Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

Please keep a copy of this Notice for your records.

PLEASE REVIEW IT CAREFULLY.

The current version of this Notice is available from Elevate Medical Center and is posted on our website.

At Elevate Medical Center, we understand that information about your health and medical care is personal. We are committed to protecting the privacy of your Protected Health Information (“PHI”) and providing you with clear information about how we may use and disclose it.

This Notice of Privacy Practices is effective September 17, 2026.

This Notice of Privacy Practices (“Notice”) describes how Elevate Medical Center may use and disclose your PHI, our legal duties regarding your PHI, and your rights concerning your health information.

Effective Date

This Notice applies to services provided by Elevate Medical Center and its workforce members who are required to follow HIPAA.

If you decline to sign the acknowledgment, we may continue to provide treatment as permitted by law, and we will document our good-faith effort to obtain your acknowledgment as required by HIPAA.

This Notice is separate from our general website Privacy Policy, which describes additional information practices relating to our website, online forms, cookies, analytics, and other non-clinical interactions.

Your signature acknowledges receipt of the Notice. It does not mean that you agree to special uses or disclosures of your health information.

Your Rights

We will make a good-faith effort to obtain your written acknowledgment that you received this Notice of Privacy Practices.

When it comes to your health information, you have certain rights under federal and Washington law.

Acknowledgment of Receipt

You have the right to inspect and obtain a copy of your health information.

Elevate Medical Center will not retaliate against you for filing a complaint.

You generally have the right to inspect and obtain a copy of health information that may be used to make decisions about your care.

You may also contact the Office for Civil Rights using the contact information provided by HHS.

You may request your medical records and other applicable health information in writing. We will process your request in accordance with applicable federal and Washington law.

Website: https://www.hhs.gov/ocr/complaints/index.html

We may charge a reasonable, legally permitted fee for copies where applicable.

Office for Civil Rights

You have the right to request an amendment.

U.S. Department of Health & Human Services

If you believe information we maintain about you is incorrect or incomplete, you may ask us to amend the information.

You may submit a complaint to:

We may deny a request in certain circumstances permitted by law. If we deny your request, we will provide information about your rights concerning the denial.

File a Complaint With the U.S. Department of Health & Human Services

You have the right to request restrictions.

Website: https://www.elevatemedcenter.com/

You may ask us to restrict the way we use or disclose your health information for treatment, payment, or healthcare operations.

Email: elevatemedicalcenter@outlook.com

We are not required to agree to every restriction request.

Phone: 206-829-0290

If you pay for a service completely out of pocket and request that we not disclose information about that service to your health plan for payment or healthcare operations purposes, we will honor the request when required by applicable law, unless another legal exception applies.

Kent, WA 98042

You have the right to request confidential communications.

13210 SE 240th St, Suite C1

You may ask us to communicate with you about your health information through a particular method or at a particular location.

Elevate Medical Center

For example, you may request that we contact you by telephone rather than by mail or send communications to a different address.

Contact Elevate Medical Center

We will consider reasonable requests.

You will not be retaliated against for filing a complaint.

You have the right to receive an accounting of certain disclosures.

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

You may request a list of certain disclosures of your health information made by us during the applicable period before your request.

If you believe your privacy rights have been violated, you may contact Elevate Medical Center.

Certain disclosures are excluded from accounting as permitted by law.

If You Have a Privacy Concern

You have the right to receive a copy of this Notice.

If we make a material change to our privacy practices, we will revise the Notice and make the revised Notice available as required by HIPAA.

You may request a paper copy of this Notice at any time.

We reserve the right to change our privacy practices and this Notice when permitted or required by law.

You may also access the current Notice on our website.

  • Maintain the privacy of your PHI
  • Provide you with this Notice describing our legal duties and privacy practices
  • Follow the terms of the Notice currently in effect
  • Notify affected individuals as required by law following a breach of unsecured PHI
  • Provide you with information about how to exercise your privacy rights

You have the right to file a complaint.

Elevate Medical Center is required by law to:

If you believe your privacy rights have been violated, you may complain to Elevate Medical Center or to the U.S. Department of Health and Human Services, Office for Civil Rights.

Our Responsibilities

You will not be retaliated against for filing a privacy complaint.

Where Washington law provides a greater protection than federal law and applies to the information or disclosure at issue, we will follow the applicable legal requirement.

How We May Use and Disclose Your Health Information

Elevate Medical Center will handle health-care information in accordance with applicable federal and Washington requirements.

The following sections describe common ways we may use or disclose your PHI.

In addition to federal HIPAA protections, Washington law provides protections concerning health-care information.

