Privacy Notice
Last Revision January 28, 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.
1. OUR RESPONSIBILITY TO PROTECT YOUR INFORMATION
The Sage Clinic is committed to protecting the privacy and security of your health information. We are required by law to maintain the confidentiality of your Protected Health Information (“PHI”), provide you with this Notice, and follow the terms of this Notice.
Protected Health Information (PHI) is information that identifies you and relates to your physical or mental health condition, healthcare services you receive, or payment for those services.
We may update this Notice from time to time. Any changes will apply to all PHI we maintain. The most current version will be available in our office and on our website upon request.
2. HOW WE MAY USE AND SHARE YOUR HEALTH INFORMATION
We may use and disclose your PHI without your written authorization for the following purposes:
A. Treatment
We may use and share your PHI to provide, coordinate, or manage your healthcare. This may include sharing information with other healthcare professionals, pharmacies, laboratories, imaging centers, specialists, or facilities involved in your care.
B. Payment
We may use and disclose PHI to obtain payment for services you receive. This includes billing, payment collection, eligibility verification, and related administrative activities. If you self-pay, we may use your information to collect payment directly from you.
C. Healthcare Operations
We may use and disclose PHI to operate our practice and improve patient care, including:
Quality assessment and improvement
Care coordination and case management
Training and supervision
Legal, auditing, and compliance activities
Practice management and administrative functions
D. Appointment Reminders and Communications
We may contact you to remind you of appointments, provide test results, or communicate relevant health information using phone, text, email, or secure electronic systems. Messages will contain the minimum necessary information.
E. Individuals Involved in Your Care
Unless you object, we may share PHI with family members, friends, or others involved in your care or payment for your care. If you are unable to make decisions, we may share information with a legally authorized representative.
3. USES AND DISCLOSURES REQUIRED OR PERMITTED BY LAW
We may disclose your PHI without your authorization in the following situations:
Public health activities (disease reporting, recalls, safety alerts)
Health oversight activities (audits, investigations, licensure)
Legal proceedings (court orders, subpoenas, lawful requests)
Law enforcement purposes
To prevent serious threats to health or safety
Workers’ compensation claims
Medical examiners, coroners, and funeral directors
Military, national security, and correctional institutions
As otherwise required by federal or Texas law
4. SPECIAL CATEGORIES OF INFORMATION
Certain information may receive additional legal protections, including:
Mental health records
Substance use disorder treatment records
HIV/AIDS and communicable disease information
Psychotherapy notes
We will only disclose this information as permitted by law or with your written authorization when required.
5. BUSINESS ASSOCIATES
We may share PHI with third parties who perform services on our behalf (such as billing services, electronic health record vendors, labs, or transcription/AI documentation services). These entities are required by law to protect your information.
6. ELECTRONIC COMMUNICATIONS & TECHNOLOGY
We may use secure electronic systems, patient portals, telehealth platforms, and documentation tools to provide care. While we take reasonable steps to protect your information, electronic communication carries some inherent risk. You may request alternative communication methods at any time.
If you request that information be sent through unsecured methods, you acknowledge and accept that risk.
7. YOUR PRIVACY RIGHTS
You have the right to:
Access and obtain copies of your medical records
Request corrections to inaccurate or incomplete records
Request confidential communications
Request limits on certain uses or disclosures (not all requests can be honored)
Receive an accounting of certain disclosures
Receive a paper copy of this Notice
Be notified if a breach of unsecured PHI occurs
File a complaint without fear of retaliation
Requests must be submitted in writing. We will respond within the timeframes required by law.
8. COMPLAINTS AND CONTACT INFORMATION
If you have questions about this Notice or believe your privacy rights have been violated, you may contact:
Privacy Officer: Patricia Allamon MD
The Sage Clinic
15295 Lake Lamond Road, Conroe, TX 77384
832.906.sage
doctortrish@thesageclinic.me
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
Phone: 1-877-696-6775
If your care is provided in Texas, you may also contact the Texas Department of State Health Services.
We will not retaliate against you for filing a complaint.
9. ACKNOWLEDGMENT
You will be asked to sign an acknowledgment confirming that you received this Notice. Your signature does not authorize use or disclosure of your information—it only confirms receipt.
