Notice of Privacy Practices
Effective date: November 2026This 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.
This notice applies to Patient First Medical Group, PA at 7151 Colleyville Blvd, Suite 103, Colleyville, TX 76034.
Our responsibilities
We must protect the privacy and security of your protected health information, follow the duties and privacy practices described in this notice, and provide you with a copy. We will notify you as required by law if a breach affects your unsecured protected health information.
We will not use or disclose your information for purposes outside this notice unless the law permits or requires it or you provide a valid authorization. You may revoke an authorization in writing, except to the extent we have already acted in reliance on it.
Your rights
Access your records. You may ask to inspect or receive an electronic or paper copy of medical and billing information we maintain about you, subject to applicable exceptions. Contact our privacy representative to make a request. We generally respond within 30 days, or sooner when applicable law requires. Any permitted extension will be explained in writing. Only fees allowed by law may apply.
Request a correction. You may ask us to amend information you believe is incorrect or incomplete. We generally respond within 60 days, subject to a legally permitted extension. If we deny the request, we will explain the reason and your available rights in writing.
Request confidential communications. You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests.
Request restrictions. You may ask us to limit certain uses or disclosures for treatment, payment, or healthcare operations. We generally do not have to agree, but will follow restrictions we accept, subject to applicable exceptions. If you pay for a service in full out of pocket, you may ask us not to disclose information about that service to your health plan for payment or healthcare operations. We must honor that request unless disclosure is required by law.
Request an accounting. You may request a list of certain disclosures made during the preceding six years. The list does not include every disclosure; treatment, payment, healthcare operations, and other legally excluded disclosures generally are not included. One accounting in a 12-month period is free. We will tell you about any permitted charge for additional requests before proceeding.
Receive this notice. You may request a paper copy even if you previously agreed to an electronic copy.
Use a personal representative. A person with legally recognized authority may exercise rights on your behalf, subject to applicable law. We will verify that authority before granting access or acting on a request.
Raise a concern. You may contact our privacy representative or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for making a complaint.
How we use and disclose information
Treatment. We may use and share information to provide and coordinate your care. For example, we may send relevant records to a specialist involved in your treatment.
Payment. We may use and disclose information to bill for services and obtain payment. For example, a claim to your insurer may include the services provided and supporting diagnoses.
Healthcare operations. We may use and disclose information to operate the practice, review quality, coordinate services, and conduct other permitted administrative activities. Vendors handling protected health information on our behalf must meet applicable legal and contractual requirements.
People involved in your care. When permitted, we may share relevant information with a family member, friend, or other person involved in your care or payment. You may tell us your preferences or object. If you cannot express a preference, we may use professional judgment to make a legally permitted disclosure in your best interests. Similar rules may apply to disaster relief disclosures.
Other permitted or required disclosures. Subject to applicable legal conditions, information may be used or disclosed for public health reporting; product safety; reporting abuse, neglect, or domestic violence; reducing a serious and imminent threat; approved research; health oversight; workers' compensation; organ and tissue donation; coroners, medical examiners, or funeral directors; certain law enforcement or special government functions; and legal proceedings. We may also disclose information when law requires, including to HHS for privacy oversight. A request or subpoena alone does not authorize every disclosure; applicable conditions and restrictions must be satisfied.
Uses that need authorization
Uses and disclosures not otherwise permitted or required by law need your written authorization. This generally includes uses of protected health information for marketing, disclosures that constitute a sale of protected health information, and most uses or disclosures of psychotherapy notes. Exceptions are governed by applicable law.
Substance use disorder records
If we maintain substance use disorder records protected by 42 CFR Part 2, additional restrictions apply. Those records may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or a qualifying court order and subpoena, as required by law. Any permitted use or disclosure must satisfy the applicable Part 2 requirements.
Texas protections and electronic disclosures
Your protected health information may be disclosed electronically, subject to applicable federal and Texas law. Texas law requires authorization for certain electronic disclosures, with exceptions that include specified treatment, payment, healthcare operations, and other disclosures authorized or required by law.
Changes to this notice
We may revise this notice and make the revised terms apply to information we already maintain as well as information received later, as permitted by law. The current notice will be available in our office, on our website, and upon request.
Questions and complaints
Practice: Patient First Medical Group, PA. Address: 7151 Colleyville Blvd, Suite 103, Colleyville, TX 76034. Telephone: (817) 416-1931
You may also file a complaint with the HHS Office for Civil Rights. You do not need to complain to the practice before contacting HHS.