HIPAA Notice of Privacy Practices

Our Commitment to Your Privacy

Healthy Mind Specialists is committed to protecting the privacy and confidentiality of your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

How We May Use and Disclose Your PHI

We may use and disclose your PHI for the following purposes:

Treatment

We may use your PHI to provide, coordinate, or manage your mental health care and related services. This includes consultation with other health care providers regarding your treatment and referrals to other health care providers.

Payment

We may use and disclose your PHI to obtain payment for services provided to you. This includes disclosure to your health plan or insurance company for determination of benefits, pre-authorization, and billing purposes.

Health Care Operations

We may use and disclose your PHI for operational purposes, including quality assessment and improvement activities, case management, training, licensing, accreditation, and business planning.

Your Rights Regarding Your PHI

You have the following rights regarding the PHI we maintain about you:

• Right to Access: You have the right to inspect and obtain a copy of your PHI maintained in our records.
• Right to Amend: You may request amendments to your PHI if you believe the information is incorrect or incomplete.
• Right to an Accounting of Disclosures: You have the right to receive a list of instances where we have disclosed your PHI for purposes other than treatment, payment, or health care operations.
• Right to Request Restrictions: You may request that we limit how we use or disclose your PHI for treatment, payment, or health care operations.
• Right to Request Confidential Communications: You may request that we communicate with you about health matters using alternative means or at alternative locations.
• Right to a Paper Copy: You have the right to obtain a paper copy of this Notice of Privacy Practices upon request.

Our Duties

We are required by law to maintain the privacy and security of your PHI and to provide you with this Notice of our legal duties and privacy practices. We are required to abide by the terms of this Notice currently in effect. We reserve the right to change the terms of this Notice and to make the new provisions effective for all PHI we maintain.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. There will be no retaliation for filing a complaint.

Contact Information

Consent for Contact Form Submission

By checking the HIPAA consent checkbox on our contact form, you acknowledge that you have read and understand this Notice of Privacy Practices. You consent to the collection and use of your personal information (name, email, phone number, and any information you provide in the message field) solely for the purpose of responding to your inquiry and scheduling appointments.

Your information will be transmitted securely and will not be shared with third parties except as necessary for your treatment, as required by law, or as described in this notice.