Notice of Privacy Practices

GastroDoxs PLLC · Effective date: October 27, 2026

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.

This notice applies to GastroDoxs PLLC and all of its offices in Brookshire, Cypress, Jersey Village (Houston) and Katy, Texas, including our physicians, physician assistants, nurse practitioners and staff. It describes how we use and share your health information as a patient. Our separate Website Privacy Policy explains how we handle information collected through this website.

If you need this notice in another language or format, or a paper copy, call us at 832-632-4070 or ask at the front desk.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

• Get a copy of your medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
• Ask us to correct your medical record. You can ask us to correct health information about you that you think is incorrect or incomplete. We may say "no" to your request, but we will tell you why in writing within 60 days.
• Request confidential communications. You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say "yes" to all reasonable requests.
• Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment, payment or our operations. We are not required to agree, and we may say "no" if it would affect your care. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for payment or our operations. We will say "yes" unless a law requires us to share it.
• Get a list of those with whom we've shared information. You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free but may charge a reasonable, cost-based fee if you ask for another one within 12 months.
• Get a copy of this privacy notice. You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically.
• Choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority before we take any action.
• Get notice of a breach. We will notify you if a breach occurs that may have compromised the privacy or security of your health information.
• File a complaint if you feel your rights are violated. See "Questions and Complaints" below.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends or others involved in your care.
• Share information in a disaster relief situation.

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

• Marketing purposes.
• Sale of your information.
• Most sharing of psychotherapy notes.

Our Uses and Disclosures

We typically use or share your health information in the following ways.

• Treat you. We can use your health information and share it with other professionals who are treating you. Example: we send your biopsy to a pathology lab and share the results with your primary care physician.
• Run our organization. We can use and share your health information to run our practice, improve your care and contact you when necessary. Example: we use health information about you to manage your treatment and services, review the quality of care, and send appointment reminders.
• Bill for your services. We can use and share your health information to bill and get payment from health plans or other entities. Example: we give information about you to your health insurance plan so it will pay for your services.

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

• Help with public health and safety issues. Preventing disease; helping with product recalls; reporting adverse reactions to medications; reporting suspected abuse, neglect or domestic violence; preventing or reducing a serious threat to anyone's health or safety.
• Do research. We can use or share your information for health research, subject to legal protections.
• Comply with the law. We will share information about you if state or federal laws require it, including with the U.S. Department of Health and Human Services if it wants to see that we are complying with federal privacy law.
• Respond to organ and tissue donation requests. We can share health information about you with organ procurement organizations.
• Work with a medical examiner or funeral director. We can share health information with a coroner, medical examiner or funeral director when an individual dies.
• Address workers' compensation, law enforcement and other government requests. We can use or share health information about you for workers' compensation claims; for law enforcement purposes or with a law enforcement official; with health oversight agencies for activities authorized by law; and for special government functions such as military, national security and presidential protective services.
• Respond to lawsuits and legal actions. We can share health information about you in response to a court or administrative order, or in response to a subpoena.
• Business associates. We may share your information with companies that perform services for us, such as billing, scheduling, records storage and IT support. They must sign an agreement to protect your information and use it only as we allow.

Substance Use Disorder Treatment Records

GastroDoxs is not a substance use disorder treatment program. If we receive records about you that are protected by federal law (42 CFR Part 2) from a substance use disorder treatment program, we will not use or share those records in any civil, criminal, administrative or legislative investigation or proceeding against you unless you give written consent or a court orders it after giving you notice and an opportunity to be heard, as the law requires.

Texas Law

Texas law gives you additional protections. Your health information may be disclosed electronically, for example to other providers, health plans and health information exchanges. Except for treatment, payment, health care operations, or as otherwise authorized or required by law, we will get your authorization before we disclose your health information electronically. We will not sell your health information, and Texas law gives extra protection to certain records, such as mental health and HIV/AIDS test results.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• 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 other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our offices and on this website, with its effective date shown at the top.

Questions and Complaints

For questions about this notice, to use any of your rights, or to file a complaint with us, contact our Privacy Officer at 832-632-4070 or info@gastrodoxs.com.

You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.