Notice of Privacy Practices
Effective date: April 30, 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.
Who this notice applies to
This notice applies to Peter Pham, PMHNP-BC and Peter Pham Nursing Corporation, including any employees, contractors, and trainees who provide care under our practice.
Our duties
We are required by law to:
- Maintain the privacy of your protected health information (PHI).
- Provide you with this notice of our legal duties and privacy practices.
- Notify you following a breach of unsecured PHI.
- Follow the terms of the notice currently in effect.
How we may use and disclose your PHI without your authorization
- Treatment — to provide, coordinate, or manage your mental health care, including communicating with other providers involved in your care (such as therapists or primary care physicians).
- Payment — to bill insurance, process claims, and obtain payment for services.
- Health care operations — for internal activities such as quality improvement, training, audits, and compliance reviews.
- Required by law — when disclosure is required by federal, state, or local law (for example, mandated reporting of suspected child or elder abuse).
- Public health and safety — to prevent serious harm to you or others.
- Court orders or subpoenas — when properly issued and where disclosure is required.
- Workers' compensation — as authorized by state workers' compensation law.
Uses and disclosures that require your written authorization
- Psychotherapy notes (other than as permitted by HIPAA).
- Marketing communications.
- Sale of PHI.
- Most other uses not described in this notice.
You may revoke a written authorization at any time, except to the extent we have already acted on it.
Your rights regarding your PHI
- Access — you may request to inspect and obtain a copy of your records.
- Amendment — you may request amendment of information you believe is incorrect.
- Accounting of disclosures — you may request a list of certain disclosures we have made.
- Restrictions — you may request restrictions on certain uses and disclosures (we are not required to agree, except for disclosures to a health plan for services you paid for in full out of pocket).
- Confidential communications — you may request that we contact you in a particular way (for example, by your cell phone only).
- Paper copy — you may request a paper copy of this notice at any time.
- Complaint — you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS), Office for Civil Rights. We will not retaliate against you for filing a complaint.
To exercise any of these rights, contact us in writing at the address below.
Special California protections
California law provides additional protections for mental health and substance use records. We comply with both HIPAA and applicable California law (including the Confidentiality of Medical Information Act, Cal. Civ. Code §§ 56 et seq.).
Changes to this notice
We may change this notice. The new notice will apply to all PHI we maintain. Updated notices will be posted on this page and made available in the office.
Contact / privacy officer
Peter Pham, PMHNP-BC — Privacy Officer Peter Pham Nursing Corporation 1100 W Town and Country Rd, Suite 1250 Orange, CA 92868 Email: info@blackonyx.care Phone: (714) 844-5541
You may also file a complaint with: U.S. Department of Health and Human Services, Office for Civil Rights https://www.hhs.gov/ocr/