that we maintain about you.

We will provide access or a copy as required by applicable law. We may charge a reasonable, cost-based fee when permitted by law.

In limited circumstances, we may deny access to certain information when permitted by law. When applicable, we will explain your rights regarding that decision.

Ask Us to Correct Your Health Information

If you believe health information we maintain about you is incorrect or incomplete, you may ask us to correct or amend it.

We may deny your request in certain circumstances permitted by law. If we deny the request, we will provide an explanation when required.

Request Confidential Communications

You may ask us to communicate with you about your health information in a particular way or at a particular location.

For example, you may ask us to contact you only at a particular telephone number or to send correspondence to a particular address.

We will accommodate reasonable requests as required by law.

Ask Us to Limit What We Use or Disclose

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.

We are generally not required to agree to every requested restriction.

If you pay for a healthcare service or item completely out of pocket, you may ask us not to disclose information about that service or item to your health plan for payment or healthcare operations. We will honor the request when required by law unless the disclosure is required by law.

Receive an Accounting of Disclosures

You may request a list of certain disclosures we have made of your health information.

The accounting generally covers certain disclosures made during the six years before your request and does not include every type of disclosure.

We will provide an accounting as required by applicable law.

Get a Copy of This Notice

You may request a paper copy of this Notice at any time, even if you previously agreed to receive the Notice electronically.

Choose Someone to Act for You

If you have given someone medical power of attorney, or another person has legal authority to act on your behalf, that person may exercise your rights and make choices about your health information as permitted by law.

We may verify the person's authority before taking action.

File a Privacy Complaint

You may file a complaint with Serenity if you believe your privacy rights have been violated.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Serenity will not retaliate against you for filing a privacy complaint.

How We May Use and Disclose Your Health Information

HIPAA and other applicable laws allow or require us to use and disclose health information in certain circumstances. Examples are described below.

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare.

For example, we may share relevant information with another healthcare professional involved in your treatment or care coordination when permitted by law.

Payment

We may use and disclose health information to bill and obtain payment for healthcare services provided to you.

For example, we may provide necessary information to your health plan or another payer to determine eligibility, obtain authorization, submit claims, or receive payment for covered services.

Healthcare Operations

We may use and disclose health information as necessary to operate our organization and provide and improve our services.

Healthcare operations may include activities such as quality assessment, staff training, supervision, compliance, auditing, case management, credentialing, licensing activities, and other operations permitted by law.

Business Associates

We may disclose health information to companies or individuals that perform services for Serenity when those services involve health information and the disclosure is permitted by law.

When required, these business associates must agree to appropriately safeguard the protected health information they receive or maintain on our behalf.

Required by Law

We may use or disclose your health information when federal, state, or local law requires us to do so.

Public Health and Safety

We may disclose health information for certain public health and safety activities when permitted or required by law.

These circumstances may include reporting certain diseases or injuries, preventing or controlling disease, reporting suspected abuse or neglect, or other legally authorized public health activities.

Preventing a Serious Threat to Health or Safety

When permitted by law, we may use or disclose health information when necessary to prevent or reduce a serious and imminent threat to the health or safety of a person or the public.

Health Oversight Activities

We may disclose health information to authorized health oversight agencies for activities permitted by law, including audits, investigations, inspections, licensing, and disciplinary activities.

Legal Proceedings

We may disclose health information in response to a court or administrative order, subpoena, discovery request, or other lawful legal process when permitted or required by law.

Law Enforcement

We may disclose health information to law enforcement officials in circumstances permitted or required by law.

Workers' Compensation

We may disclose health information as authorized by and necessary to comply with workers' compensation laws and similar programs.

Coroners, Medical Examiners, and Funeral Directors

We may disclose health information to coroners, medical examiners, and funeral directors when permitted by law so they may perform their legally authorized duties.

Other Uses of Your Health Information

Uses and disclosures of your health information that are not otherwise permitted or required by law generally require your written authorization.

If you give us written authorization, you may revoke that authorization in writing as permitted by law.

Revoking an authorization will not affect actions we already took in reliance on your authorization before receiving the revocation.

Our Responsibilities

Serenity is required by law to maintain the privacy and security of protected health information.

We are required to provide you with this Notice describing our legal duties and privacy practices regarding protected health information.

We must follow the duties and privacy practices described in the Notice that is currently in effect.

We will notify affected individuals as required by law if a breach occurs that may have compromised the privacy or security of their protected health information.

Changes to This Notice

We reserve the right to change this Notice and our privacy practices as permitted by law.

Changes may apply to health information we already maintain as well as information we receive in the future.

When this Notice is materially revised, the current Notice will be available at our office and on our website.

File a Complaint with the U.S. Department of Health and Human Services

You may also file a privacy complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Information about filing a complaint is available from the Office for Civil Rights at:

HHS Office for Civil Rights – File a Complaint

Filing a complaint will not affect your ability to receive services from Serenity.

Effective Date: October 2026