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Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed by MUSTARD SEED CENTER FOR GROWTH LLC, dba One Mind Family (“One Mind Family”) and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices (HIPAA)

Your Rights

You have the right to:
 

Get a copy of your paper or electronic medical record


Correct your paper or electronic medical record


Request confidential communication


Ask us to limit the information we share


Get a list of those with whom we’ve shared your information


Get a copy of this privacy notice


Choose someone to act for you


File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices in the way that we use and share information as we:
 

Tell family and friends about your condition


Provide disaster relief


Include you in a patient directory


Provide mental health care


Market our services and sell your information


Raise funds

Our Uses and Disclosures

We may use and share your information as we:
 

Provide services, care, or treatment for you


Run our organization


Bill for your services


Help with public health and safety issues

Do research


Comply with the law


Respond to requests for records from third parties you authorize to receive that information


Work with a medical or mental health providers


Address workers’ compensation, law enforcement, and other government requests

Respond to lawsuits and legal actions


To the extent that we have your substance use disorder patient records, subject

to 42 CFR part 2, we will not share that information for investigations or legal

proceedings against you without (1) your written consent or (2) a court order and a subpoena.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
 

Get an electronic or paper copy of your medical record
 

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
 

We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
 

Ask us to correct your medical record


You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
 

We may say “no” to your request, but we’ll tell you why in writing within 60 days.
 

Request confidential communications


You can ask us to contact you in a specific way (for example, home, office, or cell phone) or to send mail to a different address.
 

We will say “yes” to all reasonable requests.
 

Ask us to limit what we use or share
 

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no,” for example, if it could affect your care. If we agree to your request, we may still share this information in the event you need emergency treatment.


If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
 

Get a list of those with whom we’ve shared information


You can ask for a list (accounting) of the times we’ve shared your health information for six

years prior to the date you ask, who we shared it with, and why.
 

We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide oneaccounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
 

Get a copy of this privacy notice
 

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
 

Choose someone to act for you


If someone has authority to act as your personal representative, such as if someone has your medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
 

We will make sure the person has this authority and can act for you before we take any action.
 

File a complaint if you feel your rights are violated


You can complain if you feel we have violated your rights by contacting us using the information for the privacy official listed in the Other Instructions for Notice section.


You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html
 

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
 

In these cases, you have both the right and choice to tell us to:
 

Share information with your family, close friends, or others involved in your care or payment for your care


Share information in a disaster relief situation


Include your information in a directory
 

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
 

In these cases we never share your information unless you give us written permission:
 

Marketing purposes
 

Sale of your information
 

Most sharing of psychotherapy notesIn the case of fundraising:


We may contact you for fundraising efforts, but you can tell us not to contact you again.
 

If we have your substance use disorder patient records, subject to 42 CFR part 2, we will give you clear and obvious notice in advance and a choice about whether to receive fundraising communications that use your Part 2 information.

Our Uses and Disclosures

How do we typically use or share your health information?
We typically use or share your health information in the following ways.

 

Treating and caring for you
 

We can use your health information and share it with other professionals who are treating and/or caring for you.
 

Example: A nurse treating you for an injury asks another doctor about your overall health condition.
 

Run our organization
 

We can use and share your health information to run our organization, improve your care, and contact you when necessary.
 

Example: We use health information about you to manage your treatment, care, and services.
 

Bill for your services
 

We can use and share your health information to bill and get payment from health plans or other entities.
 

Example: We give information about you to your health insurance plan and/or Medicaid so it will pay for your services.

How else can we use or share your health information?
 

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.
 

In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.Help with public health and safety issues
 

We can share health information about you for certain situations such as:
 

Preventing disease


Helping with product recalls


Reporting adverse reactions to medications


Reporting suspected abuse, neglect, or domestic violence


Preventing or reducing a serious threat to anyone’s health or safety
 

Do research
 

We can use or share your information for health research.
 

Comply with the law
 

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
 

Work with a medical or mental health provider
 

We can share health information with a coroner, medical provider, mental health provider, or medical examiner when necessary to satisfy a particular purpose or carry out a function.
 

Address workers’ compensation, law enforcement, and other government requests
 

We can use or share health information about you:
 

For workers’ compensation claims


For law enforcement purposes or with a law enforcement official


With health oversight agencies for activities authorized by law


For special government functions such as military, national security, and presidential protective services
 

Respond to lawsuits and legal actions
 

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.
 

We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

We must follow the duties and privacy practices described in this notice and give you a copy of it.


We will not use or share your information other than as described in this notice unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
 

For more information see: https://www.hhs.gov/hipaa/for individuals/guidance-materials-for- consumers/index.html.

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Other Instructions for Notice

Effective Date of this Notice: February 18, 2026
 

Privacy official (or other privacy contact): Manager; One Mind Family, 580 E Carmel Drive, Suite 400, Carmel, IN, 46032, USA; https://www.onemindfamily.com/
 

We never market or sell personal information to third parties.
 

We will not share your mental health treatment records without your written consent unless it is for treatment or another law requires us to share the information. We will never share any substance abuse treatment records without your written permission or as permitted under applicable laws.
 

This notice applies to any provider offering services in association or affiliation with One Mind Family.

Questions or Concerns?

If you have questions about this policy or how your information
is handled, please contact us:

info@onemindfamily.com

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