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HIPAA Notice of Privacy Practices

Effective Date: January 1, 2026 

This Notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully. 

Our Commitment to Your Privacy 

Dr. Sharif and Dr. Derm ND are committed to protecting the privacy of your health information. We are required by law to maintain the confidentiality of your Protected Health Information (PHI) and to provide you with this Notice of our legal duties and privacy practices. 

How We May Use and Disclose Your Health Information 

We may use or disclose your PHI for the following purposes: 

Treatment 

To provide, coordinate, or manage your healthcare and related services (e.g., sharing information with labs or other healthcare providers involved in your care). 

Payment 

To obtain payment for services rendered. 
Please note: This practice does not accept insurance. 

Healthcare Operations 

For practice operations such as quality improvement, training, and administrative activities. 

As Required by Law 

When required to do so by federal, state, or local law. 

Your Rights Regarding Your Health Information 

You have the right to: 

  • Access your medical records 
  • Request corrections to inaccurate or incomplete information 
  • Request restrictions on certain uses or disclosures 
  • Request confidential communications (e.g., phone vs. email) 
  • Receive a paper copy of this Notice upon request 

To exercise these rights, please contact our office directly. 

How We Protect Your Information 

Health information submitted through intake forms is transmitted securely to our office systems. While our website facilitates communication and scheduling, Protected Health Information is not stored on the website itself

Complaints 

If you believe your privacy rights have been violated, you may file a complaint with: 

  • Our office, or 
  • The U.S. Department of Health and Human Services (HHS) 

You will not be retaliated against for filing a complaint. 

Contact Information 

Dr. Derm ND 
1629 Queen Anne Ave N, Ste 104 
Seattle, WA 98109 

📞 425-608-9998 
📧 [email protected] 

Changes to This Notice 

We reserve the right to change this Notice. Any updates will be posted on this page with a revised effective date.