Mindfulous Integrative Health Clinic Notice of Privacy Practices

This Notice of Privacy Practices (“Notice”) describes how Mindfulous Integrative Health Clinic (“we,” “us,” or “our”) may use and disclose your Protected Health Information (PHI) as defined by the Health Insurance Portability and Accountability Act (HIPAA) and the California Confidentiality of Medical Information Act (CMIA). This Notice also explains your rights regarding your PHI and our online privacy practices in compliance with the California Online Privacy Protection Act (CalOPPA).

Our Commitment to Your Privacy

We are committed to protecting the privacy and security of your PHI, both online and offline. We will only use or disclose your PHI as permitted or required by law, with your authorization, or as described in this Notice.

How We May Use and Disclose Your PHI

  • For Treatment: We may use your PHI to provide, coordinate, or manage your healthcare and related services.
  • For Payment: We may use and disclose your PHI to bill and collect payment for the services you receive.
  • For Health Care Operations: We may use and disclose your PHI for activities such as quality assessment, employee training, and business management.
  • With Your Authorization: We may use or disclose your PHI for other purposes with your written authorization. You may revoke your authorization at any time.
  • As Required by Law: We may disclose your PHI when required to do so by federal, state, or local law.
  • Online Information: If you interact with us online (e.g., through our website), we may collect personal information, including your name, contact information, and IP address. This information is used to improve our website, respond to inquiries, and provide you with relevant information about our services.

Your Rights Regarding Your PHI and Online Privacy

  • Right to Access: You have the right to inspect and obtain a copy of your PHI.
  • Right to Amend: You have the right to request that we amend your PHI if you believe it is inaccurate or incomplete.
  • Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your PHI.
  • Right to Request Restrictions: You have the right to request restrictions on the use and disclosure of your PHI.
  • Right to Receive Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way or at a certain location.
  • Right to a Paper Copy of this Notice: You have the right to request a paper copy of this Notice at any time.
  • Right to Know: You have the right to request information about the personal information we collect online, why we collect it, and with whom we share it.
  • Right to Delete: You have the right to request that we delete your personal information collected online.

Changes to this Notice

We reserve the right to change this Notice at any time. We will notify you of any changes by posting the revised Notice in our clinic, on our website, and/or by email if we have your email address.


If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights.

Effective Date: May 19th, 2024

Contact Information

Mindfulous Integrative Health Clinic 

2021 Filmore St, #2142

San Francisco, CA


E-mail: hello@mindfulous.com

Fax: 8663053569

Tel: ‪(415) 375-0890‬