Notice of Privacy Practices
Gravida Psychiatry
Effective Date: June 21, 2026
This Notice of Privacy Practices (“Notice”) describes how Gravida Psychiatry may use and disclose your health information, and how you can get access to this information. Please review it carefully.
We are required by law to keep your health information private, to provide you with this Notice, and to follow the terms of this Notice while it is in effect.
1. Our responsibilities
We are required to:
- Maintain the privacy and security of your protected health information (“PHI”).
- Provide you with this Notice describing our legal duties and privacy practices.
- Notify you if a breach occurs that may have compromised the privacy or security of your information, when required by law.
- Follow the terms of this Notice or any updated Notice that is currently in effect.
We may change the terms of this Notice at any time. If we change the Notice, the new terms will apply to all PHI we maintain. The revised Notice will be available on our website and in our office, and you may request a paper copy at any time.
2. Who we are
This Notice applies to:
Gravida Psychiatry
59 E Queen Ave Ste 111 C
Spokane, WA 99207
Phone: 509-596-2199
Email (non-urgent, non-emergency): support@gravidapsychiatry.com
Gravida Psychiatry is a psychiatric practice focused on perinatal and reproductive mental health. When this Notice uses “we,” “us,” or “our,” it is referring to Gravida Psychiatry and the clinicians and staff involved in your care within this practice.
3. How we may use and disclose your health information
The law allows us to use and disclose your PHI for certain purposes without your written authorization. Below are examples, not every possible use or disclosure.
a. For treatment
We may use and share your health information to provide, coordinate, or manage your mental health and medical care.
For example:
- A psychiatric nurse practitioner may use your information to diagnose a condition, prescribe medication, or plan your treatment.
- We may share relevant information with another healthcare provider involved in your care (such as your obstetric provider, primary care provider, or therapist), when appropriate and permitted by law.
b. For payment
We may use and disclose your PHI to obtain payment for services we provide to you.
For example:
- We may share information with your health plan to determine coverage, obtain prior authorization, or receive payment.
- We may send information to a billing service or to you directly for invoices and statements.
c. For healthcare operations
We may use and disclose your PHI for operations such as quality assessment, practice management, training, and compliance.
For example:
- We may use information to monitor the quality of our services or review clinical outcomes.
- We may share information with attorneys, accountants, consultants, or other professionals who assist us with our operations, subject to applicable confidentiality obligations.
4. Other uses and disclosures allowed or required by law
In certain situations, we may use or disclose your PHI without your authorization, as allowed or required by federal or state law. These include:
a. Public health and safety
We may share your information when necessary to:
- Report certain diseases, injuries, or vital events to public health authorities.
- Report adverse events or product problems to the Food and Drug Administration.
- Report suspected abuse or neglect of a child, dependent adult, or vulnerable person, as required by law.
- Prevent or reduce a serious and imminent threat to your health or safety or the health or safety of another person or the public.
b. Health oversight activities
We may disclose PHI to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, and licensure reviews.
c. Legal proceedings and law enforcement
We may disclose your PHI:
- In response to a court or administrative order, subpoena, or other lawful process, subject to applicable safeguards.
- To law enforcement officials in limited circumstances, such as to comply with reporting requirements or to help locate a missing person, as permitted by law.
d. Coroners, medical examiners, and funeral directors
We may disclose PHI to a coroner, medical examiner, or funeral director as necessary for them to carry out their duties.
e. Organ and tissue donation
If you are an organ donor, we may share PHI with organ procurement organizations as required to support organ, eye, or tissue donation and transplantation.
f. Research (limited circumstances)
We may use or disclose PHI for research when an institutional review board or privacy board has reviewed the research proposal and established appropriate safeguards, or when you have provided authorization, or as otherwise permitted by law.
g. Specialized government functions
We may disclose PHI for specialized government functions, such as military or veterans’ activities, national security, or protective services for the President and others, when authorized by law.
h. Workers’ compensation
We may disclose PHI as authorized by workers’ compensation laws or similar programs that provide benefits for work-related injuries or illnesses.
i. As otherwise required by law
We will use or disclose PHI when federal, state, or local law requires it, but only to the extent and in the manner the law requires.
5. Uses and disclosures that generally require your written authorization
Certain uses and disclosures of your PHI require your written permission, including:
- Most uses and disclosures of psychotherapy notes (where applicable).
- Uses and disclosures of PHI for marketing purposes, unless an exception applies.
- Sales of PHI, if any, as defined by law.
- Other uses and disclosures of PHI not described in this Notice.
If you provide written authorization for us to use or disclose your PHI, you may revoke that authorization at any time in writing, except to the extent we have already relied on it.
