Notice of Privacy Practices

Notice of Privacy Practices

Peak Health LLC
ICF Med is a DBA of Peak Health LLC, an Indiana limited liability company.
Effective Date: February 16, 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.


Our Legal Duty

Peak Health LLC is required by federal law to:

  • Maintain the privacy of your protected health information (“PHI”)

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

  • Follow the terms of this Notice currently in effect

  • Notify you in the event of a breach of unsecured protected health information


How We May Use and Disclose Your Health Information

We may use and disclose your protected health information for the following purposes:

1. Treatment

We may use and share your medical information to provide, coordinate, or manage your healthcare and related services. This may include communication with other healthcare providers involved in your care.

2. Payment

Although we operate as a cash-pay practice, we may use or disclose limited information when necessary for billing, payment collection, or as otherwise required by law.

3. Health Care Operations

We may use your information for activities necessary to operate our practice, including:

  • Quality assessment and improvement

  • Compliance and risk management

  • Administrative functions

  • Professional review activities


Substance Use Disorder Information

Peak Health LLC does not operate a substance use disorder treatment program.

If your medical record contains substance use disorder information received from another provider, that information may be subject to additional protections under federal law (42 C.F.R. Part 2).

Federal law prohibits discrimination based on substance use disorder information in areas such as employment, housing, court proceedings, child custody, and government benefits.


Uses and Disclosures Required or Permitted by Law

We may disclose your health information without your authorization when required or permitted by law, including:

  • Public health reporting

  • Reporting abuse or neglect

  • Health oversight activities

  • Judicial or administrative proceedings

  • Law enforcement purposes

  • To prevent a serious threat to health or safety


Uses Requiring Your Written Authorization

We will obtain your written authorization before:

  • Disclosing psychotherapy notes (if applicable)

  • Using your information for marketing purposes

  • Selling your protected health information

  • Making disclosures not otherwise described in this Notice

You may revoke your authorization at any time in writing.


Your Rights Regarding Your Health Information

You have the right to:

Access Your Records

Request to inspect or obtain a copy of your medical records.

Request an Amendment

Request corrections to information you believe is inaccurate or incomplete.

Request Confidential Communications

Ask us to contact you in a specific way (for example, at a specific phone number or mailing address).

Request Restrictions

Ask us to limit certain uses or disclosures of your information. While we are not required to agree to all requested restrictions, we will consider reasonable requests.

If you pay out-of-pocket in full for a service, you may request that we not disclose related information to your health plan.

Receive an Accounting of Disclosures

Request a list of certain disclosures of your information.

Receive Breach Notification

Be notified if your unsecured protected health information is compromised.


Electronic Communication

If you choose to communicate with us electronically (including email), please be aware that electronic communication carries certain risks. We take reasonable safeguards consistent with HIPAA requirements but cannot guarantee complete security of electronic transmissions.


Complaints

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

Privacy Officer: Pamela K Peak MD
Peak Health LLC
3209 W Smith Valley Rd STE 111, Greenwood IN
Phone: 317-908-1963

You may also file a complaint with the U.S. Department of Health and Human Services.

You will not be retaliated against for filing a complaint.


Changes to This Notice

We reserve the right to change this Notice at any time. Any revised Notice will apply to all protected health information we maintain and will be posted on this website with an updated effective date.