Notice of Privacy Practices
Silence Medical, PLLC | Effective: April 28, 2026
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.
Our Pledge
Silence Medical, PLLC is committed to protecting the privacy of your protected health information ("PHI"). This Notice describes how we may use and disclose your PHI and your rights with respect to that information. We are required by law to maintain the privacy of PHI, to provide you with this Notice, and to follow the terms of the Notice currently in effect.
Uses and Disclosures Without Your Authorization
We may use and disclose your PHI for the following purposes without your authorization:
Treatment. To provide, coordinate, or manage your healthcare, including with consulting providers, our partner pharmacy, and laboratories.
Payment. To bill and obtain payment for services, including processing card or ACH payments and verifying eligibility.
Healthcare operations. To support quality assessment, training, licensure, accreditation, business management, and similar activities.
Required by law. When federal, state, or local law requires disclosure.
Public health and safety. To public-health authorities, to report suspected abuse or neglect, or to prevent a serious threat to health or safety.
Health oversight. To agencies that audit, investigate, or license healthcare providers.
Judicial and administrative proceedings. In response to a court order, subpoena, or similar lawful process.
Law enforcement. As permitted by law for purposes such as identifying a suspect, victim, or missing person.
Workers’ compensation. As authorized by workers’ compensation or similar laws.
Business associates. Vendors performing services on our behalf (such as our electronic health record, scheduling platform, payment processor, and pharmacy partner) under written agreements that require them to safeguard your PHI.
Appointment reminders, treatment alternatives, and health-related benefits. To contact you about your care.
Uses and Disclosures Requiring Your Authorization
The following uses and disclosures require your written authorization, which you may revoke at any time in writing:
most uses and disclosures of psychotherapy notes (when applicable);
uses and disclosures for marketing; and
sales of PHI.
Other uses and disclosures not described in this Notice will be made only with your written authorization. You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.
Your Rights
You have the following rights with respect to your PHI:
Right to inspect and copy. You may request to inspect or obtain a copy of your PHI in our designated record set. We may charge a reasonable, cost-based fee.
Right to amend. You may request that we amend PHI you believe is incorrect or incomplete. We may deny the request in certain circumstances.
Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your PHI.
Right to request restrictions. You may request restrictions on how we use or disclose PHI for treatment, payment, or healthcare operations. We are not required to agree, except that we must agree to restrict disclosure to a health plan if the disclosure is for payment or operations and you have paid for the service in full out-of-pocket.
Right to confidential communications. You may request that we communicate with you about medical matters in a specific way or at a specific location (for example, by alternate phone number or address).
Right to a paper copy of this Notice. You have the right to a paper copy of this Notice on request, even if you have agreed to receive it electronically.
Right to be notified of a breach. You will be notified if a breach affecting your unsecured PHI occurs, as required by law.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Changes to This Notice
We may change this Notice and apply the revised Notice to PHI we already maintain. The current Notice will be posted at silencemed.com with an updated effective date and provided on request.
Contact — Privacy Officer
Privacy Officer: Alexis Silence, FNP-C
Silence Medical, PLLC
Email: alexis@silencemed.com
Phone: (602) 931-2469
Mailing: 20235 N. Cave Creek Rd., Ste. 104 #460, Phoenix, AZ 85024
Acknowledgement
Federal law requires us to make a good-faith effort to obtain written acknowledgement of receipt of this Notice from each patient at the start of care. Acknowledgement does not constitute consent to any specific use or disclosure beyond what this Notice describes.