Notice of privacy practices
HARMONIZED HEALTH CARE LLC
Effective Date: September 23, 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 COMMITMENT TO YOUR PRIVACY
Harmonized Healthcare LLC respects the confidentiality of your health information.
This Notice explains how we may use and disclose your protected health information, your rights regarding that information, and our responsibilities under applicable federal and Nebraska law.
Protected health information is identifiable information about your health, healthcare services, or payment for healthcare.
For questions about this Notice, to exercise your rights, or to file a privacy complaint with our practice, contact our Privacy Officer using the information at the end of this Notice.
YOUR RIGHTS
Inspect or receive a copy of your records
You may request to inspect or receive a paper or electronic copy of your medical record and other health information maintained in a designated record set, subject to limited exceptions permitted by law.
Please submit your request in writing to our Privacy Officer or through our designated secure patient process.
Under Nebraska law, we generally provide copies of requested medical records no later than 30 days after receiving your written request.
For a request to examine your medical records, we will respond as promptly as the circumstances require and generally make the records available during regular business hours within 10 days. If unusual circumstances delay access, we will provide written notice explaining the delay and the earliest availability date, no later than 21 days after receiving the request, as provided by Nebraska law.
If records do not exist, cannot be found, or are maintained by another provider, we will respond as required by applicable law.
Any denial of access will comply with applicable federal and Nebraska requirements, including any right to review a denial.
We may charge a reasonable, cost-based fee when permitted by law. Fees will comply with applicable HIPAA requirements and Nebraska law. We will not use a state-permitted fee if federal law prohibits that fee for your request.
Request a correction
You may ask us to amend health information you believe is incorrect or incomplete.
We may deny an amendment request in certain circumstances. If we deny your request, we will explain our decision in writing, generally within 60 days, and explain your applicable rights to submit a statement of disagreement.
Request confidential communications
You may ask us to contact you in a particular way or at a particular location. Examples include contacting you at a specific telephone number or sending mail to a different address.
We will accommodate reasonable requests.
Request limits on uses and disclosures
You may ask us to restrict certain uses or disclosures of your health information for treatment, payment, or healthcare operations.
We are not required to agree to every request. If we agree, we will follow the restriction except as permitted by law, including when information is necessary for emergency treatment.
If you pay for a healthcare item or service out of pocket in full, you may request that we not disclose information about that item or service to your health plan for payment or healthcare operations. We must agree unless disclosure is required by law.
Request an accounting of disclosures
You may request a list of certain disclosures of your health information made during the six years before your request.
This list does not include every disclosure. It generally excludes disclosures for treatment, payment, healthcare operations, disclosures you authorized, and certain other disclosures permitted by law.
We provide one accounting in a 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests during that period after notifying you of the fee.
Receive a copy of this Notice
You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically. We will provide a paper copy promptly.
Have a personal representative act for you
A person who has legal authority to act for you may exercise your privacy rights and make choices about your information, subject to applicable law.
We will verify the person's authority before taking action.
File a complaint
You may complain to our Privacy Officer 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:
200 Independence Avenue, S.W.
Washington, D.C. 20201
Telephone: 1-877-696-6775
Online complaint information is available through the HHS Office for Civil Rights website.
We will not retaliate against you for filing a complaint.
YOUR CHOICES
Family, friends, and others involved in your care
You may tell us whether we may share relevant information with family members, friends, or others involved in your care or payment for care.
You may also tell us your preferences regarding disclosures for disaster-relief purposes.
If you are unable to communicate your preferences, we may disclose relevant information when permitted by law and, in our professional judgment, doing so is in your best interest.
We may disclose information when permitted by law to prevent or lessen a serious and imminent threat to health or safety.
Written authorization
We obtain your written authorization for uses and disclosures that require authorization, including:
Marketing uses and disclosures that require authorization
Sale of protected health information
Most uses and disclosures of psychotherapy notes
Other uses and disclosures not described in this Notice, unless otherwise permitted or required by law
You may revoke an authorization in writing. Revocation does not affect actions already taken in reliance on your authorization.
Fundraising
If we contact you for fundraising, you may tell us not to contact you again.
If we use substance use disorder records protected by 42 CFR Part 2 for fundraising, we will provide clear advance notice and an opportunity to choose not to receive those communications.
HOW WE USE AND DISCLOSE YOUR INFORMATION
Treatment
We may use and disclose your information to provide, coordinate, and manage your healthcare.
Examples include evaluating health concerns, reviewing laboratory results, prescribing medication, developing a care plan, and communicating with other healthcare professionals involved in your treatment.
Payment
We may use and disclose information for payment-related activities.
Examples include processing payments, managing membership or account charges, providing receipts, and supporting requests to a health plan for coverage or prior authorization of prescribed medications or services, when applicable.
Healthcare operations
We may use and disclose information to operate our practice, improve care, maintain records, evaluate services, train personnel, conduct appropriate audits, and fulfill legal and professional responsibilities.
Service providers
We may disclose information to vendors performing services on our behalf, subject to required agreements and safeguards.
OTHER PERMITTED OR REQUIRED DISCLOSURES
We may use or disclose information for the purposes below only when applicable legal requirements are met.
Public health and safety
We may disclose information for legally authorized public-health activities, such as reporting certain diseases, assisting with product recalls, reporting adverse medication reactions, reporting suspected abuse or neglect, and preventing or reducing serious threats to health or safety.
Research
We may use or disclose information for research when applicable legal requirements are satisfied.
Compliance with law
We disclose information when required by federal or Nebraska law, including legally required reports and disclosures to the Department of Health and Human Services for compliance review.
Organ and tissue donation
We may disclose information to organ-procurement organizations as permitted by law.
Coroners, medical examiners, and funeral directors
We may disclose information to these officials when authorized by law.
Workers' compensation, law enforcement, and government functions
We may disclose information for workers' compensation, legally authorized law-enforcement purposes, health-oversight activities, and specialized government functions when permitted or required by law.
Legal proceedings
We may disclose information in response to a court or administrative order, or a subpoena or other lawful process, only when applicable legal requirements are satisfied.
NEBRASKA PRIVACY RIGHTS AND SPECIAL PROTECTIONS
More protective Nebraska laws
When Nebraska law or another applicable law provides greater privacy protection than HIPAA, Harmonized Healthcare LLC follows the more protective requirements.
Access to medical records under Nebraska law
Nebraska Revised Statute 71-8403 provides rights concerning access to medical records.
We generally provide copies of requested medical records within 30 days after receiving your written request.
For requests to examine medical records, we generally make records available during regular business hours within 10 days. When unusual circumstances cause a delay, we will provide the required written notice and make records available within the applicable Nebraska timeframe, no later than 21 days after receiving the request.
Medical-record fees
Any fees for access to or copies of your records will comply with applicable federal and Nebraska law. When HIPAA provides stricter limits on fees for your request, we follow those limits.
Protected patient information and testing records
Certain patient information and testing records covered by Nebraska Revised Statute 71-514.04 are subject to specific confidentiality and disclosure restrictions. If we maintain such information, we disclose it only as permitted by the applicable law.
Record-release authorizations
When Nebraska Revised Statute 71-8403 applies, requests and authorizations for access to medical records must be in writing. If an authorization does not specify an expiration date or an event that causes it to expire, Nebraska law provides a 12-month expiration from the date it was executed.
For authorizations governed by HIPAA, we will obtain all elements required by HIPAA, including an expiration date or expiration event.
Substance use disorder records
To the extent we maintain substance use disorder patient records subject to 42 CFR Part 2, we will not use or disclose those records in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or a court order and a subpoena, as required by applicable law.
These restrictions also apply to the permitted disclosure categories described elsewhere in this Notice.
Other specially protected information
We follow applicable additional protections for particular records, including requirements concerning consent, authorized recipients, and disclosure.
OUR RESPONSIBILITIES
We are required by law to maintain the privacy and security of your protected health information.
We must notify you as required by law if a breach of unsecured protected health information occurs.
We must follow the duties and privacy practices described in the Notice currently in effect and provide you with a copy.
We will not use or disclose your information for purposes other than those described in this Notice unless you authorize the disclosure in writing or it is otherwise permitted or required by law.
PATIENT PORTAL AND COMMUNICATION
We use designated secure systems for patient records and care-related communications.
Please do not submit private medical information through public website inquiry forms or social-media messages.
Please do not send detailed medical information through ordinary email. Contact us for assistance using an appropriate secure communication method.
Contact us for assistance with secure communication, record requests, or alternative confidential communication arrangements.
Consent for optional text messaging is handled separately through our patient enrollment or communication-preference process.
CHANGES TO THIS NOTICE
We may change this Notice, and the revised terms may apply to all health information we maintain.
The current Notice will be available on our website, upon request, and through our patient onboarding process.
CONTACT US
Privacy Officer: Laura Harmon, APRN
Harmonized Healthcare LLC
1610 Stone Street
Falls City, NE 68355
Telephone: 402-807-3001
Email: privacy@harmonizedhealthcare.com