Coastview PLLC
Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

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.

Effective date: November 1, 2026

Privacy contact: Marcus Lackey, M.D., Privacy Officer · (251) 615-0000 · office@coastviewcare.com · 101B Villa Drive, Suite 226, Daphne, AL 36526

Some of the care Coastview provides is treatment for substance use disorders. Records of that treatment receive additional federal protection under 42 CFR Part 2. Part B of this notice explains those protections.

Part A: Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your health and claims records

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually 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 about you that you think is incorrect or incomplete. Ask us how to do this.
We may say "no" to your request, but we will tell you why in writing, usually 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.
We may contact you by text message or email about appointments and other routine matters. These are not always secure. If you prefer another method, tell us.

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 health care item out of pocket in full, you can ask us not to share that information with your health insurer for payment or our operations. We will say "yes" unless a law requires us to share that information.

Get a list of those with whom we have shared information

You can ask for a list (accounting) of the times we have shared your health information for six years prior to the date you ask, who we shared it with, and why.
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free but will 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 the notice electronically. We will provide you with a paper copy promptly.

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 and can act for you 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 contact listed above.
You can 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/hipaa/filing-a-complaint.
We will not retaliate against you for filing a complaint.

Part A: Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

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.
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.
Most sharing of psychotherapy notes.

In the case of fundraising: we may contact you for fundraising efforts, but you can tell us not to contact you again. For substance use disorder treatment records, we will give you clear and obvious notice and a choice before using them for fundraising.

Part A: 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. Example: a doctor treating you for another condition asks Dr. Lackey about your overall health.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: we use health information about you to manage your treatment and services.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities. Example: we give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. 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.
Do research, when the law’s conditions are met.
Comply with the law, including sharing information 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, such as workers’ compensation claims, law enforcement purposes or with a law enforcement official, health oversight agencies for activities authorized by law, and special government functions such as military, national security, and presidential protective services.
Respond to lawsuits and legal actions, such as in response to a court or administrative order, or in response to a subpoena.

Substance use disorder records: in all cases, including those listed above, we will not use or share records of your substance use disorder treatment, or testimony about their content, in any civil, criminal, administrative, or legislative investigation or proceeding against you unless you give written consent or a court issues an order accompanied by a subpoena or similar legal requirement. Part B explains these protections in more detail.

Part A: Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.
We will notify you if a breach of your unsecured health information occurs, as the law requires.
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.

Part B: Notice of Privacy Practices for Substance Use Disorder Treatment Records

Coastview PLLC — 42 CFR Part 2

This part of the notice describes how records of your substance use disorder treatment at Coastview may be used and disclosed, your rights, and how to file a complaint. In this part, "your health information" means your substance use disorder patient records, which are protected by federal law (42 CFR Part 2) in addition to HIPAA. You have the right to a copy of this notice and to discuss it with our privacy contact: Marcus Lackey, M.D., Privacy Officer, (251) 615-0000, office@coastviewcare.com.

Part B: Your Rights

Give or refuse consent for most uses and disclosures

In most cases we must have your written consent before we use or share your substance use disorder records.
You may give a single written consent that covers all future uses and disclosures for treatment, payment, and health care operations. You may also choose to give a more limited consent, such as one that names specific people or purposes.
You may revoke your consent in writing at any time, except to the extent we have already acted on it.

Ask us to limit what we use or share

You may ask us to limit how we use or share your records for treatment, payment, or health care operations, even after you have given consent. We are not required to agree, except that if you paid for a service in full out of pocket, we will not share information about it with your health plan unless the law requires it.

Get a copy of this notice and discuss it

You may ask for a paper or electronic copy of this notice at any time, and you may discuss it with our privacy contact.

Get a list of disclosures

You may ask for a list of disclosures of your records made with your consent, as federal rules allow, including disclosures made through electronic health record systems once those rules take effect, and a list of providers who received your records through certain intermediaries.

Choose about fundraising

Before we use your records to contact you for fundraising, we will give you clear and obvious notice and the choice to opt out. Coastview does not currently conduct fundraising.

Choose someone to act for you

A person with legal authority to act for you, such as a legal guardian, may exercise these rights on your behalf.

File a complaint

You may complain to our privacy contact listed above, and to the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue, S.W., Washington, D.C. 20201, 1-877-696-6775, or www.hhs.gov/hipaa/filing-a-complaint.
We will not retaliate against you for filing a complaint.

Part B: Uses and Disclosures With Your Consent

With your written consent, we may use and share your records to:

Provide and coordinate your treatment, including with other health care providers.
Bill and receive payment for your care, including from your health plan.
Run our practice (health care operations).
Report prescriptions to a state prescription drug monitoring program, where permitted.
Report your attendance and progress if you are referred to treatment by a court or the criminal justice system and you consent to that reporting.
Share information with anyone else you name in a consent, such as a family member.

When we share your records with another HIPAA-covered provider or health plan under your consent for treatment, payment, or operations, that recipient may further share them as HIPAA allows. However, your records still may not be used against you in a legal proceeding without your consent or a court order and subpoena, as described below.

Part B: Uses and Disclosures Without Your Consent

Federal law allows us to use or share your records without your consent only in limited situations:

Communications within Coastview, and with contractors who provide services to us and have agreed in writing to protect your records.
Medical emergencies, to medical personnel to the extent needed to treat a bona fide emergency.
Public health reporting, using information that does not identify you.
Research, when federal requirements are met.
Audits and program evaluations by qualified government agencies and other authorized reviewers.
Reporting a crime committed on our premises or against our staff, or a threat to commit such a crime.
Reporting suspected child abuse or neglect as required by state law.
Responding to an inquiry into the cause of death, such as to a medical examiner.
When a court issues an order that meets the requirements of federal law, as described below.

Legal proceedings and court orders

Your records, and testimony about their content, may not be used or shared in any civil, administrative, criminal, or legislative proceeding against you unless you give written consent or a court issues an order that meets federal requirements and is accompanied by a subpoena or similar legal mandate. Before a court order is issued for a proceeding against you, you must be given notice and an opportunity to be heard, unless you confirm that you received notice. In proceedings against Coastview itself, a court may order disclosure without first notifying you; you may ask the court to change or overturn that order.

Part B: Our Responsibilities

We are required by law to protect the privacy of your substance use disorder records and to give you this notice.
We will notify you if a breach of your unsecured records occurs, as the law requires.
We must follow the terms of this notice. We will not use or share your records in ways not described here without your written consent.

Changes to this notice

We may change the terms of this notice, and the changes will apply to all records we have about you. The new notice will be available upon request, in our office, and on our website.

Effective date: November 1, 2026

Nondiscrimination and Language Assistance

Coastview complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin (including limited English proficiency and primary language), sex, age, or disability.

When necessary, Coastview provides the following free of charge and in a timely manner:

Reasonable modifications and appropriate aids and services for people with disabilities, including qualified interpreters and information in alternate formats.
Language assistance services, including translated documents and oral interpretation.

To request these services, call (251) 615-0000.

To file a discrimination complaint, contact the U.S. Department of Health and Human Services, Office for Civil Rights, at ocrportal.hhs.gov or 1-800-368-1019.

This notice is available at coastviewcare.com/hipaa-notice.

Coastview provides free language assistance and appropriate aids and services when necessary. Call (251) 615-0000.