Notice of Privacy Practices

Effective date: September 28, 2026

Direct Primary Care Associates, PLLC
Tennessee | Georgia | South Carolina | Virginia

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.

1. Our Commitment to Your Privacy

Direct Primary Care Associates, PLLC (the “Practice”) is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your protected health information, to provide you with this Notice of our legal duties and privacy practices, to follow the terms of the Notice currently in effect, and to notify you in the event of a breach of unsecured protected health information. This Notice applies to all records of your care generated by the Practice.

2. How We May Use and Disclose Your Health Information

We may use and disclose your protected health information without your authorization for the following purposes:

Treatment. We use your health information to provide, coordinate, and manage your care. For example, your provider may share information with another provider involved in your care, or with a third-party telemedicine vendor facilitating after-hours access.

Payment. We may use and disclose your health information to bill and collect membership fees, and to confirm eligibility where a third party such as an employer pays for your membership. The Practice does not submit claims to insurance.

Health Care Operations. We may use your health information for the Practice’s operations, including quality assessment, staff review, scheduling, and administrative functions necessary to run the Practice.

3. Other Uses and Disclosures Permitted Without Your Authorization

The law permits or requires us to use or disclose your health information without your authorization in certain circumstances, including:

When required by federal, state, or local law
For public health activities, such as reporting disease, injury, or vital events
To report suspected abuse, neglect, or domestic violence
For health oversight activities authorized by law, such as audits and investigations
In response to a court order, subpoena, or other lawful judicial or administrative process
To law enforcement officials as permitted or required by law
To coroners, medical examiners, and funeral directors as authorized by law
For organ, eye, or tissue donation purposes
To avert a serious and imminent threat to health or safety
For specialized government functions, including military and national security activities
For workers’ compensation as authorized by law

4. Uses and Disclosures Requiring Your Written Authorization

The following uses and disclosures will be made only with your written authorization:

Most uses and disclosures of psychotherapy notes
Uses and disclosures for marketing purposes
Disclosures that constitute a sale of protected health information
Any other use or disclosure not described in this Notice

You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

5. Uses and Disclosures Requiring an Opportunity to Object

Unless you object, we may share relevant health information with a family member, friend, or other person you involve in your care or payment for your care. You may designate these individuals in the Patient Agreement or by notifying the Practice in writing. If you are not present or are unable to agree or object, we may use our professional judgment to determine whether a disclosure is in your best interest.

6. Your Rights Regarding Your Health Information

You have the following rights with respect to your protected health information:

Right to access: You may inspect and obtain a copy of your health information, in a paper or electronic format, subject to limited exceptions.
Right to amend: You may request that we correct health information you believe is incomplete or inaccurate.
Right to an accounting of disclosures: You may request a list of certain disclosures we have made of your health information.
Right to request restrictions: You may request limits on how we use or disclose your health information. We will accommodate a request to restrict disclosure to a health plan for a service you paid for in full out of pocket.
Right to confidential communications: You may request that we contact you by a specific means or at a specific location. We will accommodate reasonable requests.
Right to a paper copy: You may obtain a paper copy of this Notice at any time, even if you agreed to receive it electronically.
Right to be notified of a breach: You will be notified if a breach of your unsecured health information occurs.

To exercise any of these rights, contact the Privacy Officer identified below.

7. Our Responsibilities

We are required to maintain the privacy of your health information, provide this Notice of our duties and privacy practices, follow the terms of the Notice currently in effect, and notify you following a breach of unsecured protected health information. We will not use or disclose your information other than as described here without your written authorization.

8. Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for health information we already have as well as information we receive in the future. The current Notice will be posted at the Practice and available on request. Each Notice will display its effective date.

9. Complaints

If you believe your privacy rights have been violated, you may file a complaint with the Practice by contacting the Privacy Officer below. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

10. Contact for Privacy Matters

Privacy Officer: Beth Prine
Phone: (423) 645-7732
Email: Beth@directpca.com
Mailing address: 2626 Peerless Road NW, Cleveland, TN 37312

Acknowledgment of receipt of this Notice is collected in the Patient Acknowledgments section of the Direct Primary Care Patient Agreement. This Notice is provided to the patient at enrollment and is available on request at any time.

SOURCE · DPCA_Notice_of_Privacy_Practices (2026).pdf, supplied by DPCA on 25 September 2026. Published as written. It is the same notice the clinics give patients at enrollment.

Questions about this page

Write to Beth@DirectPCA.com or call 423-650-4831. If you hit a barrier using this site, tell us what you were trying to do and we will fix it.