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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 REVIEW IT CAREFULLY.

If you have any questions about this notice, please contact the Privacy Officer at the phone number listed at the end of this Notice.

The federal Health Insurance Portability and Accountability Act (HIPAA) of 1996 contains provisions that give you greater access to your health information. This includes your medical record, your billing and insurance records, and any other information the hospital might collect to provide healthcare services to you or to receive payment for the healthcare services rendered. HIPAA requires we provide you with this Notice and that we follow its terms and the commitments we make in it.

Unless it is specifically provided for by HIPAA, we may not use or disclose your health information without your written authorization. You may revoke your authorization at any time.

This Notice outlines the ways in which our organization may use your medical information and disclose your medical information to others outside the organization. The law requires the organization to:

Ensure that medical information that identifies you is kept private;
Inform you of our legal duties and privacy practices with respect to your medical information;
Follow the terms of the Notice that is currently in effect; and
Notify you if your medical information is affected by a breach.

Special Notice Regarding Substance Use Disorder Records (42 CFR Part 2)

Some medical records we maintain are protected by federal confidentiality law (42 CFR Part 2). These records relate to substance use disorder (SUD) diagnosis, treatment, or referral for treatment. Federal law prohibits the unauthorized use or disclosure of these records. Disclosure generally requires your written consent, except in limited circumstances permitted by law. Violations of this law may result in civil or criminal penalties.

Who Will Follow This Notice: This Notice applies to all locations, departments, workforce members, medical staff members, volunteers, trainees, students, contractors, and business associates of the organization:

All employees, contractors, volunteers, and other agents (“authorized personnel”) of the organization.
Health care professionals authorized to enter information onto you medical records at the organization.
Members of the organization’s medical staff and their authorized personnel.
Health care providers who share an electronic medical record with the organization may also use this Notice (although they may have their own, which they will follow).

How the Organization May Use and Disclose Your Medical Information: We may use your medical information or share it with others for the following purposes:

Treatment – Your medical information may be used to provide you with medical treatment or services. This medical information may be disclosed to doctors, interns, nurses, technicians, volunteers, students, and others involved in your care at the organization. We may also share your medical information with health care providers and their staff outside to share information about treatment options, other health-related benefits, organization. We may also use your medical information to contact you to provide appointment reminders or to give you information about treatment options or other health-related benefits and services that may interest you.
Payment – Your medical information may be used and disclosed so that the treatment and services received at the Organization may be billed and payment may be collected from you, your insurance company and/or a third party. Please note, we will comply with your request not to disclose your health information to your insurance company if the information relates solely to a healthcare item or service for which you have paid out of pocket and in full to us.
Healthcare Operations – The Organization will use and disclose your health information within our own organization so that the Organization runs efficiently and complies with the state and federal laws. For example, your medical information may be reviewed to evaluate the treatment and services performed by our staff in caring for you. We may also disclose your health information to our accreditation and patient satisfaction surveyors to help us evaluate the quality of care we provide.
Participation in Health Information Exchanges – We may participate in one or more health information exchanges (HIEs) and may electronically share your health information for treatment, payment, and permitted healthcare operation purposes with other participants in the HIE, including entities that may not be listed under “Who Will Follow This Notice” on the first page of this Notice. You may be asked to “opt-in” in order to share your information with HIEs, or you may be provided the opportunity to “opt-out” of HIE participation. HIEs allow your health care providers to efficiently access your medical information that is necessary for treating you and other lawful purposes. We will not share your information with an HIE unless the HIE is subject to HIPAA privacy and security requirements.
As required by law – Your medical information will be disclosed when we are required to do so by federal, state, or local authorities, laws, rules and/or regulations.
For Health Oversight activities – The Organization may disclose your health information to a health oversight agency for activities authorized by law.
Lawsuits and Disputes – The Organization will respond to a valid subpoena or court order for records when such records are necessary to a lawsuit. Records protected under 42 CFR Part 2 will not be used or disclosed in any civil, criminal, administrative, or legislative proceeding without your specific written consent or a court order that meets federal requirements.
Law Enforcement – We may release your health information if asked to do so by law enforcement officials, so long as: 1) the information sought is relevant and material to a legitimate law enforcement inquiry, 2) the request for your information is specific and limited in scope, and 3) the request comes in the form of a warrant, subpoena, or summons issued by a court. Part 2-protected records will not be disclosed to law enforcement without your consent or a qualified federal court order, except as otherwise permitted by law.
Coroners, Medical Examiners, and Funeral Directors –Health information may be released to a coroner, medical examiner, or funeral director. This may be necessary, for example, to identify a deceased person or to determine the cause of death.
Organ and Tissue Donation – If you are an organ or tissue donor, we may disclose your medical information to organizations that handle organ and tissue procurement, banking, or transplantation.
For research purposes – Under certain circumstances we may use and disclose your health information for research purposes. However, we will only disclose information that can be used to identify you when the research that is being conducted could not be conducted without the identifying information.
To avert a serious threat to health or safety – Our organization may use and disclose your medical information when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public. Under these circumstances, we will only make disclosures to a person or organization able to help prevent the threat.
For specialized government functions – We may disclose medical information of military personnel and veterans in certain situations.
Workers’ Compensation – Our organization may release your health information to comply with laws relating to workers’ compensation and similar programs.
Text Messaging Communications – We may use your mobile number to send you text messages (SMS or RCS) for such purposes as appointment reminders, billing notifications, care coordination, and other healthcare-related communications. Your mobile number will not be sold or shared with third parties or affiliates for marketing or promotional purposes. We will not use your contact information for unrelated marketing without your express written consent.
Fundraising Activities – We may use and disclose your health information (limited to name, address and other contact information, age, gender, insurance status, dates of service, whether you were an inpatient, emergency department, out-patient, or clinic patient, general department of service, general outcome information, and treating physician) for fundraising activities, such as raising money for the Hospital to help finance the Hospital’s activities. If we do contact you for fundraising activities, we will give you the opportunity to opt-out, or stop, receiving such communications in the future. If you would prefer not to be contacted by the Hospital for fundraising purposes, please call 830-258-7411 or email foundation@petersonhealth.com. Your health information may also be used by or disclosed to a business associate of the Hospital. The business associate is prohibited from using health information for any purpose other than performing fundraising duties on behalf of the Hospital.
Authorizations: Other than the uses and disclosures described above, we will not use or disclose medical information about you without an authorization that is signed by you or, if you are unable to sign, by your personal representative. Before we disclose your health information, we will ask you to sign an authorization form that gives us permission to do so. You may later revoke (or cancel) your authorization in writing (except in very limited circumstances related to obtaining insurance coverage). If you would like to revoke your authorization, you may do so in writing and address to the Privacy Officer.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

