This Notice of Privacy Practices describes how your Protected Health Information (PHI) may be used and disclosed and how you can get access to this information. Please review it carefully.
Our Pledge Regarding Your Health Information: We understand that your PHI is personal. We are committed to protecting your privacy. This Notice applies to all records of your care generated by our practice. Your personal doctor may have different policies or notices regarding the use and disclosure of your PHI created in their office or clinic.
How We May Use and Disclose Your PHI:
- Treatment: We may use your PHI to provide you with medical/behavioral health treatment services. We may disclose your health information to psychologists, technicians, or other personnel who are involved in your care.
- Payment: We may use and disclose your PHI to bill and collect payment for the treatment and services provided.
- Healthcare Operations: We may use and disclose your PHI for our healthcare operations, which include activities necessary to run our practice. These activities may include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, or conducting training programs.
- Appointment Reminders: We may use and disclose your PHI to contact you as a reminder that you have an appointment for treatment or medical care.
- Research: Under certain circumstances, we may use and disclose your PHI for research purposes.
- Pursuant to Law: We will disclose your PHI when required to do so under federal, state, or local law. Additionally, we may disclose your health information to the extent necessary for legal actions under federal, state, or local law.
Your Rights Regarding Your Health Information:
- Right to Inspect and Copy: You have the right to inspect and obtain a copy of your PHI.
- Right to Amend: You have the right to request an amendment of your PHI if you believe it is incorrect or incomplete.
- Right to an Accounting of Disclosures: You have the right to request accounting of certain disclosures of your PHI made by us.
- Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI
- Right to Request Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way or at a certain location.
Changes to this Notice:
We reserve the right to change this Notice. We will post a copy of the current Notice in our office and on our website.
Complaints:
If you believe your privacy rights have been violated, you may file a complaint with us or with the DHHS Division of Public Health Investigations.
Contact Information:
If you have any questions or concerns about this Notice or our privacy practices, please contact our office at [email protected] or 402.460.0367.