Back to MyNeuPath

Notice of Privacy Practices

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.

MyNeuPath is required by law to maintain the privacy of your protected health information, give you this notice of our legal duties and privacy practices, follow the terms of the notice currently in effect, and notify you in the event of a breach of unsecured information.

Effective date: 2026-05-08

Covered entity: [CONFIRM: Legal Entity Name] (doing business as MyNeuPath), 3646 Long Beach Blvd., Suite 210, Long Beach, CA 90807-6034.

Privacy Officer: [CONFIRM: Name + email + phone]

1. How we may use and disclose your information without your authorization

For treatment

We use and share your protected health information to provide care. For example, your clinician may share information with another clinician on the team to coordinate your evaluation and treatment, or with a referring physician to follow up after a consultation.

For payment

We use and share your information to bill insurance and to confirm coverage. For example, we may send your insurance carrier the diagnosis codes and treatment information needed to pay for your care.

For healthcare operations

We use your information to run the clinic and improve care. For example, we may use information to evaluate the quality of treatment, train staff, or audit billing.

Other uses permitted without your authorization

2. Uses and disclosures that require your written authorization

We will obtain your written authorization before using or disclosing your information for purposes other than those listed above. In particular, your authorization is required for:

You may revoke an authorization at any time by writing to us, except for actions we have already taken in reliance on it.

3. Your rights

Right to inspect and copy

You may request to inspect and obtain a copy of your record. We may charge a reasonable, cost-based fee for copies. Some categories of records (for example, psychotherapy notes) may be limited under federal or California law.

Right to amend

If you believe information in your record is incorrect or incomplete, you may request an amendment. We will respond within 60 days.

Right to an accounting of disclosures

You may request a list of disclosures we have made of your information for purposes other than treatment, payment, and healthcare operations. The list will not include disclosures you authorized.

Right to request restrictions

You may request that we limit the information we use or share for treatment, payment, or operations. We are not required to agree to every restriction, but if you pay for a service entirely out of pocket, you may instruct us not to share that information with your insurer (45 C.F.R. §164.522(a)(1)(vi)).

Right to confidential communications

You may request that we communicate with you in a particular way or at a particular location, for example by leaving messages only on a specific phone or by mailing to a specific address. California law (Cal. Civ. Code §56.107) provides additional protection for "sensitive services" — including mental health services — when you are insured under another person's plan. Ask us about confidential communications if this applies to you.

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.

Right to be notified of a breach

We will notify you in writing if a breach occurs that compromises the privacy or security of your unsecured protected health information.

Right to file a complaint

You may file a complaint with our Privacy Officer (above) or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201; phone 1-877-696-6775; www.hhs.gov/ocr. We will not retaliate against you for filing a complaint.

4. Our duties

5. California-specific protections

California law gives you additional rights and protections regarding medical information:

Where California law provides greater privacy protection than HIPAA, California law applies.

6. How to contact us