Notice of Privacy Practices
Effective Date: July 16, 2025
Inner Light Family Psychiatry, PLLC is committed to protecting your health information.
This Notice of Privacy Practices describes how your medical information may be used
and disclosed, and how you can access this information.
We follow the Health Insurance Portability and Accountability Act (HIPAA) privacy
rules.
How We May Use and Disclose Health Information
We may use and disclose your health information without your authorization for the
following purposes:
- Treatment: Sharing with other healthcare providers involved in your care. (With
consent)
- Payment: Billing your insurance or you directly for services provided.
- Healthcare Operations: Administrative and quality improvement activities.
Other Disclosures Permitted by Law
We may disclose your information without your written consent in situations including:
- When required by federal, state, or local law.
- To prevent or reduce a serious threat to your health or safety or the health or safety of
another person.
- For public health activities, such as disease prevention or reporting abuse.
- In response to court orders or subpoenas.
Your Rights
You have the right to:
- Request access to or copies of your medical records.
- Request corrections to your health information.
- Request restrictions on certain uses or disclosures.
- Request confidential communications (e.g., to a specific phone or address).
- File a complaint if you believe your privacy rights have been violated.
How to File a Complaint
If you believe your privacy rights have been violated, you may contact:
Inner Light Family Psychiatry, PLLC
Post Office Box 33
St Marie, Illinois 62459
You may also contact the U.S. Department of Health and Human Services.
We will not retaliate against you for filing a complaint.
Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for all
protected health information we maintain. The current version will be available on our
website.