East Valley Integrated Primary Care (EVI Primary Care)
Effective date: 30 September 2025
Why you’re seeing this
This notice explains how we use and share your health information, your rights, and our duties to protect your privacy. It applies to all EVI Primary Care locations and services.
Your Rights
You have the right to:
Get a copy of your medical record
- You can ask for a paper or electronic copy of your record.
- We will provide it within the time allowed by law.
- You can ask us to send it to you or to someone else you choose.
Ask us to correct your record
- If you think something is wrong or missing, ask us to fix it.
- We may say no, but we’ll tell you why in writing and how to add your statement.
Ask for confidential communication
- Tell us how to contact you (for example, a different phone number or address). We will say yes if it is reasonable.
Ask us to limit what we use or share
- You can ask us not to use or share certain information. We’re not required to agree, but we will consider your request.
- If you pay for a service in full out-of-pocket, you can ask us not to share that specific information with your health plan. We will honor this unless a law requires us to share it.
Get a list of certain disclosures
- You can ask for a list (“accounting”) of the times we shared your information for reasons other than treatment, payment, and operations.
Get a copy of this notice
- You can ask for a paper copy at any time, even if you got it electronically.
Choose someone to act for you
- If you have given someone medical power of attorney or a legal guardian, that person can exercise your rights.
File a complaint
- If you believe your privacy rights were violated, contact our Privacy Officer at the number above.
- You can also complain to the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.
How We Typically Use and Share Your Information
We usually use or share your health information in these ways:
Treatment
- We use and share information with doctors, nurses, therapists, pharmacies, labs, and other professionals who are helping with your care (for example, to coordinate a referral or manage medications).
Payment
- We use and share information with your health plan or others who pay for your care (for example, to check benefits or get paid for services).
Health care operations
- We use information to run our practice, improve quality, train staff, and contact you when needed (for example, scheduling, patient safety checks, or customer service).
Examples you may see in our clinic:
- Sending your lab order and relevant notes to a laboratory.
- Sharing a visit summary with a specialist we refer you to.
- Confirming your insurance eligibility before an appointment.
- Reviewing records internally to improve care quality and safety.
Other Ways We May Use or Share Information
We are allowed or required to share your information in other ways—usually to contribute to public good, meet legal duties, or protect safety. We must meet many conditions in the law before we share for these purposes.
- Public health and safety (prevention or control of disease; reporting adverse reactions; product recalls)
- Health oversight (audits, inspections, or licensure)
- Research (only under strict privacy protections or with your authorization)
- Responding to legal actions (court orders, subpoenas)
- Law enforcement or to avert a serious threat to health or safety
- Medical examiner or funeral director
- Organ or tissue donation
- Workers’ compensation, disability, or other similar programs
- Specialized government functions (as permitted by law)
Breach notification
- If a breach compromises the privacy or security of your information, we will notify you as required by law.
Uses and Disclosures That Require Your Written Authorization
We will only use or share your information with your signed authorization for:
- Marketing that is paid for by a third party
- Sale of your health information
- Most uses of psychotherapy notes (if applicable)
- Other uses not covered in this notice
You can cancel your authorization at any time by telling us in writing.
Extra Protections for Certain Information
Some types of information have added protections under federal or Arizona law (for example: HIV/AIDS, behavioral health, substance use treatment records, genetic testing, certain reproductive health information). We follow those stricter rules when they apply and may need your written permission before sharing.
Our Responsibilities
- We are required by law to keep your information private and secure.
- We will let you know if a breach occurs that may have compromised your privacy or security.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information in ways not covered here unless you authorize it in writing.
Changes to this notice
We may change this notice and the changes will apply to information we already have and to new information. The updated notice will be available in our offices and on our website, with a new “Effective date.”
Your Choices
- Contact preferences: Tell us how you prefer we contact you (call, mail, portal).
- Reminders and messages: We may contact you about appointments, results, care coordination, or options for your care.
- Fundraising (if used): If we contact you for fundraising, you may opt out of future messages.
- Texting and email: Standard email and text may not be fully secure. We limit sensitive details and prefer to use our Patient Portal for medical information.
How to Use Your Rights
To request records, corrections, confidential communications, limits on sharing, a disclosure list, or a paper copy of this notice, contact the clinic at (480) 943-1220:
You can also file a privacy complaint with:
U.S. Department of Health & Human Services, Office for Civil Rights (OCR)
Website: hhs.gov/ocr/privacy/hipaa/complaints
Mail: 200 Independence Avenue, SW, Washington, DC 20201
If You Receive Care at Multiple EVI Locations
This notice applies across EVI Primary Care clinics and services. Team members may share information with each other as needed for your care, payment, and our operations.
Non-Retaliation
We will not retaliate against you for asking questions, making requests, or filing a complaint.
Acknowledgment of Receipt
We may ask you to sign a form showing you received this notice. Your care is not conditioned on signing.
Quick Summary (patient-friendly box you can place at the top of the web page)
- We use your information to treat you, get paid, and run our practice.
- You can see, get a copy, and ask to correct your record.
- You can ask us to contact you in a specific way and limit what we share.
- Some information has extra protections (for example, HIV, substance use, behavioral health).
- We won’t sell your information or use it for marketing without your written permission.
Website note: This Notice of Privacy Practices covers medical information. For how our website handles cookies, forms, and analytics, see our Privacy Policy.