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Privacy Policy

This Notice Describes How Your Health Information May Be Used and Shared

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This notice explains how Underdog Alchemy LLC may use and disclose your protected health information (PHI), and your rights regarding that information. Please review it carefully.

How We May Use and Share Your Information

We may use or share your health information for the following purposes:

Treatment

To provide, coordinate, or manage your healthcare. This may include communication with pharmacies, laboratories, hospitals, primary care providers, therapists, or other healthcare professionals involved in your care.

Payment

To bill and receive payment for services provided. This may include sharing information with insurance companies or other third parties responsible for payment.

Healthcare Operations

To operate and improve the practice. This may include quality review, licensing, training, compliance activities, and business management.

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Other Situations Where We May Share Information

We may share health information when required or permitted by law, including:

  • Suspected child abuse

  • Suspected elder or vulnerable adult abuse

  • Serious threat to your health or safety or the safety of others

  • Court orders or  legal proceedings

  • Public health reporting requirements

  • We may also share relevant information in a medical or psychiatric emergency to protect your safety.

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Use of Electronic Systems

Underdog Alchemy LLC uses secure electronic systems to maintain medical records.

This may include electronic health records and HIPAA-compliant documentation tools. We require business associate agreements with technology vendors to protect your information. No recording of sessions will occur without your knowledge.

 

Your Rights

You have the right to:

  • Access and receive a copy of your medical record (with limited exceptions)

  • Request corrections to your record

  • Request limits on certain uses or disclosures (though not all requests must be granted)

  • Request confidential communications (such as contact at a specific phone number)

  • Receive a list of certain disclosures of your information

  • Receive a paper copy of this Notice

To exercise any of these rights, contact Underdog Alchemy LLC using the contact information above.

Our Responsibilities

Underdog Alchemy LLC is required by law to:

  • Maintain the privacy and security of your health information

  • Provide you with this Notice

  • Follow the terms of the Notice currently in effect

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

  • We reserve the right to update this Notice.

  • Updated versions will be posted on our website and available upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Underdog Alchemy LLC

Misha Love, PMHNP

Phone:

Email: Underdog.Alchemy@gmail.com

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

Filing a complaint will not affect your care.ur privacy rights have been violated, you may file a complaint with:

Underdog Alchemy LLC
Misha Love, PMHNP
(Phone / Email)

You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Underdog Alchemy LLC
Misha Love, PMHNP
(Phone / Email)

You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care.

971-486-6182

2240 SE Stark Street

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Underdog Alchemy is a practice rooted in dignity, accountability, and deep respect for human complexity. We welcome and actively support people and families of all ages, including members of the LGBTQIA+ community; people who have immigrated here and the vibrant communities they help build; individuals working in the sex industry; and those whose relationship structures and identities may be celibate, monogamous, consensually non-monogamous, relationally expansive, asexual, or expressive in diverse and consensual ways. We are committed to creating a space that is affirming, culturally responsive, trauma-informed, and grounded in mutual respect. Abusive, harassing, discriminatory, or dehumanizing behavior toward any individual or community will not be tolerated. If your personal beliefs require the exclusion, diminishment, or harm of others, this practice is unlikely to be a good fit for you.

 

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