Integrate, Heal, Empower

Effective Date: August 20, 2026

Surya A Medical Corporation
Dr. Vijayalakshmi Pratha, M.D.
3330 Third Ave, Suite 304
San Diego, CA 92103
Phone: 619-260-1012
Email: office@integrativegisd.com
Website: integrativegisd.com

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.

Surya A Medical Corporation is committed to protecting the privacy of your health information.

This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI), your rights regarding your health information, and our responsibilities under applicable federal and California law.

YOUR RIGHTS

When it comes to your health information, you have certain rights.

Get a copy of your medical record

You have the right to inspect and obtain a copy of your protected health information, including your medical records, in paper or electronic form, subject to applicable law.

You may request a copy of your records by contacting our office.

We generally will provide access within the time required by applicable law. We may charge a reasonable, cost-based fee where permitted by law.

Ask us to correct your medical record

You may ask us to correct health information about you that you believe is incorrect or incomplete.

We may deny your request in certain circumstances permitted by law. If we deny your request, we will provide you with a written explanation.

Request confidential communications

You may ask us to contact you in a specific way or at a specific location.

For example, you may ask us to contact you at a particular telephone number or send correspondence to a different address.

We will accommodate reasonable requests.

Ask us to limit what we use or share

You may ask us to limit the health information we use or disclose for treatment, payment, or healthcare operations.

We are not required to agree to every request.

However, if you pay for a healthcare service or item completely out of pocket and request that we not disclose information about that service to your health plan for payment or healthcare operations, we will generally honor that request unless disclosure is required by law.

Get a list of disclosures

You may request an accounting of certain disclosures of your protected health information made by us during the six years before the date of your request.

The accounting does not include certain disclosures, including disclosures for treatment, payment, healthcare operations, and disclosures you authorized, as permitted by law.

Get a copy of this Notice

You have the right to receive a paper copy of this Notice at any time.

You may also request an electronic copy.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person may exercise your rights and make choices regarding your health information on your behalf, subject to applicable law.

We will verify that the person has the appropriate legal authority before taking action.

File a complaint

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.

You will not be retaliated against for filing a complaint.

YOUR CHOICES

For certain health information, you may tell us your preferences about what we share.

You may ask us to:

• Share information with a family member, close friend, or another person involved in your care or payment for your care.

• Share information in a disaster-relief situation.

• Contact you using a particular method or at a particular location.

If you are unable to communicate your preference, we may share information when necessary to protect your health or safety or when permitted by law.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use or disclose your protected health information without your written authorization for purposes permitted by HIPAA and applicable law, including the following.

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare.

Example: We may share relevant information with another physician, specialist, laboratory, pharmacy, or other healthcare professional involved in your care.

Payment

We may use and disclose your health information to obtain payment for healthcare services we provide.

Example: We may provide information to your health insurance plan to obtain payment for services or determine whether your treatment is covered.

Healthcare Operations

We may use and disclose your health information for healthcare operations.

Example: We may use health information to conduct quality assessment, improve our services, manage our practice, or perform administrative activities.

Appointment Reminders and Health-Related Communications

We may use your health information to contact you about appointments, treatment alternatives, health-related services, or other communications permitted by law.

Individuals Involved in Your Care

We may disclose relevant health information to a family member, close friend, or other person you identify as being involved in your care or payment for your care, when permitted by law.

Required by Law

We may use or disclose your health information when required to do so by federal, state, or local law.

Public Health

We may disclose health information for public health activities permitted by law, such as reporting certain diseases, injuries, or other public health matters.

Abuse, Neglect, or Domestic Violence

We may disclose health information when required or permitted by law to report suspected abuse, neglect, or domestic violence.

Health Oversight

We may disclose health information to governmental agencies authorized to conduct audits, investigations, inspections, licensing activities, or other oversight activities.

Judicial and Administrative Proceedings

We may disclose health information in response to a court or administrative order or certain legal processes when permitted by law.

Law Enforcement

We may disclose health information to law enforcement officials when permitted or required by law.

Serious Threats to Health or Safety

We may use or disclose health information when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, consistent with applicable law.