Under HIPAA, you have several specific rights regarding your health information.

Right to Request Access to Your Medical Information – With certain exceptions, you have the right to see and get a copy of your medical information that may be used to make decisions about your care. To see or to get a copy of your medical information, you must submit a written request. If you request a paper copy of your information, we may charge a fee for the cost of copying, mailing or other supplies associated with your request. There is no fee to see your medical information.
Right to Request Restrictions – You have the right to request that we change the way we use or disclose your medical information for treatment, payment, or health care operations. To request restrictions, you must make your request in writing. In your request, you must tell us: 1) What information you want to limit; 2) Whether you want to limit our use, disclosure or both; 3) To whom you want the limits to apply, for example, disclosures to your spouse. We are not required to agree to your request, except that we will not share your medical information with your health insurance company if you pay for the entire amount due for the services you receive (unless we are required by law to share the information with your health insurance company).
Right to Receive Confidential Communications – You have the right to request the manner in which, and where we communicate with you regarding your health information. For instance, you may ask that we contact you by mail rather than by telephone, or at home rather than at work. In order to receive a confidential communication or have information sent to a different location, you must provide the information at the time of registration or make your request in writing. In your request, you must specify the requested method of contact and/or the location as appropriate. The Organization will accommodate all reasonable requests.
Right to Request Amendment –If you feel that the medical information, we have about you is incorrect or incomplete, you may ask us to amend the information. To request an amendment, you must submit a written request. Please be specific about the information that you believe is incorrect or incomplete.
Right to Receive an Accounting of Disclosures – You have the right to request an accounting of the disclosures the Organization makes of your health information. This accounting will not include any disclosures that the Organization makes for treatment, payment or healthcare operations. Your request for an accounting of disclosures must be submitted in writing. The first accounting of disclosures list you request in a twelve (12) month period will be provided free of charge. There will be a charge for any additional accountings of disclosures.
Right to be Notified of a Breach – We will notify you if we discover a breach of your unsecured protected health information.
Right to Obtain a Paper Copy of this Notice – You have the right to a paper copy of this notice. You may ask us to give you a copy at any time.
Right to File a Complaint – You will not be penalized for filing a complaint. If you believe your privacy rights have been violated, you may file a complaint with the Organization by submitting your written complaint to the Privacy Officer.

Contact information for the Peterson Health Privacy Officer: 830-258-7194

Confidential HIPAA Hotline: 833-444-7802

Effective Date: June 16, 2026