Notice of Privacy Practices

Effective Date: July 15, 2026

Your Information. Your Rights. Our Responsibilities.

This Notice describes how your medical information may be used and disclosed, your rights regarding that information, and our legal responsibilities for protecting your privacy. Please read it carefully.

Your Rights
You have rights regarding your health information. Subject to certain legal exceptions, you may:

  • 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.

  • 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.

  • Request an accounting of disclosures. You may request a list of certain disclosures we have made of your health information.

  • 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 or to 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.

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, state law allows minors to consent to certain healthcare services and to control the privacy of information related to those services.

Our Responsibilities
Where The Forest Grows 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 this notice.

  • Notify you if a breach occurs that may have compromised the privacy or security of your information.

  • Obtain your written authorization before using or sharing your information in situations where authorization is required by law.

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:

Grace Lim, MD
Where The Forest Grows
Email: hello@wheretheforestgrows.com
Phone: 425-484-2845

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.