NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES

Effective Date: August 13, 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

You have the right to:

  • Get an electronic or paper copy of your medical record.
  • Ask us to correct your medical record.
  • Request confidential communications.
  • Ask us to limit the information we use or share.
  • Get a list of certain disclosures we have made of your information.
  • Get a copy of this Notice of Privacy Practices.
  • Choose someone to act for you.
  • File a complaint if you believe your privacy rights have been violated.

Your Choices

You have certain choices about how we use and share your information, including when we:

  • Share information with family, close friends, or others involved in your care.
  • Share information in a disaster relief situation.
  • Include your information in a hospital or facility directory, when applicable.
  • Use or disclose certain mental health information.
  • Use your information for marketing.
  • Sell your information.
  • Use information for fundraising, when applicable.

Our Uses and Disclosures

We may use and share your health information as we:

  • Treat you.
  • Run our organization.
  • Bill for your services.
  • Help with public health and safety issues.
  • Conduct or participate in health research as permitted by law.
  • Comply with the law.
  • Respond to organ and tissue donation requests.
  • Work with a medical examiner or funeral director.
  • Address workers’ compensation, law enforcement, health oversight, and other government requests.
  • Respond to lawsuits and legal actions.

To the extent that we maintain substance use disorder patient records subject to 42 CFR Part 2, we will not use or disclose that information for civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or as otherwise permitted by applicable law, including pursuant to a qualifying court order and subpoena.

Your Rights in Detail

Get an Electronic or Paper Copy of Your Medical Record

You can ask to see or obtain an electronic or paper copy of your medical record and other health information we maintain about you. Contact us to learn how to make this request.

We will provide a copy or summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask Us to Correct Your Medical Record

You can ask us to correct health information about you that you believe is incorrect or incomplete.

We may deny your request in certain circumstances, but if we do, we will tell you why in writing, generally within 60 days.

Request Confidential Communications

You can ask us to contact you in a specific way, such as at a particular phone number, or to send mail to a different address.

We will accommodate 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 health care operations.

We are generally not required to agree to your request and may deny it if, for example, the restriction could affect your care. If we agree to a restriction, we may still disclose the information if needed to provide emergency treatment or as otherwise permitted or required by law.

If you pay for a health care service or item out-of-pocket in full, you may ask us not to disclose information about that service or item to your health plan for payment or health care operations purposes. We will honor that request unless a law requires us to share the information.

Get a List of Certain Disclosures

You can request an accounting of certain disclosures of your health information made during the six years before the date of your request, including who received the information and, where required, why it was disclosed.

The accounting generally will not include disclosures made for treatment, payment, or health care operations or certain other disclosures excluded by law.

We will provide one accounting during any 12-month period at no charge. We may charge a reasonable, cost-based fee for additional accountings requested within the same 12-month period.

Get a Copy of This Notice

You may request 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 you have given someone medical power of attorney, if someone is your legal guardian, or if another person is otherwise legally authorized to act as your personal representative, that person may exercise your rights and make choices about your health information as permitted by law.

We will verify that the individual has appropriate authority before taking action on that person’s request.

File a Complaint if You Believe Your Rights Have Been Violated

You may file a complaint with Sol Endocrinology if you believe we have violated your privacy rights.

Privacy Officer
Sol Endocrinology
4228 N Central Expy, Suite 101
Dallas, TX 75206
Email: Admin@sol-endo.com
Phone: (469) 648-3636 x3

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

You will not be retaliated against for filing a complaint.

Your Choices

For certain health information, you can tell us your preferences about what we share. If you have a clear preference for how we share your information in any of the situations below, tell us what you want us to do. We will follow your instructions when required by law.

Family, Friends, and Others Involved in Your Care

You may tell us whether you want us to:

  • Share information with family members, close friends, or others involved in your care or payment for your care.
  • Share information in a disaster relief situation.
  • Include information in a hospital or facility directory, if applicable.

