For: SDM Medical PLLC Clinical Services – Stacey Denise Moore, MD
Privacy Policy & Notice of Privacy Practices
Effective Date: November 1, 2025
Last Updated: November 24, 2025
This Notice describes how medical information about you may be used and disclosed by SDM Medical PLLC and how you can get access to this information. Please review it carefully.
About This Notice
SDM Medical PLLC (“we,” “us,” “our”) 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) to carry out treatment, payment, or healthcare operations, and for other purposes permitted or required by law.
Our Legal Duty
We are required by federal and state law to:
- Maintain the privacy of your protected health information
- Provide you with this Notice of our legal duties and privacy practices
- Follow the terms of the Notice currently in effect
- Notify you if we are unable to agree to a requested restriction
- Accommodate reasonable requests to communicate health information by alternative means or locations
How We May Use and Disclose Your Health Information
For Treatment: We may use and disclose your health information to provide, coordinate, or manage your healthcare. Example: Sharing your information with labs, pharmacies, or specialists involved in your care.
For Payment: We may use and disclose your health information to bill and collect payment for services. Example: Providing information to your insurance company or creating superbills for reimbursement.
For Healthcare Operations: We may use and disclose your health information for quality improvement, staff training, and business planning. Example: Reviewing treatment outcomes to improve our protocols.
For Appointment Reminders: We may contact you to remind you of appointments via phone, email, or text message using the contact information you provide.
With Your Written Authorization: We will not use or disclose your health information for any other purpose without your written authorization. You may revoke your authorization in writing at any time.
Your Rights Regarding Your Health Information
Right to Access: You have the right to inspect and obtain a copy of your medical records. Requests must be made in writing. We will respond within 30 days.
Right to Amend: You have the right to request that we amend your health information if you believe it is incorrect or incomplete. Requests must be made in writing and include a reason.
Right to an Accounting: You have the right to request a list of certain disclosures we have made of your health information in the past six years.
Right to Request Restrictions: You have the right to request restrictions on how we use or disclose your health information. We are not required to agree to your request.
Right to Request Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
Right to a Paper Copy: You have the right to receive a paper copy of this Notice upon request.
Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Telehealth-Specific Privacy Considerations
When you receive care via telehealth:
- Video and audio sessions are transmitted using encrypted, HIPAA-compliant platforms
- You must be physically located in Texas or Ohio at the time of service
- Session recordings are not made unless you provide explicit consent
- Your device and internet connection security are your responsibility
Changes to This Notice
We reserve the right to change this Notice. Any changes will apply to health information we already have and to information we receive in the future. The current Notice will be posted on our website and available upon request.
Contact Information
To Request Access to Your Records or File a Complaint:
SDM Medical PLLC
2001 Timberloch Place, Ste. 500, The Woodlands, TX 77380
(832) 229-5229
[email protected]
Privacy Officer: Dr. Stacey Denise Moore
U.S. Department of Health and Human Services:
Office for Civil Rights
Office for Civil Rights (OCR) 200 Independence Avenue, S.W. Washington, D.C. 20201
