Notice of Privacy Practices

Our Responsibilities

We are required by law to:

• Maintain the privacy and security of your protected health information.
• Provide you with this notice of our legal duties and privacy practices.
• Notify you promptly if a breach occurs that may compromise the privacy or security of your information.
• Follow the duties and privacy practices described in this notice.

How We May Use and Disclose Your Information

For Treatment

We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. This includes communication with other healthcare providers involved in your care.

For Payment

We may use and disclose your PHI to bill and collect payment for services we provide.

For Healthcare Operations

We may use and disclose your PHI for business operations necessary to run our practice, including quality improvement, staff training, licensing, and administrative activities.

Additional Uses and Disclosures

We may also use or disclose your information:

• As required by law
• For public health activities
• For health oversight activities
• In response to court orders or legal proceedings
• For law enforcement purposes
• To prevent a serious threat to health or safety
• For workers’ compensation claims
• As otherwise permitted or required by HIPAA and applicable law

Uses Requiring Your Authorization

We will obtain your written authorization before using or disclosing your PHI for purposes not otherwise permitted by law, including:

• Marketing purposes
• Sale of protected health information
• Most uses of psychotherapy notes

You may revoke your authorization at any time in writing.

Your Rights

You have the right to:

• Access and obtain a copy of your medical records
• Request corrections to your records
• Request confidential communications
• Request restrictions on certain uses and disclosures
• Receive a list of disclosures of your information
• Obtain a paper copy of this notice upon request

Changes to This Notice

We reserve the right to change this Notice and make the revised Notice effective for all protected health information we maintain. Updated notices will be posted on our Website.

Contact Information

If you have questions about this Notice or wish to exercise your rights, contact: