Patient information · interim draft
Notice of Privacy Practices
Your information, your choices, and your rights.
Pre-opening document
Clinical privacy
This draft concerns clinical records held by Good Roots Medicine, PC. Website forms are covered separately by our website privacy statement.
Your health information
We protect your information, notify you of qualifying breaches, and follow the notice provided at care.
Your rights
You may request records, corrections, confidential communications, limits on sharing, a disclosure accounting, and a paper notice. An authorized representative may act for you. Records are usually provided within 30 days; correction denials within 60 days. Reasonable cost-based fees may apply.
Uses and choices
Information may support treatment, payment, operations, and legally permitted public-health, research, oversight, donation, or legal purposes, subject to applicable safeguards. You may express preferences about sharing with people involved in care. Marketing, sales, and most psychotherapy-note disclosures require written authorization, revocable prospectively. Additional protections apply to substance-use-disorder records and under applicable state law.
Questions and complaints
Contact info@goodrootsmedicine.com; privacy telephone and office address will be announced before opening. Do not email medical details. You may also complain to HHS without retaliation.
Full model and final notice
Read the HHS model notice for detailed rights, exceptions, and responsibilities. Our final notice will identify practice-specific procedures and contacts; future revisions will be posted here.
QUESTIONS ABOUT YOUR CARE?