Notice of Privacy Practices

Shine Psychiatry, PLLC

Effective Date: 1/01/2026

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.

Our Commitment to Your Privacy

Shine Psychiatry is committed to protecting the privacy of your protected health information (“PHI”). PHI includes information about your health, healthcare services you receive, and payment for those services. We are required by law to maintain the privacy of your PHI and to provide you with this Notice explaining our legal duties and privacy practices.

How We May Use and Disclose Your Health Information

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your psychiatric care. This may include sharing information with other healthcare providers involved in your treatment, such as primary care physicians, therapists, pharmacies, or laboratories, as appropriate.

Payment

We may use and disclose your PHI for payment-related activities. This includes billing, payment collection, and administrative purposes. As a concierge, self-pay practice, disclosures for payment are limited but may include credit card processing or healthcare operations related to your account.

Healthcare Operations

We may use and disclose your PHI for healthcare operations, such as quality assessment, case management, licensing, credentialing, audits, legal compliance, and business administration.

Other Permitted or Required Uses and Disclosures

We may disclose your PHI without your authorization in the following circumstances, as permitted or required by law:

As Required by Law
Public Health Activities (e.g., reporting abuse, neglect, or domestic violence)
Health Oversight Activities (e.g., audits or investigations)
Judicial and Administrative Proceedings
Law Enforcement Purposes
Serious Threats to Health or Safety
Workers’ Compensation Claims

Uses and Disclosures Requiring Your Written Authorization

Any use or disclosure of your PHI not described in this Notice will require your written authorization. You may revoke an authorization at any time in writing, except to the extent we have already relied on it.

Your Rights Regarding Your Health Information

You have the right to:

Access and Obtain a Copy of your medical records
Request an Amendment to your health information
Request Restrictions on certain uses or disclosures
Request Confidential Communications (e.g., communication via a specific method or location)
Receive an Accounting of Disclosures
Receive a Paper Copy of this Notice at any time

To exercise any of these rights, please contact us using the information below.

Our Responsibilities

Shine Psychiatry is required to:

Maintain the privacy and security of your PHI
Notify you following a breach of unsecured PHI
Follow the terms of this Notice

We reserve the right to change this Notice and make the revised Notice effective for all PHI we maintain. Updated Notices will be available upon request and on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Shine Psychiatry or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.