Notices
This page contains our Notice of Privacy Practices, Notice of Nondiscrimination, language and accessibility assistance information, and text messaging policy.
Notice of Privacy Practices
Hope Headache and Neurology LLC · 2300 HRC Plaza Dr, Lake Saint Louis, MO 63367 · (636) 425-4673
Effective date: October 29, 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.
Your rights
When it comes to your health information, you have certain rights.
Get a copy of your medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will usually provide a copy or summary within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record. You can ask us to correct health information that you think is incorrect or incomplete. We may say "no," but we will tell you why in writing within 60 days.
Request confidential communications. You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say "yes" to all reasonable requests.
Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, and we may say "no" if it would affect your care. If you pay for a service or item out of pocket in full, you can ask us not to share that information with your health insurer. We will say "yes" unless a law requires us to share it.
Get a list of those with whom we've shared information. You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We provide one accounting a year for free but may charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice. You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority before we take any action.
File a complaint if you feel your rights are violated. You can complain if you feel we have violated your rights by contacting our Privacy Officer, Makayla, Team Lead, at (636) 425-4673 or 2300 HRC Plaza Dr, Lake Saint Louis, MO 63367. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.
Your choices
For certain health information, you can tell us your choices about what we share. In these cases, you have both the right and choice to tell us to share information with your family, close friends, or others involved in your care, and to share information in a disaster relief situation. If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission: marketing purposes, sale of your information, and most sharing of psychotherapy notes.
Our uses and disclosures
We typically use or share your health information in the following ways.
Treat you. We can use your health information and share it with other professionals who are treating you.
Run our organization. We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Bill for your services. We can use and share your health information to bill and get payment from health plans or other entities.
Appointment reminders. We may contact you by phone, text message, or mail to remind you of appointments. You can opt out of text messages at any time (see Text Messaging below).
Research. We may use or share your information for health research as permitted by law, for example with your written authorization when you enroll in a clinical study, or with approval of an institutional review board.
We are allowed or required to share your information in other ways, usually in ways that contribute to the public good. We have to meet many conditions in the law before we can share your information for these purposes:
Help with public health and safety issues, such as preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, and preventing or reducing a serious threat to anyone's health or safety
Comply with the law, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law
Respond to organ and tissue donation requests
Work with a medical examiner or funeral director
Address workers' compensation, law enforcement, and other government requests, including for workers' compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions, in response to a court or administrative order, or in response to a subpoena
Substance use disorder records. If we receive records from a federally assisted substance use disorder treatment program, those records are protected by 42 CFR Part 2. We will not use or disclose them in civil, criminal, administrative, or legislative proceedings against you without your written consent or a court order.
Missouri law. Missouri law may give more protection to certain health information, such as HIV/AIDS test results and some mental health and genetic information. Where Missouri law is more protective than federal law, we will follow Missouri law.
Our responsibilities
We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
Changes to the terms of this notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
Privacy Officer: Makayla, Team Lead, (636) 425-4673, 2300 HRC Plaza Dr, Lake Saint Louis, MO 63367
Notice of Nondiscrimination
Hope Headache and Neurology LLC complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
We provide people with disabilities reasonable modifications and free appropriate auxiliary aids and services to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats).
We provide free language assistance services to people whose primary language is not English, such as qualified interpreters and information written in other languages.
If you need reasonable modifications, appropriate auxiliary aids and services, or language assistance services, call (636) 425-4673 and ask for Makayla, our Team Lead.
If you believe that we have failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Makayla, Team Lead, 2300 HRC Plaza Dr, Lake Saint Louis, MO 63367, (636) 425-4673, fax (636) 898-8198. You can file a grievance in person, by mail, or by fax. If you need help filing a grievance, Makayla is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal at ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at www.hhs.gov/ocr/complaints/index.html.
Language Assistance and Accessibility Help
ATTENTION: If you speak a language other than English, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Call (636) 425-4673 or speak to our front desk staff.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. También están disponibles de forma gratuita ayuda y servicios auxiliares apropiados para proporcionar información en formatos accesibles. Llame al (636) 425-4673.
Text Messaging (SMS) Privacy
We may send text messages about appointments, reminders, and office updates. Your mobile number and personal information will not be shared with or sold to third parties for marketing purposes. You can opt out at any time by replying STOP. Reply HELP for help. Message and data rates from your carrier may apply, and message frequency varies.