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HIPAA Privacy Notice

NOTICE OF PRIVACY PRACTICES (HIPAA)

Last updated: 05/12/2026

This Notice explains how your medical and mental health information may be used,
shared and protected, as well as how you may obtain access to your records.

Practice Information

Origen Healthcare

12313 Gold Street
Omaha, NE 68144
Phone: 531-571-3018
Fax: 402-939-0609

Our Responsibilities Regarding Your Health Information

Origen Healthcare is legally obligated to protect the privacy and confidentiality of your Protected Health Information (“PHI”). We are required to:

• Maintain the privacy and security of your medical information
• Provide you with this Notice explaining our legal duties and privacy practices
• Follow the terms currently in effect within this Notice
• Notify you promptly if a breach occurs that could compromise the privacy or
security of your information

How We May Use or Share Your Information

Your health information may be used or disclosed for purposes related to your care and clinic operations, including:

Treatment

We may use and share your information with healthcare providers, pharmacies, laboratories, therapists, hospitals or other professionals involved in your treatment and coordination of care.

Payment

Your information may be used to obtain payment for healthcare services, including billing insurance companies, verifying benefits, prior authorizations and processing claims.

Healthcare Operations

We may use information internally for clinic administration, quality improvement, staff education, auditing, compliance reviews, credentialing and operational management.

Appointment and Care Communication

We may contact you regarding appointments, medication management, follow-up care, treatment reminders or healthcare-related information.

Family or Individuals Involved in Your Care

When appropriate and unless you object, limited information may be shared with family members, caregivers, guardians or others involved in your healthcare or payment for
care.

Legal and Regulatory Requirements

We may disclose information when required by federal or state law, including public health reporting, law enforcement requests, court orders, subpoenas, abuse reporting obligations or other legally authorized purposes.

Additional Protections for Behavioral Health and Substance Use Records

Certain psychiatric, behavioral health and substance use treatment records may receive enhanced confidentiality protections under applicable federal and state laws, including 42 CFR Part 2. In situations where these protections apply, your written authorization may be required before disclosure unless otherwise permitted by law.

Uses and Disclosures That Require Your Written Permission

Except as outlined in this Notice or otherwise permitted by law, we will not use or disclose your information without your written authorization. This includes most uses involving:

• Marketing purposes
• Sale of protected health information
• Certain disclosures of psychotherapy notes
• Other non-routine disclosures

You may revoke an authorization at any time in writing, except where action has already been taken in reliance on it.

Your Privacy Rights

You have the right to:

• Request access to or copies of your medical records
• Request amendments or corrections to your records
• Request confidential or alternative methods of communication
• Request restrictions on certain disclosures or uses
• Receive an accounting of certain disclosures
• Obtain a paper copy of this Notice upon request
• File a complaint regarding privacy concerns without fear of retaliation

Electronic Communication and Patient Portal

Origen Healthcare may communicate with patients through secure electronic systems, including HIPAA-compliant patient portals, messaging applications, telehealth platforms, email or text messaging when authorized by the patient. While we implement safeguards to protect your information, no electronic communication method can be guaranteed completely secure.

Patients may request alternative communication methods if preferred.

Website Privacy and Online Technology

Our website and electronic systems may use cookies, analytics or similar technologies to improve functionality, patient experience and website performance. We take reasonable precautions to minimize improper disclosure of protected health information through digital tools and online services.

Changes to This Notice

Origen Healthcare reserves the right to revise or update this Notice at any time. Any updated version will be made available in our office and through our official communication channels.

Questions or Complaints

If you believe your privacy rights have been violated or if you have concerns regarding our privacy practices, you may contact our office directly or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Origen Healthcare will not retaliate against any individual for filing a complaint or exercising their privacy rights.

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At Origen Healthcare, you don’t have to navigate your health journey alone—we’re here to listen, support, and guide you every step of the way.

Our Hours:

Monday-Friday: 9am-5pm

Saturdays by appointment only