We are committed to maintaining the privacy of your Protected Health Information (PHI). We are required by law to maintain the privacy of your health information, provide you with this notice of our legal duties and privacy practices, and notify you following a breach of your unsecured PHI.
We may use or share your health information for the following purposes:
Treatment: To provide, coordinate, or manage your healthcare. Example: We may share info with a specialist we refer you to.
Payment: To bill and get payment from health plans or other entities.
Healthcare Operations: To run our practice and improve your care.
Substance Use Disorder (SUD) Records: If we receive or maintain SUD records protected by 42 CFR Part 2, we will not disclose such records in civil, criminal, administrative, or legislative proceedings against you without your specific written consent or a court order.
We will not use or disclose your PHI for the following without your written authorization:
Marketing: We will not sell your PHI or use it for marketing purposes.
Psychotherapy Notes: Most uses and disclosures of psychotherapy notes require your permission.
Redisclosure: Note that once information is disclosed pursuant to your authorization, it may be subject to redisclosure by the recipient and may no longer be protected by federal privacy rules.
You have the following rights:
Access: You can ask to see or get an electronic or paper copy of your medical record.
Amend: You can ask us to correct health information about you that you think is incorrect or incomplete.
Restrictions: You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, unless you pay for a service out-of-pocket in full and ask us not to share that info with your health insurer.
Confidential Communications: You can ask us to contact you in a specific way (e.g., home or office phone) or to send mail to a different address.
Accounting of Disclosures: You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.