Notice of Privacy Practices Liberty Family Care & Wellness Effective Date: June 2, 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

Liberty Family Care & Wellness is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of this Notice currently in effect.

How We May Use and Disclose Your Health Information

Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may share your information with specialists, labs, or other providers involved in your care.

Payment: We may use and disclose your PHI to bill and collect payment for services we provide to you, including coordination with your health insurance company.

Healthcare Operations: We may use and disclose your PHI for our practice operations, including quality improvement, staff training, accreditation, and audits.

Appointment Reminders: We may contact you to remind you of scheduled appointments or follow-up care.

As Required by Law: We will disclose your PHI when required to do so by federal, state, or local law.

Your Rights Regarding Your Health Information

You have the following rights with respect to your PHI:

Right to Inspect and Copy: You have the right to inspect and receive a copy of your medical records and billing information.

Right to Amend: You have the right to request an amendment to your health information if you believe it is incorrect or incomplete.

Right to an Accounting of Disclosures: You have the right to request a list of disclosures we have made of your PHI, other than for treatment, payment, and operations.

Right to Request Restrictions: You have the right to request restrictions on how we use or disclose your PHI, though we are not always required to agree.

Right to Confidential Communications: You have the right to request that we communicate with you about your health matters in a certain way or at a certain location.

Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

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 PHI we already have about you, as well as any information we receive in the future. We will post the current Notice on our website and make copies available in our office.

Complaints

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

To file a complaint with our office, contact: Liberty Family Care & Wellness Privacy Officer: Laura Cervantes, FNP 8701 Liberty Grove Rd, Suite 100 Rowlett, TX 75089 Phone: 972-348-0046

To file a complaint with HHS: U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Hotline: 1-877-696-6775 Website: www.hhs.gov/ocr/privacy