Notice of Privacy Practices

Effective Date: August 1st, 2026

Your Information. Your Rights. Our Responsibilities.
This Notice of Privacy Practices describes how Trouvaille Marin (“Trouvaille Marin,” “we,” “our,” or “us”) may use and disclose your protected health information (“PHI”), and how you can access and manage your health information. Please review it carefully.

We are committed to protecting the privacy of your personal health information and maintaining your trust. As a concierge primary care practice, we believe that a strong physician-patient relationship is built on respect, confidentiality, and thoughtful stewardship of your information.

Your Health Information
Your health information includes information about your health, medical conditions, treatments, medications, healthcare services, and payment for healthcare services. We create and maintain records documenting the care and services we provide to you. These records allow us to provide high-quality medical care, coordinate your healthcare, and comply with legal requirements.

How We May Use and Disclose Your Health Information
We may use or disclose your health information for the following purposes:
Treatment
We may use and share your health information with healthcare professionals involved in your care to provide, coordinate, and manage your medical treatment. This may include consultation with specialists, coordination with other healthcare providers, and communication related to your care.
Payment
We may use and disclose health information as needed to process payments, manage your account, verify eligibility for services, or collect payment for healthcare services. Because Trouvaille Marin operates as a concierge primary care practice, some services may be provided through a membership model and may not be billed through health insurance.
Healthcare Operations
We may use and disclose your information for practice operations, including quality improvement, care coordination, administrative activities, compliance reviews, and evaluating the effectiveness of our services.
Appointment Reminders and Communications
We may contact you using the contact information you provide to communicate about appointments, care coordination, test results, health-related services, and other practice-related matters. This may include phone calls, voicemail messages, text messages, email, and secure patient portal communications.
Treatment Options and Health-Related Services
We may communicate with you about treatment options, preventive care recommendations, wellness services, or other health-related services that may be of interest to you.
Individuals Involved in Your Care
With your permission, we may share relevant information with family members, caregivers, or other individuals involved in your healthcare or payment for your care.
Legal Requirements
We may disclose your health information when required by federal, state, or local law, including:

• Reporting certain public health concerns

• Responding to legal proceedings or law enforcement requests as permitted by law

• Reporting suspected abuse, neglect, or domestic violence when required or permitted

• Supporting regulatory oversight activities

Other Uses and Disclosures Requiring Your Authorization
Uses and disclosures of your health information not described in this Notice or otherwise permitted by law will only be made with your written authorization.
You may revoke your authorization at any time in writing, except to the extent we have already relied upon it.
Certain uses and disclosures, including most uses of psychotherapy notes, certain marketing communications, and disclosures involving the sale of health information, require your authorization under applicable law.

Your Rights Regarding Your Health Information
You have the following rights regarding your health information:
Right to Access Your Health Information
You may request to inspect or obtain a copy of your medical records and other health information we maintain about you.
Right to Request Corrections
You may request that we amend health information you believe is incorrect or incomplete.
Right to Receive an Accounting of Disclosures
You may request a list of certain disclosures of your health information made by us, except those related to treatment, payment, healthcare operations, and certain other exceptions.
Right to Request Restrictions
You may request restrictions on how we use or disclose your health information. We are not required to agree to all requests, but we will consider them carefully.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way or at a specific location.
Right to Receive a Copy of This Notice
You may request a paper copy of this Notice at any time.

Our Responsibilities
Trouvaille Marin is required to:

• Maintain the privacy of your health information

• Provide you with this Notice describing our privacy practices

• Follow the terms of the Notice currently in effect

• Notify you following a breach of unsecured protected health information when required by law

• Use and disclose your information only as permitted by law and this Notice

We reserve the right to change our privacy practices and the terms of this Notice. Any changes will apply to all health information we maintain. Updated versions will be available upon request and through our practice communications.

Patient Communications and Technology
To provide convenient, personalized care, Trouvaille Marin may use electronic communication tools such as secure patient portals, email, telephone, and text messaging. While we use reasonable safeguards to protect your information, electronic communication methods may carry privacy risks.
By providing your contact information, you acknowledge that we may use these methods to communicate with you regarding your healthcare, appointments, and practice-related matters. You may request alternative communication methods at any time.

Concierge Care Model
Trouvaille Marin Concierge Primary Care provides healthcare services through a membership-based concierge care model. Membership fees support enhanced access, care coordination, communication, and other services provided by the practice. Participation in the concierge model does not change your rights under HIPAA or our commitment to protecting your health information.

Questions or Complaints
If you have questions about this Notice or believe your privacy rights have been violated, please contact:
Trouvaille Marin Concierge Primary Care
Privacy Officer: Marwa Shoeb, MD
Address: 1652 Tiburon Blvd. Tiburon, California 94920
Phone: (510) 408-9551
Email: info@trouvaillemarin.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.