THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
This Privacy Notice applies to Natacha Chaney Therapy (usually referred to as “us,” “our,” “we,” “company,” or something similar).
If you have any questions about this HIPAA Notice of Privacy Practices, please contact our Privacy Officer.
Table of Contents
- I. Introduction
- II. Our Pledge
- III. Protected Health Information in Connection with Alcohol or Drug Services
- IV. How PHI About You May Be Used and Disclosed
- V. Other Uses and Disclosures of PHI
I. Introduction
We understand that medical information about you and your health care is personal. We are required by law to:
- Maintain the privacy of Protected Health Information (“PHI”)
- Provide individuals with notice of our legal duties and privacy practices concerning PHI
- Notify affected individuals following a breach of unsecured PHI
PHI includes any information that relates to:
- Your past, present, or future physical or mental health condition
- Health care provided to you
- Past, present, or future payment for your health care
This HIPAA Notice of Privacy Practices (“Notice”):
- Describes how we may use and disclose PHI to carry out treatment, payment, or healthcare operations
- Explains other permitted or required uses by law
- Outlines your rights concerning PHI
We will not use or disclose PHI without your written authorization, except as described in this Notice. We reserve the right to change our practices and make new Notices effective for all PHI we maintain. Upon request, we will provide any revised Notice.
II. Our Pledge
The privacy of your PHI is important to us. PHI includes, but is not limited to: medical, dental, pharmacy, and mental health information.
This Notice explains:
- How we may use and disclose your PHI
- Your rights regarding PHI
- Our legal obligations regarding PHI
We comply with all applicable state and federal laws.
III. Protected Health Information in Connection with Alcohol or Drug Services
Under 42 C.F.R. Part 2, your information is further protected if you are applying for or receiving services for drug or alcohol abuse.
In general, we may not acknowledge your participation in such services or disclose identifying information without your written consent, except under limited circumstances described in this Notice.
IV. How PHI About You May Be Used and Disclosed
We may use or disclose PHI for the following purposes:
For Treatment
We may share PHI with providers to coordinate care. Example: disclosing PHI to a physician for medical coordination or between counselors during therapy sessions.
For Payment
We may disclose PHI to obtain payment for services, such as submitting claims to your insurance company.
For Healthcare Operations
We may use PHI for administrative, operational, and quality assurance activities, such as reviewing professional competence, training programs, and accreditation.
For Special Purposes
We may disclose PHI without your authorization in specific cases, including:
- Individuals Involved in Care: To family or friends assisting in your care or payment.
- Parents or Legal Guardians: When permitted under law.
- Worker’s Compensation: As required by applicable laws.
- Public Health: To the authorities for disease prevention or control.
- Health Oversight: For audits, inspections, and licensure compliance.
- Law Enforcement: In response to lawful requests (court orders, warrants, emergencies).
- Judicial Proceedings: For legal processes, subject to federal confidentiality protections.
- U.S. Department of Health and Human Services: For compliance reviews.
- Research: With appropriate approvals by review boards.
- Coroners, Medical Examiners, Funeral Directors: For identification or cause of death.
- Organ/Tissue Donation: As allowed by law.
- Disaster Relief & Notifications: To notify family/friends of your condition.
- Correctional Institutions: If you are incarcerated, to ensure health and safety.
- Threats to Safety: To prevent serious threats to health/safety or report abuse/violence.
- Military & Veterans: As required by military authorities.
- National Security: For intelligence and protective services.
- As Required by Law: When mandated by law.
- Health-Related Services: To inform you about related services or benefits.
- Appointment Reminders: Such as calls, letters, or messages.
V. Other Uses and Disclosures of PHI
Your Authorization
We will obtain your written authorization before using or disclosing PHI for purposes not described above.
- You may revoke an authorization at any time by written notice.
- Revocation does not affect disclosures already made while authorization was valid.
Notes
We will not use or disclose written notes without your written authorization, except as permitted by law.
Marketing Health-Related Services
We will not use or disclose PHI for marketing without written authorization.
Sale of PHI
We will not sell your PHI without written authorization.
Questions or Concerns?
If you want more information about our privacy practices or have questions, please contact us.
BY USING THIS SITE, YOU ACKNOWLEDGE HAVING READ THIS HIPAA NOTICE AND THE INFORMATION PROVIDED.
