Notice of Privacy Practices

Effective Date: March 1, 2026

This notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review it carefully.

My Commitment to Your Privacy

I understand that your health information is personal and sensitive. I am committed to protecting your privacy and handling your information with care and respect.

How I May Use and Disclose Your Information

Treatment

To provide, coordinate, or manage your care. This may include communication with other healthcare providers involved in your care (such as your primary care provider), with your permission.

Payment

To bill and receive payment for services. This may include sharing information with your insurance company or billing services.

Healthcare Operations

To run my practice, improve care, and ensure quality. This may include internal reviews or administrative functions.

Other Situations Where Information May Be Shared

  • To comply with legal obligations

  • To prevent a serious threat to your health or safety or that of others

  • In cases of suspected abuse, neglect, or domestic violence

  • For public health or safety reporting

  • For health oversight activities

Your Rights

  • Access your records and receive copies

  • Request corrections to your information

  • Request limits on how your information is used or shared

  • Request confidential communication

  • Receive a list of disclosures

  • Receive a copy of this notice

My Responsibilities

  • Maintain the privacy of your health information

  • Provide you with this notice

  • Follow the terms of this notice

  • Notify you if a breach of your unsecured health information occurs

Electronic Communication

I use secure, HIPAA-compliant platforms (such as Spruce Health and electronic health record systems like CharmHealth) for communication, documentation, and care.

Changes to This Notice

I reserve the right to update this notice. Any changes will be posted with an updated effective date.

Questions or Complaints

If you have questions or believe your privacy rights have been violated, you may contact:

Kara Zertuche, PMHNP-BC

info@karazertuchepmhnp.sprucecare.com

You also have the right to file a complaint with the U.S. Department of Health and Human Services.