You have certain rights regarding your health information.
You may request to see or receive an electronic or paper copy of your medical record and other health information we maintain about you.
We will provide a copy or summary of your health information as required by law. We may charge a reasonable, cost-based fee when permitted by law.
You may ask us to contact you in a specific way, such as at a particular phone number or email address, or to send communications to a different address.
We will accommodate reasonable requests as required by law.
You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.
We are generally not required to agree to these requests, except in certain circumstances. If you pay for a healthcare service or item entirely out of pocket, you may ask us not to disclose information about that service or item to your health plan for payment or healthcare operations. We will honor that request when required by law.
You may request a list, known as an accounting of disclosures, showing certain disclosures of your health information made during the period permitted by law.
Not every disclosure is included in this accounting. For example, disclosures for treatment, payment, and healthcare operations generally are not included.
You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
If you have given someone medical power of attorney or if someone is otherwise legally authorized to act on your behalf, that person may exercise your rights and make choices regarding your health information as permitted by law. We may verify that the person has appropriate authority before taking action.
If you believe your privacy rights have been violated, you may file a complaint with Auria Pelvic Health using the contact information provided at the end of this Notice.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.
For certain health information, you may tell us your preferences regarding what we share.
When permitted by law, you may tell us whether you want us to:
Share information with family members, friends, caregivers, or others involved in your care or payment for your care.
Share information in a disaster-relief situation.
Contact you for certain fundraising activities, if Auria Pelvic Health engages in fundraising.
If you are unable to tell us your preference, such as in an emergency, we may share information when we believe doing so is in your best interest and is permitted by law.
For certain uses and disclosures, including certain marketing activities or the sale of protected health information, we will obtain your written authorization when required by law.
We typically use or disclose your health information in the following ways.
We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services.
For example, we may share relevant information with a physician, specialist, or other healthcare professional involved in your care.
We may use and disclose your health information to bill and obtain payment for services we provide.
For example, when Auria Pelvic Health bills your health insurance plan, we may provide information necessary for the insurer to process the claim and determine coverage or payment.
We may use and disclose your health information in connection with operating our practice.
For example, we may use information to evaluate the quality of our services, train staff, improve patient care, conduct compliance activities, and manage our business operations.
We may use or disclose your health information without your written authorization when permitted or required by law.
Depending on the circumstances, this may include disclosures:
For public health and safety activities.
To report suspected abuse, neglect, or domestic violence when permitted or required by law.
For health oversight activities, such as audits or investigations.
To comply with applicable federal or state laws.
In response to certain judicial or administrative proceedings.
For certain law-enforcement purposes.
To coroners, medical examiners, or funeral directors as permitted by law.
For organ and tissue donation.
For workers’ compensation purposes.
To prevent or reduce a serious and imminent threat to health or safety when permitted by law.
For certain government functions as authorized by law.
We will comply with applicable federal and California privacy laws governing these disclosures.
For uses or disclosures of your health information that are not otherwise permitted or required by law, we will obtain your written authorization.
If you provide written authorization, you may revoke that authorization in writing at any time, except to the extent that we have already relied upon it.
Revoking an authorization will not affect uses or disclosures that occurred before the revocation.
Certain categories of health information may receive additional protection under federal or California law.
When additional protections apply to information such as certain mental health, reproductive health, substance use disorder, HIV-related, genetic, or other sensitive health information, Auria Pelvic Health will use and disclose that information in accordance with applicable law.
Where state or federal law provides greater privacy protection than HIPAA, Auria Pelvic Health will follow the more protective requirement when applicable.
Federal law provides additional protections for certain records relating to substance use disorder treatment that are subject to 42 CFR Part 2.
When Auria Pelvic Health receives or maintains information that is protected by these requirements, we will use and disclose that information in accordance with applicable federal law.
Auria Pelvic Health is required by law to maintain the privacy and security of your protected health information.
We will:
Maintain appropriate safeguards to protect your health information.
Follow the duties and privacy practices described in the Notice currently in effect.
Provide you with a copy of this Notice upon request.
Notify you as required by law if a breach occurs that may have compromised the privacy or security of your protected health information.
Obtain your written authorization before using or disclosing your health information when authorization is required by law.
We will not use or disclose your health information other than as described in this Notice or as otherwise permitted or required by law unless you authorize us to do so in writing.
If you authorize a use or disclosure, you may change your mind and revoke your authorization in writing as permitted by law.
If you choose to communicate with Auria Pelvic Health electronically, including through email, text messaging, patient portals, or other electronic methods, we will take reasonable measures to protect the privacy and security of your information.
Please be aware that certain electronic communication methods may have privacy or security limitations. Where applicable, you may request an alternative method of communication.
We may change the terms of this Notice and our privacy practices.
Changes may apply to all protected health information we maintain, including information created or received before the change.
If we make a material change, the revised Notice will be available on our website and at our office and will be provided upon request.
If you have questions about this Notice, would like to exercise your privacy rights, or believe your privacy rights have been violated, please contact:
Auria Pelvic Health
Privacy Contact: Sasha Speer
Email: info@theaurialife.com
Phone: 310-505-6096
Mailing Address: 8939 S. Sepulveda Blvd., Ste. 520, Los Angeles, CA 90045
You may also submit a complaint to:
U.S. Department of Health and Human Services Office for Civil Rights
Information about filing a complaint is available through the U.S. Department of Health and Human Services.
Auria Pelvic Health will not retaliate against you for filing a complaint or exercising your privacy rights.
This Notice is effective as of August 15, 2026.