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.
Effective Date: 06/17/2026
Who We Are
This Notice of Privacy Practices (“Notice”) describes the privacy practices of Restoration Health Medical Group, PLLC (“we,” “us,” or “our”), including our physicians, clinicians, and workforce members. We are required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect.
How We May Use and Disclose Your Health Information
The following categories describe the ways we may use and disclose your PHI without your written authorization. Not every use or disclosure within a category is listed, but all permitted uses and disclosures will fall within one of these categories.
Treatment
We may use and disclose your PHI to provide, coordinate, and manage your medical care — for example, sharing information with other physicians, pharmacies, laboratories, imaging centers, or hospitals involved in your care, and sending prescriptions to your local pharmacy.
Payment
We may use and disclose your PHI to obtain payment for services we provide — for example, billing you or a third party, verifying coverage, or providing information needed to process a claim.
Health Care Operations
We may use and disclose your PHI for our practice operations — for example, quality assessment and improvement, training, licensing and credentialing, business planning, and administration.
Appointment Reminders and Health Communications
We may contact you to remind you of appointments and to tell you about treatment options, alternatives, or health-related services that may be of interest to you. You may request that we communicate with you in a particular way or at a particular location (see “Your Rights” below).
Individuals Involved in Your Care
We may disclose relevant PHI to a family member, friend, or other person you identify as involved in your care or payment for your care, unless you object.
As Required by Law and for Public Purposes
We may use or disclose your PHI when required or permitted by law, including:
- Required by law: when federal, state, or local law requires disclosure;
- Public health activities: such as reporting communicable diseases, adverse drug events, or vital statistics to public health authorities;
- Abuse, neglect, or domestic violence: reporting to appropriate government authorities as required or permitted by law;
- Health oversight activities: audits, investigations, inspections, and licensure actions by health oversight agencies;
- Judicial and administrative proceedings: in response to a court or administrative order, or in some cases a subpoena or other lawful process;
- Law enforcement: for certain law enforcement purposes, subject to legal requirements;
- Coroners, medical examiners, and funeral directors: as necessary to carry out their duties;
- Organ and tissue donation: to organizations involved in procurement, banking, or transplantation;
- Research: under certain conditions and with appropriate approvals and protections;
- To avert a serious threat to health or safety: when necessary to prevent a serious threat to your health and safety or that of another person or the public;
- Specialized government functions: such as military, national security, and protective services purposes; and
- Workers’ compensation: as authorized by workers’ compensation laws.
Business Associates
We may share your PHI with third-party “business associates” that perform services for us (for example, billing, secure communications, information technology, or telehealth platforms). Our business associates are required by written agreement and by law to safeguard your PHI.
Uses and Disclosures That Require Your Written Authorization
The following uses and disclosures will be made only with your written authorization:
- Most uses and disclosures of psychotherapy notes (where applicable);
- Uses and disclosures of PHI for marketing purposes;
- Disclosures that constitute a sale of PHI; and
- Any other uses or disclosures not described in this Notice.
You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.
Your Rights Regarding Your Health Information
You have the following rights with respect to your PHI. To exercise any of these rights, submit your request in writing to our Privacy Officer using the contact information at the end of this Notice.
- Right to inspect and copy. You may inspect and obtain a copy of your medical and billing records, including an electronic copy if your records are maintained electronically. We may charge a reasonable, cost-based fee. In limited circumstances, we may deny access; in some cases you may request that the denial be reviewed.
- Right to request an amendment. If you believe information in your record is incorrect or incomplete, you may request an amendment. We may deny your request in certain cases; if we do, we will tell you why in writing and explain your options.
- Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your PHI, generally for up to six years prior to your request, excluding disclosures for treatment, payment, health care operations, and certain other purposes.
- Right to request restrictions. You may request restrictions on how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree to most requested restrictions, but we must agree to your request not to disclose PHI to your health plan for a service you (or someone on your behalf) paid for in full, out of pocket, unless the disclosure is required by law.
- Right to request confidential communications. You may request that we communicate with you in a certain way or at a certain location (for example, only at a specific phone number or email). We will accommodate reasonable requests.
- Right to a paper copy of this Notice. You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically. The current Notice is also posted at restorationhealth.clinic.
- Right to be notified of a breach. You have the right to be notified following a breach of your unsecured PHI.
- Right to choose someone to act for you. If you have given someone a medical power of attorney, or someone is your legal guardian, that person may exercise your rights and make choices about your health information. We will confirm the person’s authority before taking action.
Our Duties
We are required by law to maintain the privacy and security of your PHI, to provide you with this Notice of our legal duties and privacy practices, to notify you if a breach occurs that may have compromised the privacy or security of your unsecured PHI, and to abide by the terms of the Notice currently in effect.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have as well as information we receive in the future. The current Notice, with its effective date, will be posted on our website and available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized or retaliated against for filing a complaint.
- With us: contact our Privacy Officer using the information below.
- With HHS: Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue SW, Washington, DC 20201; 1-800-368-1019 (TDD: 1-800-537-7697); or online at hhs.gov/ocr.
Contact / Privacy Officer
Privacy Officer
Restoration Health Medical Group, PLLC
299 S. Main St, Suite 1300, #93543
Salt Lake City, UT 84111
Phone: 385.606.0405
Email: admin@restorationhealth.clinic