Notice of Privacy Practices

Effective date: September 22, 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.

This notice applies to health information New Mexico Family Medicine maintains about patients in our practice.

YOUR RIGHTS

See or obtain your records. You may ask to inspect or receive an electronic or paper copy of your medical record and other health information we maintain about you. We generally provide a copy or summary within 30 days. We may charge a reasonable fee based on our costs, as allowed by law.

Ask us to correct your records. If you believe information in your record is incorrect or incomplete, you may ask us to amend it. We may deny a request in some circumstances, but we will explain a denial in writing, generally within 60 days.

Request private communications. You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests.

Ask us to limit use or sharing. You may ask us to limit use or disclosure of your information for treatment, payment, or health care operations. We are not generally required to agree, but we will tell you if we do. If you pay in full out of pocket for a service or item, you may ask us not to disclose information about it to your health plan for payment or health care operations. We will honor that request unless disclosure is required by law.

Receive a record of certain disclosures. You may ask for an accounting of certain disclosures made during the six years before your request. The accounting excludes disclosures for treatment, payment, and health care operations and certain other disclosures allowed by law. One accounting in a 12 month period is free; we may charge a reasonable fee for additional accountings.

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

Choose a representative. A person legally authorized to act for you, such as a health care agent or legal guardian, may exercise your rights. We will verify that person's authority before acting.

File a complaint. If you believe your privacy rights were violated, contact us using the information below. You may also complain to the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/hipaa/filing-a-complaint, by calling 1-877-696-6775, or by writing to 200 Independence Avenue SW, Washington, DC 20201. We will not retaliate against you for filing a complaint.

YOUR CHOICES

You may tell us your preference about sharing information with family members, close friends, or others involved in your care or payment for your care, and about sharing for disaster relief. If you cannot tell us your preference, we may share information if we believe it is in your best interest or as needed to prevent a serious and imminent threat.

We generally need your written authorization to use or disclose information for marketing, to sell your information, or to disclose most psychotherapy notes. You may revoke an authorization in writing; revocation does not undo action we already took in reliance on it.

If we contact you for fundraising, you may tell us not to contact you again. If fundraising would use records subject to 42 CFR Part 2, we will give the required advance notice and choice about receiving those communications.

HOW WE USE AND SHARE INFORMATION

Treatment. We may use your information and share it with health professionals who are treating you. For example, we may send relevant information to a specialist involved in your care.

Running the practice. We may use and share information to operate our practice, improve care, and contact you about care or services. For example, we may use appointment information to manage scheduling.

Payment. We may use and share information to bill for services and obtain payment from you, a health plan, or another responsible party. For example, we may send a claim with visit details to a health plan for payment.

Other uses allowed or required by law. Subject to applicable legal conditions, we may use or disclose information for public health and safety activities; health research; compliance with law; organ and tissue donation; medical examiners and funeral directors; workers' compensation; health oversight; certain law enforcement and government functions; and court or administrative proceedings. We will meet applicable requirements before making these disclosures.

If we hold substance use disorder patient records protected by 42 CFR Part 2, we will not use or disclose information from those records in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or a qualifying court order and subpoena, as required by law.

Where another applicable law provides greater privacy protection, we follow that law.

OUR RESPONSIBILITIES

We are required to protect the privacy and security of your protected health information. We will notify you as required by law if a breach may have compromised it. We must follow this notice and provide a copy upon request.

Except as described in this notice or otherwise permitted or required by law, we will not use or share your information without your written authorization. You may revoke an authorization in writing.

CHANGES TO THIS NOTICE

We may change this notice. The revised notice may apply to information we already maintain and information we receive later. The current notice will be available upon request, at our office, and on our website.

QUESTIONS AND PRIVACY REQUESTS

Privacy contact: Stephanie Neufeld

New Mexico Family Medicine

2005-A W US Route 66

Moriarty, NM 87035

Phone: 505-492-2541