6. Substance use disorder information (Part 2)
If Gravida Psychiatry engages in substance use disorder diagnosis, treatment, or referral for treatment in a way that makes us a “Part 2 program” under federal law (42 U.S.C. 290dd-2 and 42 CFR Part 2), additional confidentiality protections will apply to substance use disorder records.
In those circumstances, your substance use disorder treatment information generally may not be disclosed without your written consent, except in specific situations allowed by Part 2, such as:
- Medical emergencies.
- Certain audits and evaluations.
- Certain court orders that meet strict requirements.
Where both HIPAA and Part 2 apply, we follow the law that provides the greater protection to your privacy. If Part 2 applies to your care, we will provide additional information about those protections and consents.
7. Your rights regarding your health information
You have several rights related to your PHI. These rights may have some limits under federal or state law.
a. Right to get a copy of your medical record
You have the right to:
- See or get a copy of your health and billing records that we maintain.
- Request your records in paper or electronic form, when reasonably available.
To request access, contact us in writing at the address listed in this Notice. We may charge a reasonable, cost-based fee as allowed by law for copies, mailing, or other supplies.
We may deny your request in limited circumstances. If we deny your request, we will tell you why and let you know if you have the right to have the denial reviewed.
b. Right to request a correction
If you believe information in your record is incorrect or incomplete, you may ask us to correct (amend) it.
- Your request must be in writing, and you must tell us why you believe the information is inaccurate or incomplete.
- We may deny your request in certain cases—for example, if we believe the information is accurate, if we did not create the information, or if it is not part of the records we maintain.
If we deny your request, we will explain our reasons in writing and tell you how to submit a statement of disagreement to be included in your record.
c. Right to request confidential communications
You may request that we contact you in a specific way (for example, at a certain phone number or mailing address) or that we send mail to a different address.
We will accommodate reasonable requests that are feasible and consistent with law. To make a request, contact us using the information in this Notice.
d. Right to request restrictions
You may ask us to limit how we use or disclose your PHI for treatment, payment, or healthcare operations, or to limit the PHI we share with certain people (for example, a family member).
- We are not required to agree to all requested restrictions, but we will consider them.
- If we agree to a restriction, we will follow it except in an emergency or as otherwise allowed by law.
You may also have a special right to restrict certain disclosures to a health plan if you pay out-of-pocket in full for a service and request that we not share information about that service with the health plan, when permitted by law.
e. Right to an accounting of disclosures
You may request a list (“accounting”) of certain disclosures of your PHI that we have made in the past six years, prior to the date of your request. This list will not include:
- Disclosures for treatment, payment, and healthcare operations.
- Disclosures made directly to you.
- Disclosures made with your written authorization.
- Certain other disclosures as defined by law.
The accounting request must be in writing. We will provide one accounting in any 12-month period at no charge; we may charge a reasonable fee for additional requests.
f. Right to receive a paper copy of this Notice
You can request a paper copy of this Notice at any time, even if you have agreed to receive it electronically. The Notice is also available on our website.
8. Our duties regarding electronic communications and website use
We may offer options such as patient portals, secure messaging, or telehealth platforms for aspects of your care or communication. Those tools often have their own privacy and security features and may be governed by additional notices or agreements.
- Ordinary email and general website forms may not be secure.
- We encourage you to avoid sending highly sensitive information by unsecured email or general website forms.
- Use secure portals or messaging tools when available and instructed.
Our website Privacy Policy describes how we handle information collected through our website (such as cookies and analytics) and is separate from this HIPAA Notice.
9. Complaints and questions
If you have questions about this Notice, or if you believe your privacy rights have been violated, you may contact us:
Gravida Psychiatry – Privacy Contact
59 E Queen Ave Ste 111 C
Spokane, WA 99207
Phone: 509-596-2199
You also have the right to file a complaint with:
U.S. Department of Health and Human Services, Office for Civil Rights (OCR)
You can find the current contact information and instructions for filing a complaint on the HHS website or by calling the Office for Civil Rights.
You will not be retaliated against for filing a complaint with us or with HHS.
10. Posting and availability of this Notice
We are required to:
- Give you this Notice on your first visit, when practicable, and make it available at the office and on our website.
- Provide a copy to anyone who asks for it.
- Post the current version of this Notice in a clear and easy-to-find location in our office and prominently on our website.
11. Contact information
If you have any questions about this Notice or your privacy rights, please contact:
Gravida Psychiatry
59 E Queen Ave Ste 111 C
Spokane, WA 99207
Phone: 509-596-2199
Email (non-urgent, non-emergency): support@gravidapsychiatry.com