HIPAA Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Important:
A complete Notice of Privacy Practices will be provided to all patients at their first appointment. The information below is a summary of our privacy practices.
Our Commitment to Your Privacy
We are committed to protecting the privacy of your health information. We are required by law to:
- Maintain the privacy of your protected health information (PHI)
- Provide you with this notice of our legal duties and privacy practices
- Follow the terms of the notice currently in effect
- Notify you if there is a breach of your unsecured PHI
How We May Use and Disclose Your Information
We may use and disclose your health information for the following purposes:
Treatment
We may use your health information to provide you with psychiatric treatment and services. We may also disclose your health information to other healthcare providers involved in your care.
Payment
We may use and disclose your health information to obtain payment for services we provide to you, including billing your insurance company.
Healthcare Operations
We may use and disclose your health information for our healthcare operations, such as quality assessment and improvement activities.
Your Rights
You have the following rights regarding your health information:
- Right to Access: You can request copies of your health information
- Right to Amend: You can request corrections to your health information
- Right to Restrict: You can request restrictions on certain uses and disclosures
- Right to Request Confidential Communications: You can request that we communicate with you in a certain way
- Right to an Accounting: You can request a list of certain disclosures we have made
- Right to a Copy: You can request a paper copy of this notice
Special Protections for Mental Health Information
Psychotherapy notes have additional protections under HIPAA. We will not disclose psychotherapy notes without your written authorization, except in limited circumstances permitted by law.
Contact Information
If you have questions about this notice or want to exercise your rights, please contact us:
Akaal PsychiatryPrivacy Officer
Email: contact@akaalpsychiatry.com
Phone: (469) 555-MIND
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.