Notice of Privacy Practices

Our commitment

We are required by law to protect the privacy of your health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your information

Treatment

To provide, coordinate and manage your care, including sharing information with other clinicians involved in your treatment.

Payment

To bill and collect payment for services, and to confirm coverage where a treatment is covered.

Health care operations

For quality review, training, licensing, and business management.

Appointment reminders

To contact you about scheduled appointments and follow-up care, using the contact method you have specified.

As required by law

Including public health reporting, health oversight, court orders, and reports of suspected abuse or neglect.

Photographs and marketing

Clinical photographs are part of your record. We will not use your photographs, testimonials, or identity in any marketing, on this website, or on social media without your separate written authorization, which is specific, time-limited, and revocable.

Your rights

• Access. Inspect and obtain a copy of your record, usually within thirty days, in the form you request where we can readily produce it.
• Amendment. Ask us to correct information you believe is wrong or incomplete. We may deny the request in writing, and you may file a statement of disagreement.
• Accounting of disclosures. Receive a list of certain disclosures we have made in the previous six years.
• Restriction. Ask us to limit what we use or disclose. We are not required to agree, except that we must agree to withhold information from a health plan for a service you paid for in full yourself.
• Confidential communications. Ask us to contact you a particular way, or at a particular address. We will accommodate reasonable requests.
• Paper copy. Receive a paper copy of this notice at any time, even if you agreed to receive it electronically.
• Breach notification. Be notified if a breach compromises the privacy or security of your information.

Uses that require your authorization

Most uses and disclosures of psychotherapy notes, uses for marketing, and any sale of your information require your written authorization. You may revoke an authorization in writing at any time, except where we have already acted on it.

Our duties

We are required to maintain the privacy of your health information, to provide this notice, and to abide by its terms. We reserve the right to change this notice and to make the revised notice effective for information we already hold. Current copies are posted here and available at the front desk.

Complaints

If you believe your privacy rights have been violated, you may complain to us or to the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against, and your care will not be affected.

Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue SW, Washington, D.C. 20201.