If you are unable to tell us your preference—for example, if you are unconscious—we may share information if we believe doing so is in your best interest and applicable law permits the disclosure.

We may also share information when necessary to lessen a serious and imminent threat to health or safety.

Uses and Disclosures Requiring Written Permission

Except as otherwise permitted by law, we will obtain your written authorization before:

  • Using or disclosing your information for marketing purposes when authorization is required.
  • Selling your protected health information.
  • Using or disclosing most psychotherapy notes.

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

Fundraising

If Sol Endocrinology conducts fundraising activities using health information as permitted by law, we may contact you regarding those efforts. You have the right to tell us not to contact you again for fundraising purposes.

If we maintain substance use disorder patient records subject to 42 CFR Part 2, we will provide any notice and choice required by applicable law before using Part 2 information for fundraising communications.

How We Typically Use or Share Your Health Information

Treatment

We can use your health information and share it with other health care professionals who are treating you.

For example, we may share relevant information with another physician who is involved in your care.

Health Care Operations

We can use and share your health information to operate our practice, improve the quality of your care, coordinate services, and contact you when necessary.

For example, we may use health information to manage your treatment and services.

Payment

We can use and share your health information to bill for services and obtain payment from health plans or other responsible parties.

For example, we may provide information to your health plan when necessary for payment of covered services.

Other Uses and Disclosures Permitted or Required by Law

We may use or disclose your information in other ways permitted or required by law. Many of these disclosures are subject to specific legal conditions.

To the extent we maintain substance use disorder patient records subject to 42 CFR Part 2, additional confidentiality protections apply. Such records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you except as permitted by applicable law.

Public Health and Safety

We may disclose health information for certain public health and safety purposes, including:

  • Preventing or controlling disease.
  • Assisting with product recalls.
  • Reporting adverse reactions to medications.
  • Reporting suspected abuse, neglect, or domestic violence as permitted or required by law.
  • Preventing or reducing a serious threat to health or safety.

Research

We may use or disclose your information for health research when permitted by law and when all applicable legal requirements have been satisfied.

Compliance With Law

We will disclose information about you when state or federal law requires us to do so, including to the U.S. Department of Health and Human Services when necessary to demonstrate our compliance with federal privacy law.

Organ and Tissue Donation

We may disclose health information to organ procurement organizations and similar entities as permitted by law.

Medical Examiners and Funeral Directors

We may disclose health information to a coroner, medical examiner, or funeral director when an individual dies, as permitted by law.

Workers’ Compensation, Law Enforcement, Health Oversight, and Government Functions

We may use or disclose health information:

  • For workers’ compensation claims.
  • For certain law enforcement purposes.
  • To health oversight agencies for activities authorized by law.
  • For certain special government functions, including military, national security, and protective services activities.

Lawsuits and Legal Proceedings

We may disclose health information in response to a court or administrative order, subpoena, discovery request, or other lawful process when applicable legal requirements are satisfied.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will notify you following a breach of unsecured protected health information when notification is required by law.
  • We must follow the duties and privacy practices described in the Notice of Privacy Practices currently in effect.
  • We must provide you with a copy of this notice upon request.
  • We will not use or disclose your information other than as described in this notice unless you authorize us to do so in writing or another use or disclosure is permitted or required by law.
  • If you give us written authorization, you may revoke it in writing as permitted by law.

Changes to This Notice

We may change the terms of this Notice of Privacy Practices. Changes may apply to all health information we maintain about you, including information created or received before the revised notice becomes effective.

When this notice is materially revised, the current version will be available upon request, at our office, and on our website.

Questions About This Notice

If you have questions about this Notice of Privacy Practices or about how your protected health information is handled, please contact:

Privacy Officer
Sol Endocrinology
4228 N Central Expy, Suite 101
Dallas, TX 75206
Email: Admin@sol-endo.com
Phone: (469) 648-3636 x3

Effective Date: August 13, 2026