Notice of Privacy Practices
Mulberry Acupuncture & Herbal Medicine
Address: 3355 Bee Caves Road, Suite 501, Austin, TX 78746
Phone: 512-910-5170
Effective Date: March 27, 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.
1. Our Commitment to Your Privacy
Mulberry Acupuncture & Herbal Medicine is required by law to maintain the privacy of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices. PHI includes information about your physical or mental health, the health care services you receive, and payment for those services. We are required to follow the terms of this Notice currently in effect.
2. How We May Use and Disclose Your PHI Without Your Authorization
We may use and disclose your PHI without your authorization for the following purposes:
Use/Disclosure Category
Description
Treatment
We use and disclose your PHI to provide, coordinate, and manage your health care. Example: Sharing records with another health care provider (e.g., your primary care physician) if we consult with them regarding your care.
Payment
We use and disclose your PHI to obtain payment for the treatment and services we provide. Example: Sending your demographic and treatment codes to an insurance company or third-party payer to get paid for services rendered.
Healthcare Operations
We use and disclose your PHI for administrative and business activities that are necessary to run the practice and ensure quality care. Example: Using your records for internal quality assurance reviews, training new staff, or business planning.
Required by Law
We disclose PHI when required to do so by federal, state, or local law. Example: Responding to a court order, warrant, or summons.
Public Health Activities
We may disclose PHI to public health authorities for preventing or controlling disease, injury, or disability. Example: Reporting a communicable disease as required by the Texas Department of State Health Services.
Health Oversight
We may disclose PHI to health oversight agencies for activities such as audits, investigations, and inspections. Example: Disclosing information to the Texas State Board of Acupuncture Examiners.
3. Uses and Disclosures Requiring Your Written Authorization
We must obtain your written authorization for the following uses and disclosures:
Marketing: We must obtain your written authorization prior to using or disclosing your PHI for marketing purposes, except for face-to-face communications or promotional gifts of nominal value.
Sale of PHI: We must obtain your written authorization before selling your PHI.
Most Psychotherapy Notes: If applicable, we must obtain authorization for the use and disclosure of psychotherapy notes.
Other Uses Not Described: Any use or disclosure of PHI that is not described in this Notice requires your written authorization. You may revoke this authorization at any time, in writing, except to the extent that we have already acted in reliance upon it.
4. Your Individual Privacy Rights
You have the following rights regarding the PHI we maintain about you:
Your Right
Description
Right to Access (Inspect & Copy)
You have the right to inspect and obtain a copy of your PHI that is contained in a designated record set (with some exceptions). We may charge a reasonable fee for copying costs.
Right to Amend
If you feel that PHI we have about you is incorrect or incomplete, you may ask us to amend the information. We may deny your request, but we will notify you in writing of the reason for the denial.
Right to an Accounting of Disclosures
You have the right to request a list of disclosures of your PHI we have made for purposes other than Treatment, Payment, or Healthcare Operations, and disclosures made with your authorization.
Right to Request Restrictions
You have the right to request a restriction or limitation on the PHI we use or disclose for Treatment, Payment, or Healthcare Operations. We are not required to agree to your request, except in the case where the disclosure is to a health plan, and the item or service has been paid for out-of-pocket in full.
Right to Confidential Communications
You have the right to request that we communicate with you about health matters in a certain way or at a certain location. Example: Requesting appointment reminders be sent to your work email rather than your home address.
Right to Be Notified of a Breach
You have the right to be notified following a breach of your unsecured PHI.
Right to a Paper Copy of this Notice
You have the right to receive a paper copy of this Notice, even if you have previously agreed to receive it electronically.
5. Our Duties
We are required by law to:
Provide you with this Notice of our privacy practices.
Maintain the privacy and security of your PHI.
Abide by the terms of the Notice currently in effect.
Notify you if we are unable to agree to a requested restriction.
6. Changes to This Notice
We reserve the right to change this Notice at any time. We reserve the right to make the revised Notice effective for all PHI we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in our office and on our website at all times.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services.
To file a complaint with Mulberry Acupuncture & Herbal Medicine:
Contact: Tarissa Day
Address: 3355 Bee Caves Road, Suite 510, Austin, TX 78746
Phone: 512-910-5170
We will not retaliate against you for filing a complaint.