Notice of Privacy Practices

Your Rights

You have the right to:

• Request access to and obtain a paper or electronic copy of your medical record, subject to applicable law.
• Ask us to correct health information you believe is incorrect or incomplete.
• Request confidential communications and ask us to contact you in a specific way or at a specific location.
• Ask us to limit certain uses or disclosures of your health information. We are not required to agree to every request, except where otherwise required by law.
• Request an accounting of certain disclosures of your health information.
• Obtain a paper copy of this Notice at any time.
• Choose someone who has legal authority to act on your behalf.
• File a complaint if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.

How We May Use and Disclose Your Information

Treatment

To provide, coordinate, or manage your healthcare and communicate with other healthcare professionals involved in your treatment.

Payment

To bill and obtain payment for healthcare services provided to you, including communications with health plans or other responsible parties when applicable.

Healthcare Operations

To operate our practice, improve quality of care, conduct administrative activities, train staff, manage compliance, and perform other lawful healthcare operations.

We may also use or disclose information when required or permitted by law, including certain public health activities, health oversight activities, judicial or administrative proceedings, law-enforcement purposes, workers’ compensation matters, and situations involving a serious threat to health or safety, subject to applicable legal requirements.

Certain uses and disclosures require your written authorization. Where authorization is required, you may revoke that authorization in writing, subject to applicable law and actions already taken in reliance upon it.

Additional protections may apply to certain categories of information, including psychotherapy notes, substance use disorder records, genetic information, and other sensitive health information.

Our Responsibilities

We are required to protect the privacy and security of your PHI. We will notify affected individuals following a breach when notification is required by law. We will not use or disclose your information other than as permitted by law or as described in this Notice unless you provide written authorization.

We may change this Notice and make the revised Notice applicable to health information we already maintain as well as information we receive in the future. The current Notice will be available on our website and upon request.

Questions or Complaints

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