Notice of Privacy Practices

HIPAA Notice of Privacy Practices

Effective: June 2026

This notice describes how medical information about you may be used and disclosed and how you can get access to it. Please review it carefully. This notice applies to protected health information maintained by Kat Motlagh's Health Clinics in connection with patient care, payment, and healthcare operations.

Your Rights

You may ask to inspect or receive a copy of your medical record, request a correction, request confidential communications, ask for certain limits on use or disclosure, request a list of certain disclosures, receive a paper copy of this notice, and choose someone with legal authority to act for you. Some requests must be made in writing, and some rights may have limits or exceptions under law.

If you paid in full out of pocket for a service, you may ask the clinic not to share information about that service with your health plan for payment or healthcare operations unless the law requires disclosure.

Your Choices

In some situations, you can tell us how you want health information shared, such as with family members, close friends, others involved in your care, or disaster-relief organizations. Written authorization is generally required for marketing uses, sale of protected health information, and most uses of psychotherapy notes when those rules apply.

Other uses and disclosures not described in this notice require your written authorization when required by law. If you give authorization, you may revoke it in writing, except to the extent the clinic has already relied on it.

Common Uses and Disclosures

The clinic may use and disclose health information to treat you, coordinate care with other professionals, run the practice, contact you when needed, bill for services, receive payment from health plans or other payors, and support ordinary healthcare operations.

The clinic may also use or disclose health information when allowed or required by law, including for public health and safety, adverse-event reporting, suspected abuse or neglect, health oversight, workers' compensation, law enforcement, court or administrative orders, subpoenas, medical examiners, funeral directors, organ or tissue donation requests, research when legal conditions are met, and other government requests.

Substance Use Disorder Records

If the clinic creates, receives, or maintains substance use disorder patient records that are subject to 42 CFR Part 2, those records may receive additional confidentiality protections. When those protections apply, those records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or a qualifying court order and subpoena, as required by law.

Our Responsibilities

The clinic is required by law to maintain the privacy and security of protected health information, provide notice if a breach may have compromised protected information, follow the privacy practices described in this notice while it is in effect, and provide a copy of this notice upon request.

The clinic may change this notice and apply the updated notice to health information it already maintains and receives in the future. The current notice will be available on this website, at the clinic, and upon request.

Complaints and Questions

You may contact the clinic if you believe your privacy rights have been violated or if you have questions about this notice. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/hipaa/filing-a-complaint. The clinic will not retaliate against you for filing a complaint.

Privacy contact: 661-947-6400 | drmotlagh225@gmail.com