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.

Our Commitment to Your Privacy

Perspective Health is committed to protecting the privacy of your health information. This Notice of Privacy Practices describes how we may use and share your Protected Health Information (PHI) and your rights regarding that information. We are required by law to maintain the privacy of your PHI, provide you with this Notice, and abide by the terms described herein.

How We May Use and Disclose Your Health Information

Uses and Disclosures for Treatment, Payment, and Operations

We may use and disclose your health information for the following purposes without your written authorization:

• Treatment: To provide, coordinate, or manage your healthcare and related services, including sharing information with other providers involved in your care.
• Payment: To obtain payment for services rendered, including submitting claims to your insurance company or other payer.
• Healthcare Operations: For internal business functions including quality assessment, staff training, accreditation, and administrative activities.

Other Permitted Uses and Disclosures (No Authorization Required)

• As required by federal, state, or local law
• Public health activities (e.g., reporting communicable diseases to public health authorities)
• Health oversight activities by government agencies
• Judicial and administrative proceedings, when required by a court order or subpoena
• Law enforcement purposes, as permitted or required by law
• Coroners, medical examiners, and funeral directors
• Organ, eye, or tissue donation organizations
• Research purposes, subject to applicable legal requirements
• To avert a serious threat to health or safety
• Workers’ compensation, as authorized by and to the extent necessary for workers’ compensation laws
• Military and veterans’ activities, national security, and intelligence activities

Uses and Disclosures Requiring Your Written Authorization

The following uses and disclosures require your written authorization, which you may revoke at any time in writing:

• Psychotherapy notes (unless otherwise permitted by law)
• Marketing communications
• Sale of your health information
• Most uses and disclosures of your PHI not covered by this Notice

Your Rights Regarding Your Health Information

Right to Access Your Records

You have the right to inspect and obtain a copy of your health information. Requests must be made in writing. We may charge a reasonable fee for copies. We may deny access in certain limited circumstances; if so, you may request a review of the denial.

Right to Request an Amendment

You may request that we amend health information we maintain about you if you believe it is inaccurate or incomplete. We may deny the request under certain conditions and will notify you of the reason in writing.

Right to an Accounting of Disclosures

You may request a list of disclosures we have made of your PHI for purposes other than treatment, payment, healthcare operations, and certain other exceptions, for up to six years prior to the date of your request.

Right to Request Restrictions

You may request restrictions on how we use or disclose your PHI. We are not required to agree to your request, except: we must agree to a restriction on disclosures to a health plan for services you (or someone on your behalf) paid for in full out-of-pocket.

Right to Request Confidential Communications

You may request that we communicate with you about your health information in a specific way or at a specific location (e.g., only at home or only by mail). We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

Right to Notification of a Breach

We are required to notify you in the event of a breach of your unsecured PHI, as required by the HITECH Act and applicable regulations.

Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.

• Contact our Privacy Officer: privacy@perspectivehealthiowa.com
• HHS Office for Civil Rights: www.hhs.gov/ocr or 1-800-368-1019

Changes to This Notice

Perspective Health reserves the right to change the terms of this Notice and to make the new notice provisions effective for all PHI we maintain. We will post the revised Notice in our facility and on our website. You may request a copy of the current Notice at any time.

Contact Information

Privacy Officer
Perspective Health Iowa
8860 Northpark Dr, Suite 200
Urbandale, IA 50131
515-724-0377
info@perspectivehealthiowa.com

HHS Office for Civil Rights
200 Independence Ave., S.W.
Washington, D.C. 20201
Phone: 1-800-368-1019
Website: www.hhs.gov/ocr

This Notice is effective January 1, 2026, and supersedes all prior notices.