MBS Restorative Centre

Notice of Privacy Practices

Effective date: November 13, 2026

THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our responsibilities

MBS Restorative Centre PLLC is required by law to keep your protected health information (PHI) private, to give you this notice of our legal duties and privacy practices, and to notify you if a breach affects your unsecured PHI. We must follow the terms of the notice currently in effect.

How we may use and share your information

  • Treatment: to provide and coordinate your care, including consultation with other providers involved in your care.
  • Payment: to bill and receive payment from your health plan, including verifying benefits and obtaining authorizations.
  • Health care operations: to run our practice, improve care, train and supervise clinicians, and contact you about appointments.
  • As required by law: including reports of suspected child or elder abuse or neglect, and responses to court orders or subpoenas as the law allows.
  • To prevent a serious threat to health or safety for you or others.
  • Public health and oversight: to licensing boards and health oversight agencies as required.

Uses that require your written permission

We will not use or share your information for marketing, sell it, or share psychotherapy notes without your written authorization. You may revoke an authorization in writing at any time.

Substance use disorder records

If you receive substance use disorder treatment from us, those records may have additional protection under federal law (42 CFR Part 2), and we will follow those stricter rules where they apply.

Your rights

  • Get a copy of your health records, electronic or paper
  • Ask us to correct records you believe are wrong
  • Ask for confidential communications (for example, a different phone number or address)
  • Ask us to limit what we use or share; if you pay in full out of pocket, you may ask us not to share that service with your health plan
  • Get a list of those with whom we have shared your information
  • Get a paper copy of this notice at any time
  • Choose someone to act for you, such as a legal guardian or a parent of a minor where the law allows
  • File a complaint if you believe your rights were violated

Telehealth

Sessions take place on a HIPAA-compliant video platform. We do not record sessions.

Complaints

Contact our Privacy Officer, Delva Douglas, LCSW, at (919) 633-1218 or admin@mbsrestorativecentre.com. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.

Changes to this notice

We may change this notice. The new notice will apply to all information we hold, and will be posted on our website and available on request.