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: July 8, 2026
Required by the HIPAA Privacy Rule (45 C.F.R. § 164.520) and the Texas Medical Records Privacy Act (Tex. Health & Safety Code Ch. 181).
Who This Notice Covers
This Notice applies to Remix Medical PLLC and to all clinicians, employees, students, volunteers, and workforce members who provide care at any Remix Medical location. It also applies to our business associates, who are contractually bound to protect your information.
Our clinicians and locations may share protected health information with one another as part of an organized health care arrangement for treatment, payment, and health care operations.
"Protected health information" (PHI) means information that identifies you and relates to your past, present, or future physical or mental health, the care you receive, or payment for that care.
Our Legal Duties
We are required by law to:
- Maintain the privacy and security of your protected health information;
- Notify you promptly if a breach occurs that may have compromised the privacy or security of your information;
- Follow the terms of the Notice currently in effect; and
- Give you this Notice describing our legal duties and privacy practices.
How We May Use and Disclose Your Information Without Your Authorization
Treatment
We use and disclose your PHI to provide, coordinate, and manage your care.
Example: Your nephrologist reviews your lab results and discusses your kidney function with the dialysis nurse managing your treatment schedule.
Payment
We use and disclose your PHI to bill and collect payment from you, your insurer, or another payer.
Example: We send your diagnosis and procedure codes to your health plan so it can determine coverage and pay our claim.
Health Care Operations
We use and disclose your PHI to run our practice, assess quality, train staff, and conduct business management.
Example: We review a sample of charts to evaluate whether our clinicians are following our chronic kidney disease protocols.
Other Permitted or Required Disclosures
We may use or disclose your PHI without your authorization in the following circumstances, subject to the conditions and limits in 45 C.F.R. § 164.512 and Texas law:
| Purpose | Examples |
|---|---|
| As required by law | Court orders, mandatory reporting statutes |
| Public health activities | Disease reporting, vital statistics, FDA-regulated product safety |
| Victims of abuse, neglect, or domestic violence | Reports to protective services as authorized or required |
| Health oversight | Audits, licensure investigations, inspections |
| Judicial and administrative proceedings | Subpoenas, discovery requests with required assurances |
| Law enforcement | Identifying a suspect, reporting certain wounds, court-ordered requests |
| Decedents | Disclosures to coroners, medical examiners, funeral directors |
| Organ and tissue donation | Facilitating donation and transplant |
| Research | Where approved by an IRB or privacy board, or using de-identified data |
| Serious threat to health or safety | To prevent or lessen a serious and imminent threat |
| Specialized government functions | Military, national security, protective services, correctional institutions |
| Workers' compensation | As authorized by and to the extent necessary to comply with Texas law |
Appointment Reminders and Health Information
We may contact you to remind you of an appointment, to tell you about treatment alternatives, or to describe health-related benefits and services that may interest you.
Individuals Involved in Your Care
Unless you object, we may share information relevant to a person's involvement in your care — a family member, friend, or personal representative — and we may notify them of your location or general condition. If you are not present or are incapacitated, we will use our professional judgment.
Disaster Relief
We may share information with disaster relief organizations so your family can be notified of your condition and location.
Uses and Disclosures That Require Your Written Authorization
We will obtain your written authorization before:
- Using or disclosing psychotherapy notes, except in narrow circumstances permitted by law;
- Using or disclosing your PHI for marketing purposes, where we receive financial remuneration from a third party;
- Selling your protected health information; or
- Any other use or disclosure not described in this Notice.
We do not sell your protected health information.
You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.
Texas Law: Electronic Disclosure
Under Tex. Health & Safety Code § 181.154, we must obtain your written authorization before electronically disclosing your protected health information, unless the disclosure is made for treatment, payment, or health care operations, or is otherwise required or authorized by law. This Notice serves as notice of that practice.
Additional Protections
Texas and federal law give heightened protection to certain categories of information — including mental health records, substance use disorder treatment records subject to 42 C.F.R. Part 2, HIV/AIDS test results, and genetic information. We will not disclose these categories except as those laws specifically permit.
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You may inspect and obtain a copy of your medical and billing records, in the form and format you request if we can readily produce it. We may charge a reasonable, cost-based fee.
We will respond within 30 days as required by HIPAA. Under Tex. Health & Safety Code § 181.102, if we maintain your record in an electronic health record, we will provide it in electronic form within 15 business days of your written request — whichever deadline is shorter applies.
We may deny access in limited circumstances. Some denials are reviewable by another licensed professional.
Right to Request an Amendment
If you believe information in your record is incorrect or incomplete, you may ask us in writing to amend it, and to explain why. We may deny the request if the information was not created by us, is not part of the records we keep, is not available for inspection, or is accurate and complete. If we deny it, you may submit a statement of disagreement that becomes part of your record.
Right to an Accounting of Disclosures
You may request a list of certain disclosures we made of your PHI in the six years prior to your request. The accounting excludes disclosures for treatment, payment, health care operations, disclosures made to you, and several other categories. The first accounting in any 12-month period is free.
Right to Request Restrictions
You may ask us to restrict how we use or disclose your PHI. We are not required to agree, except in one case:
If you pay for a service or item out of pocket, in full, you may direct us not to disclose information about that service to your health plan for payment or health care operations purposes. We must honor that request. (45 C.F.R. § 164.522(a)(1)(vi))
Right to Confidential Communications
You may ask us to communicate with you by alternative means or at an alternative location — for example, only by mail to a specified address, or only to a specific phone number. We will accommodate reasonable requests and will not ask you why.
Right to a Paper Copy
You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.
Right to Breach Notification
We will notify you if a breach of your unsecured protected health information occurs.
Right to Choose Someone to Act for You
If you have given someone 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 verify their authority before acting.
To exercise any of these rights, contact our Privacy Officer at 713-597-5131 or info@remixhq.com. Most requests must be submitted in writing.
Your Choices
Tell our Privacy Officer if you want to:
- Limit what we share with family and friends;
- Opt out of fundraising communications (if we conduct any);
- Be excluded from any facility directory.
We will never share your information for marketing purposes or sell it without your written authorization.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us:
Privacy Officer Remix Medical PLLC 1724 Richmond Avenue, Houston, TX 77098 713-597-5131 · info@remixhq.com
You may also file a complaint with the federal government:
U.S. Department of Health and Human Services, Office for Civil Rights 200 Independence Avenue SW, Washington, D.C. 20201 1-877-696-6775 · hhs.gov/ocr/complaints
You may also file a complaint with the Texas Attorney General.
We will not retaliate against you for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice and to make the revised Notice effective for information we already have as well as information we receive in the future. The current Notice is posted on this page, displayed in our offices, and available in paper form on request.
What This Notice Does Not Cover
This Notice governs protected health information. It does not govern information collected when you browse our website, submit a general contact form, or interact with our advertising. That information is described in the Privacy Policy & Terms of Use.