Effective Date: April 27th, 2026

This Notice explains how your health information may be used or disclosed and how you can access it. Please review it carefully.

Comprehensive Pain Management is committed to protecting the privacy of your health information. Federal law (HIPAA) and applicable Arizona laws require us to safeguard the confidentiality and security of your Protected Health Information (PHI), provide this Notice describing our legal obligations and privacy practices, and inform you if a breach occurs involving your unsecured PHI.

We are required to follow the terms of this Notice for as long as it remains in effect. We may update or revise it as permitted by law. Updated copies will be available in our offices upon request.

How We May Use and Disclose Your Health Information

We may use or share your PHI for the following purposes:

Treatment

We may use or disclose your PHI to provide, coordinate, or manage your care related to pain treatment. This can include discussions with pain specialists, chiropractors, physical therapists, neurologists, surgeons, imaging centers, pharmacies, or other healthcare providers helping manage your back, neck, spine, arm, or leg conditions.

Payment

Your PHI may be used for billing and payment tasks, such as:

• Submitting insurance claims
• Verifying coverage or eligibility
• Processing or adjudicating claims
• Managing billing or collections

Healthcare Operations

Your PHI may be used in support of our clinic’s operational processes, such as:

• Quality assurance and outcome improvement
• Staff training and credentialing
• Licensing, compliance, or audits
• Internal business administration

Other Uses and Disclosures Allowed or Required by Law

Individuals Involved in Your Care

We may share information with family members or others involved in your care, as permitted by law or authorized by you.

Disaster Relief

PHI may be disclosed to assist with emergency or disaster response efforts.

Public Health and Safety

• We may disclose PHI for public health reasons such as:
• Preventing or controlling disease or injury
• Reporting suspected abuse or neglect
• Reporting adverse reactions or product defects
• Issuing exposure notifications

Law Enforcement

Your PHI may be disclosed as required for law enforcement purposes by HIPAA or Arizona law.

Health Oversight

We may share PHI with government agencies conducting authorized audits, inspections, or investigations.

Judicial or Administrative Proceedings

PHI may be disclosed in response to legal processes such as court orders, subpoenas, or other authorized requests.

Research

Limited PHI may be shared for approved medical research projects, with appropriate safeguards for privacy.

Coroners, Medical Examiners, and Funeral Directors

Information may be disclosed to assist these professionals in fulfilling their duties.

National Security & Military

PHI may be released to authorized federal or military officials when legally required.

Fundraising

We may contact you about clinic‑related fundraising efforts, and you may opt out at any time.

Uses Requiring Written Authorization

Certain uses of your PHI require written authorization, such as:

• Psychotherapy notes (if applicable)
• Specific marketing activities
• Sale of PHI

You may withdraw your authorization in writing at any time.

Your Rights Regarding Your Health Information

Right to Access

You may request to review or obtain copies of your PHI. When possible, we can provide electronic copies. Reasonable, cost‑based fees may apply.

Right to Request Restrictions

You may request limits on how your PHI is used or disclosed.

We are not required to agree, except when you pay for services entirely out of pocket and ask that we not share those details with your insurer.

Right to Confidential Communications

You may ask to receive communications at an alternate address, number, or by a preferred method.

Right to Amend

If you believe your PHI is incomplete or inaccurate, you may request an amendment. If we deny the request, we will provide a written explanation.

Right to Accounting of Disclosures

You may request a record of certain disclosures made in the past six years, excluding those related to treatment, payment, and operations.

Right to Notification of a Breach

We will notify you promptly in writing if a breach occurs involving your unsecured PHI.

Right to Paper Copy

You may request a physical copy of this Notice at any time.

State-Specific Information: Arizona

Arizona generally aligns with federal HIPAA requirements but provides additional protections for certain types of health information, including:

• HIV/AIDS‑related information
• Communicable disease reports
• Mental health records
• Substance use treatment documentation
• Genetic testing results

When Arizona law imposes stricter standards, Comprehensive Pain Management will comply with the more protective rule.

Questions, Requests, or Complaints

If you have questions, wish to exercise your rights, or need to file a privacy complaint, please contact:

Comprehensive Pain Management – Privacy Officer

8841 East Bell Road, Suite 101, Scottsdale, AZ 85260

Phone: (602) 971-8200

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

We will not retaliate against you for filing a complaint.