Notice of Privacy Practices

This Notice of Privacy Practices describes how Aliya Hussain PMHNP-BC LLC ("the Practice," "we," "us," or "our") may use and disclose your protected health information and your rights with respect to that information. Aliya Hussain, PMHNP-BC provides psychiatric care through the Practice.

Protected health information is information that identifies you and relates to your past, present, or future physical or mental health condition, the provision of health care to you, or payment for that care.

When it comes to your health information, you have certain rights. This section explains your rights and some of the Practice's related responsibilities.

Access to Health Information

You have the right to inspect and obtain a copy of your health information in the form and format required by applicable law, including an electronic copy when applicable. The Practice may charge a reasonable, cost-based fee as permitted by law.

In limited circumstances permitted by law, the Practice may deny access to some or all of the requested information. If access is denied, the Practice will explain the reason in writing and, when required by law, tell you whether you have a right to request review of the decision.

Request a Correction

You may ask the Practice to correct health information about you that you believe is incorrect or incomplete. The Practice may deny your request in certain circumstances permitted by law. If the request is denied, the Practice will provide a written explanation.

Confidential Communications

You can ask the Practice to contact you in a specific way or at a specific location. The Practice will accommodate reasonable requests.

Request Restrictions

You may ask the Practice to limit how your health information is used or shared for treatment, payment, or health care operations. The Practice is not required to agree to every restriction request.

If you pay for a service or health care item out of pocket in full, you may ask the Practice not to share that information for the purpose of payment or health care operations with your health plan. Where required by law, the Practice will agree to that request unless a disclosure is otherwise required by law.

Accounting of Disclosures

You may request an accounting of certain disclosures of your health information as permitted by law. One accounting within a 12-month period will generally be provided without charge. A reasonable fee may apply to additional requests where permitted by law.

Personal Representative

If you have given someone medical power of attorney, or if someone is your legal guardian or otherwise legally authorized to act for you, that person may exercise your rights as permitted by law.

Paper or Electronic Copy of This Notice

You may ask for a paper copy of this Notice at any time, even if you agreed to receive it electronically. You may also print this Notice using the Print Notice button above.

Choose Someone to Act for You

If another person is legally authorized to make health care decisions for you, the Practice will work with that person as permitted by law.

For certain health information, you can tell the Practice your preferences about what is shared. If you have a clear preference for how the Practice shares your information in the situations described below, please communicate that preference to the Practice.

Family and Others Involved in Care

The Practice may share relevant health information with family members, friends, or others involved in your care or payment for your care when permitted by law and consistent with your preferences or best interests. You may tell the Practice whether you want the Practice to share information in these situations.

Fundraising

The Practice does not currently use your protected health information for fundraising purposes.

Marketing and Sale of Protected Health Information

The Practice does not sell your protected health information.

Your written authorization will generally be required for uses and disclosures of protected health information for marketing purposes, the sale of protected health information, and most uses or disclosures of psychotherapy notes, except where otherwise permitted by law. Ordinary psychiatric progress notes are not the same as psychotherapy notes under federal privacy rules.

The Practice typically uses or shares your health information in the following ways.

Treatment

We may use and share your health information with other health professionals who are involved in your care.

Payment

We may use and share your health information to bill your health plan or another responsible party for services provided.

Health Care Operations

We may use and share your health information to operate the Practice, improve care, conduct quality activities, manage business functions, and communicate with you about appointments or services.

Other Permitted or Required Disclosures

The Practice may also use or disclose your health information in other situations when permitted or required by law, including:

• Public health activities
• Health oversight activities
• Serious threats to health or safety
• Abuse, neglect, or domestic violence reporting
• Disclosures required by law
• Judicial and administrative proceedings
• Law enforcement purposes
• Workers' compensation
• Coroners and funeral directors
• Organ donation
• Research, when permitted by law
• Correctional institutions
• Specialized government functions
• Business associates who perform services for the Practice under appropriate agreements
• Disclosures required by the Secretary of Health and Human Services

When required by law, the Practice will limit disclosures to the information necessary for the permitted purpose.

Certain mental health records and other health information may receive additional protection under Illinois law. Where Illinois law provides greater privacy protection than federal law, the Practice will follow the more protective requirement.

If the Practice receives or maintains substance use disorder records that are protected by 42 C.F.R. Part 2, those records may receive additional confidentiality protections under federal law.

The Practice will comply with applicable Part 2 requirements regarding the use and disclosure of those records, including restrictions that may apply to their use in legal proceedings.

• The Practice is required by law to maintain the privacy and security of protected health information.
• The Practice is required to follow the Notice currently in effect.
• Where more protective state or federal law applies, the Practice will follow the more protective requirement.
• We will notify you as required by law following a breach of unsecured protected health information.
• The Practice reserves the right to change this Notice and make the revised Notice effective for health information already maintained as well as information received in the future, as permitted by law.

If you have questions about this Notice, or if you want to exercise your rights, contact the Practice using the information below.

You may file a complaint directly with the Practice if you believe your privacy rights have been violated.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Visit the official HHS complaint page.

The Practice will not retaliate against you for filing a complaint.

The Practice reserves the right to change this Notice and make the revised Notice effective for health information already maintained as well as information received in the future, as permitted by law. The Practice will post the current Notice on the website and make a copy available upon request.

Effective Date: August 7, 2026