NOTICE OF PRIVACY PRACTICES

Roohani Brain and Wellness LLC
Effective Date: January 1, 2026

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.

OUR COMMITMENT TO YOUR PRIVACY

Roohani Brain and Wellness LLC (“we,” “us,” or “our”) is committed to protecting the privacy and security of your protected health information (“PHI”). PHI is information about you that may be used to identify you and that relates to your past, present, or future physical or mental health condition, the provision of health care to you, or payment for that care.

We are required by law to:

  • Maintain the privacy of your PHI

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

  • Follow the terms of this Notice currently in effect

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

1. Treatment

We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This may include consultations, care coordination, referrals, and communications with other health care providers involved in your care (with your authorization when required).

2. Payment

We may use and disclose your PHI for payment-related purposes. Roohani Brain and Wellness LLC operates primarily on a private-pay basis; however, disclosures may occur for billing, payment processing, or administrative purposes.

3. Health Care Operations

We may use and disclose PHI for our operational activities, including quality assessment, care coordination, business management, and internal administrative purposes.

4. Appointment Reminders and Communication

We may contact you to remind you of appointments, follow up on care, or provide information related to services you have received. Communication may occur via phone, email, text message, or patient portal, based on your preferences.

5. As Required by Law

We may disclose your PHI when required to do so by federal, state, or local law.

6. Public Health and Safety

We may disclose PHI to prevent or lessen a serious threat to health or safety, or for public health activities as permitted by law.

7. Business Associates

We may share your PHI with trusted third-party vendors (“Business Associates”) who perform services on our behalf (such as billing, IT, or telehealth platforms), provided they agree to protect your information.

USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

We will obtain your written authorization before using or disclosing your PHI for purposes not described in this Notice, including:

  • Marketing communications

  • Sale of PHI

  • Certain disclosures of psychotherapy notes (if applicable)

You may revoke your authorization at any time in writing, except to the extent we have already relied on it.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

  • Access and Obtain Copies of your medical records (with limited exceptions)

  • Request Corrections to your health information

  • Request Restrictions on certain uses or disclosures

  • Request Confidential Communications

  • Receive an Accounting of Disclosures

  • Receive a Paper Copy of this Notice at any time

  • File a Complaint without fear of retaliation

OUR RESPONSIBILITIES

We are required by law to maintain the privacy and security of your PHI. In the event of a breach of unsecured PHI, we will notify you as required by law.

We reserve the right to change this Notice and make the revised Notice effective for all PHI we maintain. Updated Notices will be available upon request and on our website, if applicable.

CONTACT INFORMATION

Privacy Officer
Roohani Brain and Wellness LLC
Phone:(763)-360-1441
Email: roohanibrainwellness@gmail.com