Notice of Privacy Practices

Effective date: Wednesday, October 28th, 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.

1. About this notice

This notice applies to Annu Wellness, Inc., the integrative medical practice of Dr. Radha Sinha, ND, EAMP, LAc, at our Kirkland, Washington and La Jolla, California locations and through telehealth. It describes how we may use and disclose your health information, our responsibilities, and your rights.

We follow federal law and the health privacy laws of Washington and California. When state law gives you more protection than federal law, we follow the more protective rule.

2. Our responsibilities

We are required by law to:

Maintain the privacy and security of your health information
Give you this notice and follow the terms of the notice currently in effect
Notify you promptly if a breach occurs that may have compromised the privacy or security of your information
Not use or share your information other than as described here unless you give us written permission

You may revoke written permission at any time by telling us in writing, except to the extent we have already acted on it.

3. Treatment, payment & healthcare operations

Treatment. We use your information to provide and coordinate your care, and we may share it with other professionals involved in your care, such as your physicians, laboratories, pharmacies, and specialists.

Payment. We use your information to bill you, process payments, and manage your account. Annu Wellness does not bill insurance. If you request a superbill, it will contain the information you need to seek reimbursement yourself.

Healthcare operations. We use your information to run our practice, improve quality, train staff, maintain licenses, meet compliance obligations, and work with vendors who support our operations (such as our electronic health record and patient portal). Vendors that handle your information on our behalf must agree in writing to protect it.

4. Other uses and disclosures permitted or required by law

We may use or share your information without your written authorization when permitted or required by law, including for:

Public health and safety: disease reporting, product safety reporting, and reporting suspected abuse, neglect, or domestic violence
Preventing a serious threat to the health or safety of you or others
Health oversight: audits, investigations, inspections, and licensing reviews
Legal proceedings: in response to a court order, subpoena, or other lawful process
Law enforcement: when required or permitted by law
Workers' compensation claims
Medical examiners, coroners, and funeral directors
Organ and tissue donation organizations
Research, when approved under privacy rules
Government functions, such as military or national security purposes, when the law requires it
Any other disclosure required by federal or state law

5. Family, friends & personal representatives

With your agreement, or if you do not object when given the chance, we may share information directly relevant to your care or payment with a family member, friend, or other person you identify. If you are unable to agree or object, such as in an emergency, we may share information if we believe it is in your best interest.

A parent, guardian, or other legally authorized representative may exercise your rights on your behalf. Washington and California law allow minors to consent to certain types of care on their own, and in those cases the minor may control access to that information.

6. Uses that require your written authorization

We will not do the following without your written authorization:

Use or share psychotherapy notes, if any exist
Use your information for marketing
Sell your information

Annu Wellness does not sell patient information.

Any other use or disclosure not described in this notice will be made only with your written authorization.

7. Information with additional protections

Some information has extra protection under state or federal law, including information about mental health, sexually transmitted infections and HIV, reproductive and sexual health, genetic testing, and substance use. Washington law (RCW 70.02) and California law (including the Confidentiality of Medical Information Act) may require your specific written authorization before we share this information, even where federal law would permit it.

If we receive records protected by federal substance use disorder confidentiality rules (42 CFR Part 2), we will not use or disclose those records in a civil, criminal, administrative, or legislative proceeding against you without your written consent or a court order that meets the requirements of those rules.

8. Your rights

Get a copy of your records. You may ask to see or get an electronic or paper copy of your medical and billing records. We will respond within the time required by Washington or California law, which may be shorter than the federal 30-day limit. We may charge a reasonable, cost-based fee as allowed by law.

Ask us to correct your records. You may ask us to correct information you think is incorrect or incomplete. We may say no, but we will explain why in writing within 60 days, and you may submit a statement of disagreement.

Request confidential communications. You may ask us to contact you in a specific way (for example, a particular phone number or mailing address). We will agree to all reasonable requests.

Ask us to limit what we use or share. You may ask us not to use or share certain information for treatment, payment, or operations. We are not required to agree, except that if you pay for a service in full out of pocket, you may ask us not to share that information with your health insurer, and we will agree unless the law requires the disclosure.

Get a list of disclosures. You may ask for a list of the times we shared your information in the six years before your request, who we shared it with, and why. The list will not include disclosures for treatment, payment, operations, or disclosures you authorized. One list per year is free.

Get a copy of this notice. You may ask for a paper copy at any time, even if you agreed to receive it electronically.

Choose someone to act for you. If someone has your medical power of attorney or is your legal guardian, that person may exercise your rights. We will confirm their authority before acting.

Be notified of a breach. We will notify you as required by law if your unsecured information is affected by a breach.

9. How we communicate with you

We may contact you by phone, voicemail, mail, email, patient portal message, or text message for appointment reminders, scheduling, intake requests, and care follow-up. You tell us at intake whether we may leave detailed voicemail messages and how you prefer to be contacted, and you may change these choices at any time.

General email and text messages are not fully secure. We do not send diagnoses or test results by text message. If you ask us to communicate by unencrypted email, we will tell you about the risks first. Text messages are sent only if you opt in, and you may reply STOP at any time.

10. Fundraising & marketing

Annu Wellness does not conduct fundraising using patient information. We do not use or share your information for third-party marketing.

11. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at www.hhs.gov/ocr/complaints, by calling 1-877-696-6775, or by writing to 200 Independence Avenue SW, Washington, DC 20201.

We will not retaliate against you for filing a complaint.

12. Changes to this notice

We may change this notice, and the changes will apply to all information we have about you. The new notice will be available on our website, in our offices, and on request.

13. Privacy officer & contact

Annu Wellness, Inc.: Privacy Officer Dr. Radha Sinha, ND 120 Central Way, Kirkland, WA 98033 7520 Eads Ave., Suite 7, La Jolla, CA 92037 Phone: [SUPPORT PHONE] · Fax: 800-420-5294 Email: [SUPPORT EMAIL]

Please call to arrange a secure way to send records, identification, or other sensitive documents. General email is for administrative questions only.