Workers’ Compensation

We may disclose health information as authorized by and to the extent necessary to comply with workers’ compensation laws and other similar programs established by law.

Research

We may use or disclose health information for research purposes when permitted by applicable law and when appropriate safeguards and required approvals are in place.

OTHER USES AND DISCLOSURES

Other uses and disclosures of your protected health information generally require your written authorization.

For example, authorization may generally be required for:

• Certain uses and disclosures for marketing purposes.

• The sale of protected health information.

• Other uses or disclosures not otherwise permitted by law.

If you provide an authorization, you may revoke it in writing at any time, except to the extent we have already relied upon the authorization.

SUBSTANCE USE DISORDER RECORDS

Certain records relating to substance use disorder treatment may receive additional federal protections under 42 U.S.C. § 290dd-2 and 42 CFR Part 2.

If Integrative GI San Diego creates or maintains records subject to these protections, we will handle those records in accordance with applicable federal and state requirements.

Where applicable, certain uses and disclosures of substance use disorder records may require your written consent or may be subject to additional restrictions.

CALIFORNIA PRIVACY PROTECTIONS

California law provides additional protections for certain types of health information.

We will comply with applicable federal and California privacy laws. Where California law provides greater privacy protection than federal law, we will follow the applicable legal requirements.

Certain categories of information may receive additional protection under California law, including certain mental health information, HIV/AIDS-related information, genetic information, reproductive health information, and other specially protected information.

REPRODUCTIVE HEALTH CARE

We will comply with applicable federal and California laws governing the privacy of reproductive health information.

Where applicable, we will not use or disclose protected health information for purposes prohibited by federal or state law.

OUR RESPONSIBILITIES

We are required by law to:

• Maintain the privacy and security of your protected health information.

• Provide you with this Notice describing our legal duties and privacy practices.

• Follow the terms of the Notice currently in effect.

• Notify you as required by law if a breach occurs that compromises the privacy or security of your protected health information.

• Provide you with a copy of this Notice upon request.

We will not use or disclose your protected health information other than as described in this Notice or as otherwise permitted or required by law unless you provide written authorization.

If you provide written authorization and later change your mind, you may revoke the authorization in writing, except to the extent we have already relied upon it.

ARTIFICIAL INTELLIGENCE AND ONLINE COMMUNICATION TOOLS

Our practice may use technology, including artificial intelligence (AI), automated chat tools, electronic communication systems, scheduling systems, or other technology services to support administrative or informational functions.

The practice’s website may include an AI-powered chatbot designed to help visitors obtain general information about the practice and its services.

The chatbot is not a physician or other healthcare professional and should not be used as a substitute for professional medical advice, diagnosis, treatment, or emergency medical care.

Unless the practice specifically instructs you otherwise, please do not submit sensitive medical information through general website forms or the public website chatbot.

For questions about your individual health or medical care, please contact our office directly at 619-260-1012.

For information about how information submitted through the public website is handled, please see our Website Privacy Policy and Website Disclaimer.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice.

Any revised Notice will apply to protected health information that we already maintain as well as information we receive in the future, to the extent permitted by law.

The current version of this Notice will be available upon request and will be posted on our website.

QUESTIONS OR PRIVACY CONCERNS

If you have questions about this Notice or concerns about the privacy of your health information, please contact:

Integrative GI San Diego
3330 Third Ave, Suite 304
San Diego, CA 92103
Phone: 619-260-1012
Email: office@integrativegisd.com

HOW TO FILE A COMPLAINT

You may file a complaint with Integrative GI San Diego without fear of retaliation.

You may also file a complaint with the:

U.S. Department of Health and Human Services
Office for Civil Rights

You may submit a complaint through the HHS Office for Civil Rights website or contact the Office for Civil Rights directly.

Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

Telephone: 1-877-696-6775

You will not be retaliated against for filing a complaint.

EFFECTIVE DATE

Effective Date of this Notice: August 20, 2026

Last Updated: August 20, 2026

Integrative GI San Diego
Dr. Vijayalakshmi Pratha, M.D.
3330 Third Ave, Suite 304
San Diego, CA 92103
619-260-1012
office@integrativegisd.com
integrativegisd.com