IntraNerve Neuroscience Holdings, LLC
Effective Date: 01/27/2026
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
IntraNerve Neuroscience Holdings, LLC (“INN,” “we,” “our”) is required by law to maintain the privacy and security of your Protected Health Information (“PHI”). We must follow the duties and privacy practices described in this Notice and provide you with a copy of this Notice.
Protected Health Information (“PHI”) is information that identifies you and relates to your health condition, healthcare services, or payment for those services.
- How We May Use and Disclose Your PHI Without Your Authorization
We may use and disclose your PHI for the following purposes:
Treatment
To provide, coordinate, or manage your healthcare and related services. This may include sharing information with doctors, technicians, or other healthcare providers involved in your care.
Payment
To bill and collect payment for services provided to you, including communication with your insurance company or other payers.
Healthcare Operations
For business operations such as quality improvement, training, audits, accreditation, and compliance activities.
As Required by Law
We may disclose PHI when required to do so by federal or state law.
Public Health and Safety
We may disclose PHI for public health reporting, abuse or neglect reporting, and to prevent a serious threat to health or safety.
- Special Protections for Reproductive Health Information (2024 Rule)
We will not use or disclose your PHI for the purpose of:
Investigating or imposing criminal, civil, or administrative liability on any person for seeking, obtaining, providing, or facilitating lawful reproductive health care, or
Identifying any person for such purposes.
Before we may disclose PHI in response to law enforcement, court orders, or administrative requests that could relate to reproductive health care, we must obtain a signed attestation confirming that the request is not for a prohibited purpose under HIPAA.
- Uses and Disclosures Requiring Your Written Authorization
We will not use or disclose your PHI for the following purposes without your written authorization:
Marketing purposes
Sale of your PHI
Most sharing of psychotherapy notes
Any purpose not described in this Notice
You may revoke your authorization in writing at any time, except where we have already acted on it.
- Your Rights Regarding Your PHI
You have the right to:
Right to Access and Copies (15 Days)
You may inspect or obtain an electronic or paper copy of your PHI. We will provide it within 15 calendar days of your request (with one 15-day extension if necessary). We may charge a reasonable, cost-based fee.
Right to Request Correction
You may ask us to correct PHI you believe is incorrect or incomplete.
Right to Request Restrictions
You may request limits on how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree, except when you request that we not disclose information to your health plan for services you paid for in full.
Right to Confidential Communications
You may request that we contact you in a specific way (for example, only at work or by mail).
Right to Accounting of Disclosures
You may request a list of certain disclosures of your PHI made during the past six years.
Right to Receive This Notice
You may request a paper copy of this Notice at any time.
Right to File a Complaint
You may file a complaint if you believe your privacy rights have been violated. You will not be retaliated against for filing a complaint.
- Our Responsibilities
We are required to:
Maintain the privacy and security of your PHI
Notify you promptly if a breach occurs that may have compromised your information
Follow the terms of this Notice
Obtain your written authorization for uses or disclosures not described in this Notice
- How to Exercise Your Rights or File a Complaint
To exercise your rights or file a complaint, contact:
Privacy Officer
IntraNerve Neuroscience Holdings, LLC
24 S Weber St., Suite 200
Colorado Springs, CO 80903
Phone: (866) 226-8576
Email: info@intranerve.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr
- Changes to This Notice
We reserve the right to change this Notice. The revised Notice will apply to all PHI we maintain and will be available upon request and on our website.
- Effective Date
This Notice is effective as of: 01/27/2026
