Notice of Privacy Practices
Effective Date: Aug 21, 2026
Your Information. Your Rights. Our Responsibilities.
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.
Your Rights
You have rights regarding your health information. Subject to certain legal exceptions, you may:
Inspect and obtain a copy of your medical record. You may request an electronic or paper copy of your medical record and other health information we maintain. We will respond within the timeframes required by law and may charge a reasonable, cost-based fee as permitted by law.
Request a correction. If you believe information in your record is incorrect or incomplete, you may ask us to amend it.
Request confidential communications. You may ask us to contact you in a particular way or at a different location.
Request restrictions. You may ask us to limit certain uses or disclosures of your health information. While we are not always required to agree, we will consider every request. However, if you pay in full out of pocket for a service or item and ask us not to disclose information about it to your health plan for payment or health care operations, we are required to honor your request unless disclosure is required by law.
Request an accounting of disclosures. You may request a list of certain disclosures we have made of your health information. The accounting generally covers the six years before the date of your request.
Receive a copy of this Notice. You may request a paper copy of this Notice at any time, even if you previously received it electronically.
Choose a personal representative. If someone has legal authority to act on your behalf, that person may exercise your privacy rights.
File a complaint. If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
Your Choices
For certain situations, you may tell us how you would like us to share your health information. These situations may include:
Sharing information with family members, caregivers, or others involved in your child's care.
Sharing information in disaster relief situations.
If you are unable to communicate your wishes, we may share information when permitted by law and when we believe it is in your or your child's best interest.
We will not use or disclose your health information for marketing purposes or sell your protected health information without your written authorization.
How We Use & Share Your Information
We commonly use and disclose health information to:
Provide Care -
We use health information to evaluate, diagnose, treat, and coordinate your child's care with other healthcare professionals involved in treatment.
Operate Our Practice -
We use health information to manage our practice, improve the quality of care, communicate with families, and conduct routine business operations.
Obtain Payment -
We may use or disclose health information to collect payment for services provided, submit claims to Washington Apple Health when applicable, or prepare superbills for families seeking out-of-network reimbursement.
Other Permitted Uses & Disclosures
Federal and state law permit or require us to use or disclose health information in certain circumstances, including:
Public health reporting
Reporting suspected abuse, neglect, or domestic violence
Preventing a serious threat to health or safety
Health oversight activities
Compliance with federal or state law
Court orders, subpoenas, or other lawful legal processes
Certain research activities
Workers' compensation claims
Medical examiners, coroners, or funeral directors, when applicable
Organ and tissue donation, when applicable
If applicable, substance use disorder records protected by 42 CFR Part 2 receive additional protections and will not be disclosed except as permitted by law. If we receive such records, you have the right to consent one time to all future uses and disclosures of those records for treatment, payment, and health care operations, to revoke that consent in writing at any time, and to expect that such records will not be redisclosed except as permitted by law.
Additional Privacy Protections
Certain federal and state laws provide additional privacy protections for specific types of health information, including mental health records, substance use disorder treatment records, HIV and sexually transmitted infection information, and other information protected by law.
Where these laws provide greater privacy protections than HIPAA, Where The Forest Grows will follow the applicable law.
In some circumstances, federal or state law allows minors to consent to certain healthcare services and to control the privacy of information related to those services. Where applicable law gives a minor authority over their own health information, we may be required to obtain the minor’s permission before sharing that information, including with a parent or guardian.
Our Responsibilities
Where The Forest Grows PLLC is required by law to:
Maintain the privacy and security of your protected health information.
Provide you with this Notice of Privacy Practices.
Follow the privacy practices described in the current version of this Notice.
Notify you if a breach occurs that may have compromised the privacy or security of your information.
We will not use or disclose your protected health information in situations requiring your written authorization unless you have given us permission to do so.
Where The Forest Grows does not sell or market your protected health information.
Changes to This Notice
We may revise this Notice of Privacy Practices from time to time. Any changes will apply to all protected health information maintained by the practice. The most current version will always be available on our website and upon request.
Questions or Complaints
If you have questions about this Notice or believe your privacy rights have been violated, please contact:
Privacy Officer: Grace Lim, MD
Where The Forest Grows
Email: hello@wheretheforestgrows.com
Phone: 425-484-2845
Mailing Address: 2226 Eastlake Ave E #1413, Seattle, WA 98102
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/ or by calling 1-877-696-6775. We will not retaliate against you for filing a complaint.