Effective Date: May 12, 2026

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.

Our Legal Duty

Houston Injury & Wellness Clinic PLLC (“we,” “us,” or “our”) is required by law to:

  • Maintain the privacy of your Protected Health Information (PHI).
  • Provide you with this Notice of our legal duties and privacy practices regarding PHI.
  • Follow the terms of the Notice currently in effect.
  • Notify you following a breach of unsecured PHI as required by law.

Protected Health Information includes information that identifies you and relates to your past, present, or future physical or mental health condition, healthcare services, or payment for those services.

How We May Use and Disclose Your Health Information

We may use and disclose your PHI without your authorization for the following purposes:

  1. Treatment

We may use or disclose your health information to provide, coordinate, or manage your healthcare and related services. For example, we may share information with another healthcare provider involved in your care, including referrals to specialists or coordination with imaging and laboratory services.

  1. Payment

We may use and disclose your health information to bill and collect payment for services provided. For example, we may submit claims to your insurance company or share information with billing services on our behalf.

  1. Healthcare Operations

We may use and disclose information for clinic operations, quality assessment, staff training, licensing, accreditation, and other administrative purposes that support the operation of the practice.

Other Permitted Uses and Disclosures

We may also disclose your information without your authorization in the following circumstances:

  • To comply with federal, state, or local laws.
  • For public health activities, including disease reporting and product safety.
  • To report abuse, neglect, or domestic violence as required by law.
  • For health oversight activities such as audits and investigations.
  • For judicial or administrative proceedings in response to a valid court order or subpoena.
  • To law enforcement when legally required.
  • To prevent a serious threat to health or safety.
  • For workers’ compensation claims as authorized by law.
  • To coroners, medical examiners, and funeral directors as permitted by law.
  • For organ and tissue donation purposes.
  • For specialized government functions such as military and national security activities.

Uses and Disclosures Requiring Your Authorization

We will obtain your written authorization before using or disclosing your PHI for:

  • Most uses and disclosures of psychotherapy notes, where applicable.
  • Marketing purposes, except as permitted by HIPAA.
  • Sale of PHI.
  • Any use or disclosure not described in this Notice.

You may revoke your authorization in writing at any time, except to the extent that we have already acted in reliance on it.

Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

  • Access your records. You may request to inspect or obtain a copy of your health records maintained by us.
  • Request corrections. You may ask us to correct health information you believe is incorrect or incomplete.
  • Request restrictions. You may ask us to limit how we use or disclose your information. We are not required to agree in all cases, but will comply with requests to restrict disclosure to a health plan for services paid in full out of pocket.
  • Request confidential communications. You may ask us to contact you in a specific way, such as by phone rather than email, or at a specific address.
  • Receive an accounting of disclosures. You may request a list of certain disclosures we have made of your PHI.
  • Receive a paper copy of this Notice. You have the right to a paper copy of this Notice even if you agreed to receive it electronically.
  • Be notified of a breach. You have the right to be notified following a breach of unsecured PHI.

Our Responsibilities

We are required to:

  • Protect your PHI using appropriate administrative, technical, and physical safeguards.
  • Provide you with this Notice describing our legal duties and privacy practices.
  • Notify you if a breach occurs that may have compromised the privacy or security of your information.
  • Follow the terms of the Notice currently in effect.
  • Not use or share your information other than as described in this Notice unless you authorize us in writing, or unless the use or disclosure is permitted by law.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue SW, Washington, DC 20201, by calling 1-877-696-6775, or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change this Notice. Any changes will apply to all PHI we maintain, including information we already have on file. The revised Notice will be posted on our Website and available upon request, with the effective date noted at the top.

Contact Information

For questions about this Notice, to exercise your rights, or to file a complaint, contact:

Houston Injury & Wellness Clinic PLLC

3822 N Shepherd Dr
Houston, TX 77018
United States

Email: patientcare@houstoninjurywellness.com
Phone: +1 (346) 537-5650