Notice of Privacy Practices (HIPAA)

Effective date: October 8, 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.

DOHO Wellness Clinic LLC, 522 N Main St, Suite 1, Donna, TX 78537 ·
956-338-2875 · info@dohowellnessclinic.com
Privacy Officer: Lucienne
Doho, APRN, FNP-BC

Your rights

You have the right to:

• Get a copy of your health record. Ask us in
  writing. We will provide a copy or summary, usually within 15 business
  days for electronic records (Texas law) and no later than 30 days
  (federal law). We may charge a reasonable, cost-based fee.
• Ask us to correct your record if you think it is
  incorrect or incomplete. We may say no, but we will tell you why in
  writing within 60 days.
• Request confidential communications — for example,
  to be contacted only at a certain phone number or address. We will say
  yes to all reasonable requests.
• Ask us to limit what we use or share. We are not
  required to agree, except: if you pay for a service in full out of
  pocket, you can ask us not to share that information with your health
  insurer, and we will say yes unless the law requires us to share
  it.
• Get a list of those with whom we have shared your
  information for six years before the date you ask (not
  including treatment, payment, operations and some other disclosures).
  One list per year is free.
• Get a paper copy of this notice at any time, even
  if you agreed to receive it electronically.
• Choose someone to act for you — a medical power of
  attorney or legal guardian may exercise your rights. We will confirm
  their authority first.
• File a complaint if you believe your rights were
  violated: contact our Privacy Officer above, or the U.S. Department of
  Health and Human Services Office for Civil Rights, 200 Independence
  Avenue SW, Washington, D.C. 20201, 1-877-696-6775,
  www.hhs.gov/ocr/privacy/hipaa/complaints. You may also contact the Texas
  Attorney General. We will not retaliate against you for filing a
  complaint.

Your choices

You can tell us your choices about: sharing information with family,
close friends or others involved in your care; and contacting you for
reminders. If you cannot tell us (for example, if you are unconscious),
we may share information if we believe it is in your best interest, or
to lessen a serious and imminent threat to health or safety.

We never sell your information, use it for marketing, or share it for
fundraising unless you give us written permission.

Our uses and disclosures

We typically use or share your health information to:

• Treat you — e.g., sharing lab results with your
  primary care provider, sending specimens to a reference laboratory, or
  consulting our delegating physician.
• Run our clinic — e.g., quality review, training
  staff, and managing appointments.
• Bill for your services — we are a cash-pay clinic;
  we may share information with payment processors as needed to collect
  payment.

We may also share information, as the law allows or requires, to:
help with public health and safety (preventing disease, reporting
adverse reactions to medicines, reporting suspected abuse, neglect or
domestic violence, preventing a serious threat to health or safety); do
research under strict conditions; comply with the law (including the
U.S. Department of Health and Human Services); respond to organ and
tissue donation requests; work with a medical examiner or funeral
director; address workers’ compensation, law enforcement and other
government requests (special government functions such as military,
national security and presidential protective services); and respond to
lawsuits and legal actions (court orders, subpoenas).

Employer testing and physicals: for drug and alcohol
tests and employment, school, sports or DOT physicals, we share results
only as you authorize in writing or as federal or state law requires
(for example, DOT results go through a Medical Review Officer under 49
CFR Part 40; DOT physical results are reported to the Federal Motor
Carrier Safety Administration).

Texas law: Texas Health and Safety Code Chapter 181
gives you additional protections. We train our staff on Texas and
federal privacy law. Your health information may be subject to
electronic disclosure (for example, through our electronic
health record and to laboratories); we will not electronically disclose
it for purposes other than treatment, payment, health care operations,
or as otherwise allowed by law, without your authorization. Some records
(such as substance-use-disorder treatment records, HIV test results, and
genetic test results) may have extra protections under federal or Texas
law.

Our responsibilities

• We are required by law to keep your health information private and
  secure.
• We will tell you promptly if a breach occurs that may have
  compromised the privacy or security of your information.
• We must follow the duties and privacy practices in this notice and
  give you a copy.
• We will not use or share your information other than as described
  here unless you tell us we can in writing. You may change your mind at
  any time in writing.

Changes to 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 on
request, in our office, and on our website.