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Washington Privacy Protections

Treatment

The applicable federal requirements will govern where Part 2 protections apply.

We may use or disclose your health information to provide, coordinate, or manage your healthcare.

Certain uses and disclosures of Part 2 records may require written consent or may be subject to additional restrictions beyond the general HIPAA rules.

For example, your provider may use your medical history, medications, laboratory information, or treatment records when evaluating your health or determining an appropriate treatment plan.

Where applicable, Elevate Medical Center will handle such records in accordance with the requirements that apply to those records.

We may also disclose relevant information to another healthcare professional involved in your care when permitted by law.

Certain records relating to substance use disorder treatment may receive additional federal protection under 42 U.S.C. § 290dd-2 and 42 CFR Part 2.

Substance Use Disorder Records

Payment

Psychotherapy notes receive additional protections under federal law.

We may use or disclose your health information to obtain payment for services we provide.

If Elevate Medical Center creates or maintains psychotherapy notes, certain uses and disclosures of those notes may require your written authorization under HIPAA.

For example, we may provide information to an insurance company or other payer when necessary to process a claim, verify coverage, or obtain payment.

Psychotherapy Notes

Any required authorization for a sale of PHI will identify the applicable remuneration as required by law.

Healthcare Operations

We will not sell your PHI without your written authorization when HIPAA requires such authorization.

We may use or disclose PHI for healthcare operations permitted by HIPAA.

Sale of Protected Health Information

Healthcare operations may include activities such as:

Your authorization is not required for communications that qualify as treatment or healthcare operations communications under applicable law.

  • Quality assessment
  • Staff training
  • Compliance activities
  • Auditing
  • Practice administration
  • Business planning
  • Patient safety activities
  • Reviewing the performance of healthcare professionals

Where HIPAA requires authorization for a marketing communication, we will obtain the required authorization before making the communication.

For example, we may review medical records as part of internal quality and compliance activities.

We may communicate with you about certain products, services, treatment alternatives, or health-related services as permitted by HIPAA.

Appointment Reminders and Communications

Marketing

We may use your health information to contact you about appointments, treatment, follow-up care, or other healthcare-related communications.

A separate authorization may be required for particular uses or disclosures.

We may contact you by telephone, voicemail, email, text message, mail, or other communication method that you have provided, subject to applicable requirements and your communication preferences.

If you provide an authorization, you may generally revoke it in writing at any time, except to the extent we have already relied on the authorization.

For example, we may send an appointment reminder by text message.

  • Marketing communications
  • Disclosures of psychotherapy notes, when applicable
  • Other uses or disclosures requiring authorization under HIPAA

Treatment Alternatives and Health-Related Services

Examples may include certain:

We may use or disclose PHI to tell you about treatment alternatives or health-related services that may be of interest to you, as permitted by HIPAA.

Generally, we will obtain your authorization before using or disclosing your PHI for purposes not otherwise permitted by HIPAA.

Business Associates

Certain uses and disclosures of PHI require your written authorization.

We may disclose PHI to third-party service providers that perform services for us involving PHI.

Uses and Disclosures Requiring Your Authorization

These organizations are known as business associates when HIPAA requires that relationship.

We may use or disclose PHI for research purposes when permitted by applicable law and required privacy protections are in place.

Examples may include vendors supporting:

Research

  • Electronic health records
  • Practice management
  • Appointment scheduling
  • Billing
  • Payment processing
  • Information technology
  • Secure data storage
  • Other healthcare operations

We may use or disclose PHI for organ, eye, or tissue donation and transplantation purposes when permitted by law.

When required by HIPAA, we require business associates to appropriately safeguard PHI.

Organ, Eye, or Tissue Donation

Other Permitted or Required Uses and Disclosures

We may disclose PHI to coroners or medical examiners as permitted by law.

HIPAA permits or requires certain other uses and disclosures of PHI without obtaining a separate authorization.

Coroners and Medical Examiners

These may include:

We may disclose PHI as authorized or required by workers' compensation laws.

As Required by Law

Workers' Compensation

We may use or disclose PHI when required by federal, state, or local law.

We may use or disclose PHI when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, consistent with applicable law.

Public Health Activities

Serious Threats to Health or Safety

We may disclose PHI for certain public health activities permitted by law, such as reporting certain diseases or conditions to public health authorities.

We may disclose PHI to law enforcement officials when permitted or required by applicable law.

Health Oversight

Law Enforcement

We may disclose PHI to authorized government agencies conducting activities such as audits, investigations, inspections, or other legally authorized oversight.

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

Judicial and Administrative Proceedings

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