In The Midst LLC

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HIPAA Notice of Privacy Practices 

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This notice give you information required by the Health Insurance Portability and Accountability 

Act of 1996 (HIPAA) that prescribes legal duties and privacy practices to protect the privacy of your individual identified health information, this is protected Health Information (PHI), as that term is defined in the HIPAA under information. 

The effective date of this notice is January 9,2026. In The Midst (ITM) is required to follow the terms of this notice until it is replaced. ITM may make changes to the terms of this Notice at any time. Upon your request, we will provide you with a copy of the current Notice. ITM reserves the right to make the changes apply to your PHI maintained in our files before and after the effective date of the new Notice. The following is a general description of how Federal and State law permits us to use and disclose your PHI. 

This notice describes how medical information about you may be used and disclosed and how you can get access to it. Please review carefully. 

 

1. Your medical records are used to provide services, bill and receive payments, and conduct healthcare operations. Examples of these activities include but not limited to review of treatment records to ensure appropriate care, electronic or mail delivery of billing for treatment to you or other authorized payers, appointment reminder telephone calls, and records review to ensure completeness and quality of care. Use and disclosure of medical records is limited to the internal used outlined above except required by law or authorized by the patient or legal 

 

2. ITM may share your PHI with third party business associates who perform various administrative services. Whenever an arrangement between a business associate and ITM involves the use or disclosure of your PHI, we will have a written contract that contains terms that will protect the privacy of your PHI. 

 

3. Your PHI may be used and disclosed to contact you and to give you PHI about treatment alternatives or other health benefits and services that may be of interest to you. 

 

4. Your PHI may be disclosed to a family member, friend, or other person designated by you or as designated by the law, if you verbally agree. Except as provided below, your PHI will not be used for any non-routine purposes unless you give your written authorization to do so. If you give written authority to use disclose your PHI for a purpose that is not described in the is Notice, then, with certain exception, you may revoke it in writing at any time. Your revocation will be effective for the PHI, ITM maintains, unless ITM has taken action in reliance on your authorization. 

 

5. Federal and State laws require abuse, neglect, domestic violence and threats to be reported to social services or other protective agencies. If such reports are made they will be disclosed to you or your legal representative unless disclosure increases risk of further 

 

6. Disclosed information will be limited to the minimum necessary. 

 

7. You, or your legal representative, may request your records to be disclosed to yourself or any other entity. Your request must be made in writing, clearly identify the person authorized to request release, specify the information you want disclosed, the name and address of the entity you want the information released to, purpose and the expiration date of the authorization. Any authorization provided may be revoked in writing at anytime. We have 30 days to respond to a disclosure request and 60 days if the records is stored off site.

 

8. You may request corrections to your records. 

 

9. A request for disclosure may be denied under the following circumstances: disclosure would likely endanger the life or physical safety of you or another person, requested information references other persons, except another healthcare provider, or if released to a legal representative would likely result in harm. 

 

10. You may request that we restrict uses and disclosures However, we are not required to agree to the restrictions. If an agreement is made to restrict use or disclosure, we will be bound by such restriction until revoked by you or your legal representative orally or in writing except when disclosure is required by law or in an emergency. We may also revoke such restrictions but information gathered while required by law or in an emergency. We may also revoke such restrictions but information gathered while the restriction was in place will remain restricted by such an agreement. 

 

11. If you wish to complain about privacy related issues you may contact the Secretary of the Department of Health and Human Services, Hubert H. Humphrey Building, 200 Independence Avenue SW, Washington DC, 20201. In any case there will not be any retaliation against you or your legal representative for filing a complaint. 

 

12. We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others. 

 

13. This agreement may be modified or amended as required by law or in the course of health care operations.