Notice of Privacy Practices

Joy Integrative Psychiatry LLC (“we”) is required by law to keep your health information private, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

Your rights

You have the right to:

• Get a copy of your health record. You can ask to see or get an electronic or paper copy of your record. We'll provide a copy or a summary, usually within 30 days, and may charge a reasonable, cost-based fee.
• Ask us to correct your record. You can ask us to correct health information you think is incorrect or incomplete. We may say no, and we'll tell you why in writing within 60 days.
• Request confidential communications. You can ask us to contact you in a specific way (for example, a certain phone number) or to send mail to a different address. We'll say yes to all reasonable requests.
• Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment, payment or our operations. We aren't required to agree, and may say no if it would affect your care. If you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer, and we'll say yes unless a law requires us to share it.
• Get a list of those with whom we've shared information. You can ask for a list (an accounting) of the times we've shared your health information in the six years before your request, who we shared it with and why. This doesn't include disclosures for treatment, payment, health care operations and certain others, such as those you asked us to make.
• Get a copy of this notice. You can ask for a paper copy at any time, even if you agreed to receive it electronically.
• Choose someone to act for you. If someone is your legal guardian or has medical power of attorney, that person can exercise your rights and make choices about your health information. For patients under 18, a parent or legal guardian generally acts for the patient, with exceptions under Arizona law.
• File a complaint if you feel your rights were violated. You can complain to us using the contact information below. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue SW, Washington, DC 20201, by calling 1-877-696-6775, or at hhs.gov/hipaa/filing-a-complaint. We will not retaliate against you for filing a complaint.

Your choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference, tell us and we'll follow your instructions.

• You can choose whether we share information with your family, close friends or others involved in your care, or share information in a disaster relief situation. If you can't tell us your preference (for example, if you're unconscious), we may share information if we believe it's in your best interest, or when needed to lessen a serious and imminent threat to health or safety.
• We never do these without your written permission: use or share your information for marketing, sell your information, or share most psychotherapy notes.
• Fundraising: we don't use your information for fundraising.

How we typically use and share your health information

• To treat you. We use your health information and share it with other professionals who are treating you. Example: with your consent, coordinating your care with your therapist, pediatrician or primary care clinician, or sending a prescription to your pharmacy.
• To run our practice. We use and share your information to run the practice, improve your care and contact you when necessary. Example: appointment reminders and quality review.
• To bill for your services. We use and share your information to bill and get payment from health plans or others. Example: sending information about your visit to your health insurance plan so it will pay for your services.

We work with service providers (“business associates”), such as our electronic health record, telehealth, e-prescribing, billing and phone vendors. They may handle your health information only under written agreements that require them to protect it.

Other ways we may use or share your information

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good. We have to meet many conditions in the law before we can share your information for these purposes:

• Public health and safety: preventing disease, reporting adverse reactions to medications, reporting suspected abuse, neglect or domestic violence, and preventing or reducing a serious threat to anyone's health or safety.
• Prescription monitoring: checking and reporting to the Arizona Controlled Substances Prescription Monitoring Program as required by Arizona law.
• Complying with the law: when state or federal laws require it, including to the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.
• Health oversight: to agencies for activities authorized by law, such as licensing boards and audits.
• Legal actions: in response to a court or administrative order, or in response to a subpoena when the law's requirements are met.
• Law enforcement and government functions: for law enforcement purposes in limited circumstances, for workers' compensation claims, and for special government functions such as military and national security activities.
• Medical examiners and organ donation: with a coroner, medical examiner or funeral director when an individual dies, and with organ procurement organizations.
• Research: only as permitted by law, such as with your authorization or with approval from a review board.

Extra protections for certain information

• Mental health records: Arizona law gives behavioral health records additional confidentiality protections. When Arizona law is more protective of your privacy than HIPAA, we follow Arizona law.
• Psychotherapy notes: notes kept separately from your medical record that document or analyze a counseling session generally require your written authorization before we share them.
• Substance use disorder treatment records: if we receive records about you from a federally assisted substance use disorder program (covered by 42 CFR Part 2), we will not use or share those records in civil, criminal, administrative or legislative proceedings against you unless you give written consent or a court orders it after notice and an opportunity to be heard.
• Reproductive health and other sensitive information: we share this only as permitted or required by law.

For any use or sharing not described in this notice, we'll ask for your written permission first. If you give permission, you may change your mind at any time by telling us in writing.

Telehealth, phone, email and text messages

• Visits and patient portal messages take place on a secure, HIPAA-compliant platform.
• Calls to our office line are protected. Regular email and text messages are not fully secure. We use texts only for scheduling and logistics, and we ask you not to send health details by email or text. If you choose to, you accept that risk.
• This website doesn't collect health information. See our website privacy policy.

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing.

Changes to this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, in the patient portal and on this page.

Contact our Privacy Officer

Erika Joy Puruleski, MSN, APRN, PMHNP-BC, Privacy Officer
Joy Integrative Psychiatry LLC
Phone: 480-685-4569
Email: [email protected]

This notice applies to Joy Integrative Psychiatry LLC. Effective October 2, 2026.