Zen with Zur, PLLC
Notice of Privacy Practices
Effective Date: December 22, 2025
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Legal Duties
Zen with Zur, PLLC is required by law to:
Maintain the privacy of your Protected Health Information (“PHI”)
Provide you with this Notice of Privacy Practices
Notify you following a breach of unsecured PHI
Follow the terms of this Notice currently in effect
Protected Health Information (PHI) is individually identifiable health information that relates to your past, present, or future physical or mental health or condition, the provision of healthcare to you, or payment for healthcare services.
How We May Use and Disclose PHI Without Your Authorization
The following describes ways we may use or disclose your PHI without your written authorization, as permitted by law. Not every possible use is listed, but all disclosures are limited to what is necessary.
1. Treatment
We may use and disclose PHI to provide, coordinate, or manage your care.
For example, we may share information with another provider involved in your treatment, such as a psychiatrist, physician, or another therapist.
2. Payment
We may use and disclose PHI to obtain payment for services provided.
For example, information may be shared with your insurance company for claims processing or authorization purposes.
3. Health Care Operations
We may use and disclose PHI for practice operations, including quality assurance, supervision, licensing, training, compliance, and administrative activities necessary to run the practice.
Other Uses and Disclosures Permitted by Law
We may also use or disclose PHI in the following circumstances:
As Required by Law
Public Health Activities to prevent or control disease
Communicable Disease Exposure notifications as authorized
Abuse, Neglect, or Domestic Violence reporting when required
Health Oversight Activities such as audits or investigations
Legal Proceedings in response to lawful court orders or subpoenas
Law Enforcement when legally required
Coroners, Medical Examiners, Funeral Directors
Organ and Tissue Donation
Research with appropriate privacy protections
Serious Threats to Health or Safety to prevent imminent harm
Specialized Government Functions (military, national security, corrections)
Workers’ Compensation claims as required by law
Uses and Disclosures Requiring Your Written Authorization
We will obtain your written authorization before using or disclosing your PHI for:
Most uses or disclosures of psychotherapy notes
Marketing purposes
Any sale of PHI
Any other use not described in this Notice
You may revoke an authorization in writing at any time, except where actions have already been taken based on the authorization.
Special Protections: Reproductive Health Information
In accordance with the HHS Final Rule effective December 23, 2024, we will not disclose PHI related to reproductive healthcare for purposes of investigating or imposing liability for seeking, obtaining, providing, or facilitating lawful reproductive health services.
Any request for such information must include a signed attestation stating that the request is not for a prohibited purpose.
Your Rights Regarding Your PHI
You have the following rights, subject to certain legal limitations:
Right to Inspect and Copy
You may inspect and obtain a copy of your PHI in a designated record set, except for psychotherapy notes and certain legal materials.Right to Request an Amendment
You may request correction of PHI you believe is inaccurate or incomplete.Right to Request Restrictions
You may request limits on how your PHI is used or disclosed. We are not required to agree, except that you may restrict disclosure to your health plan if you pay in full out of pocket.Right to Confidential Communications
You may request communication by alternative means or locations. Reasonable requests will be honored.Right to an Accounting of Disclosures
You may request a list of certain disclosures made in the past six years, excluding disclosures for treatment, payment, or operations.Right to a Paper Copy
You may request a paper copy of this Notice at any time.Right to Breach Notification
You will be notified if there is a breach of your unsecured PHI.Right to File a Complaint
You may file a complaint without fear of retaliation.
Safeguards and Security
We maintain administrative, physical, and technical safeguards to protect your PHI, including secure systems, access controls, and encryption, in compliance with the HIPAA Security Rule.
Complaints
If you believe your privacy rights have been violated, you may contact:
Privacy Officer
Zen with Zur, PLLC
239 Rothbury Drive
Whispering Pines, NC 28327
Phone: 814-799-0074
Email: therapist@zenwithzur.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
Phone: 1-800-368-1019
We will not retaliate against you for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice at any time. Any revised Notice will apply to all PHI we maintain and will be available upon request and on our website. The effective date will always be listed at the top of this Notice.