This fact sheet provides guidance for hospitals, health centers, medical practices, and healthcare advocates on preparing for and responding to immigration enforcement activity. It explains steps organizations can take before an enforcement action, how staff should respond when immigration officials request access to a facility or patient information, and how privacy and confidentiality protections apply. The resource also addresses interactions with law enforcement that could have immigration consequences for patients. Healthcare organizations can use this guidance to develop internal policies, train staff, designate responsible contacts, and support patients in accessing care without unnecessary disclosure of immigration-related information. This resource provides general information and does not replace legal advice.