HIPAA Privacy Notice

Effective Date: June 2026

At Punjabi Medical Clinic, we are committed to protecting your privacy and the confidentiality of your health information. This Notice describes how we may use and disclose your Protected Health Information (PHI), your rights regarding that information, and our responsibilities under the Health Insurance Portability and Accountability Act (HIPAA).

1. Our Commitment to Your Privacy

We create and maintain records of your health information to provide high‑quality care. We are required by law to:

• Maintain the privacy and security of your PHI

• Provide you with this Notice of our legal duties and privacy practices

• Notify you if a breach occurs that may have compromised your information

• Follow the terms of this Notice

2. How We May Use and Disclose Your Health Information

We may use or share your PHI for the following purposes without your written authorization:

• Treatment: To provide, coordinate, or manage your medical care.

  • Examples: sharing information with specialists, pharmacies, labs, or other providers involved in your care.

• Payment: To bill and receive payment from you, your insurance company, or a third party.

  • Examples: verifying insurance benefits, submitting claims, obtaining prior authorizations.

• Healthcare Operations: To support daily operations that ensure quality care.

  • Examples: quality assessments, staff training, accreditation, auditing, compliance activities.

3. Other Uses and Disclosures Allowed by Law

We may also use or disclose your PHI in the following situations:

• Public health activities (disease reporting, preventing or controlling disease)

• Reporting abuse, neglect, or domestic violence

• Health oversight activities (audits, inspections, investigations)

• Legal proceedings (court orders, subpoenas)

• Law enforcement purposes

• Coroners, medical examiners, and funeral directors

• Organ and tissue donation

• Research (with required approvals and safeguards)

• To avert a serious threat to health or safety

• Specialized government functions (military, national security)

• Workers’ compensation claims

Texas law may provide additional protections, and when state law is more protective, we follow state law.

4. Uses and Disclosures Requiring Your Written Authorization

We will not use or disclose your PHI for the following without your explicit written permission:

• Marketing communications

• Sale of PHI

• Most uses of psychotherapy notes

• Any other use or disclosure not described in this Notice

You may revoke your authorization at any time in writing.

5. Your Rights Regarding Your Health Information

You have the right to:

• Access Your Records: Request to view or obtain a copy of your medical record and billing information.

• Request Corrections: Ask us to correct information you believe is inaccurate or incomplete.

• Request Restrictions: Ask us to limit how we use or disclose your PHI. (We are not required to agree, except for certain disclosures to health plans when you pay in full out‑of‑pocket.)

• Request Confidential Communications: Ask us to contact you in a specific way (e.g., at a different phone number or address).

• Receive an Accounting of Disclosures: Request a list of certain disclosures we have made of your PHI.

• Receive a Paper Copy of This Notice: You may request a paper copy at any time, even if you agreed to receive it electronically.

6. Our Responsibilities

Punjabi Medical Clinic is required to:

• Maintain the privacy and security of your PHI

• Notify you promptly if a breach occurs

• Follow the terms of this Notice

• Provide updates if our privacy practices change

We will never sell your information or share it for marketing purposes without your written authorization.

7. Changes to This Notice

We may update this Notice at any time. The revised Notice will be posted on our website and available in our office.

8. Questions or Complaints

If you have questions about this Notice or believe your privacy rights have been violated, you may contact:

Punjabi Medical Clinic — Privacy Officer  

Phone: (512) 346-8652

Address: 11615 Angus Rd, Suite 118, Austin, TX 78759

Email: info@myaustindoc.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to: 200 Independence Avenue S., Washington, D.C. 20201. Or by calling: 1-877-696-6775. Or online at: www.hhs.gov/ocr/privacy/hipaa/complaints/. If your provider is licensed in Texas, you can also file a complaint with the Texas Department of State Health Services Investigations: P.O. Box 141369, Austin, Texas 78714-1369. More information is at: https://dshs.texas.gov/hipaa/privacycomplaints.shtm. We may not retaliate against you for filing a complaint.