Privacy Practices
Notice of Privacy Practices.
This notice describes how medical information about you may be used and disclosed, and how you can get access to it. Please review it carefully. Effective [date].
Template for review: the final notice must be reviewed by a healthcare attorney before this page is published.
Your rights
When it comes to your health information, you have the right to:
- Get an electronic or paper copy of your medical record
- Ask us to correct your medical record
- Request confidential communications
- Ask us to limit what we use or share
- Get a list of those with whom we've shared information
- Get a copy of this notice
- Choose someone to act for you
- File a complaint if you feel your rights are violated
Your choices
For certain information, you can tell us your choices about what we share, such as with family and close friends involved in your care. We never share your information for marketing or sell it. Psychotherapy notes, if any exist, are shared only with your written permission, except where the law requires otherwise.
Our uses and disclosures
We typically use or share your health information to treat you, to run our practice, and to bill for your services. We may also share it in limited situations the law allows or requires, such as public health and safety, research, legal requests, and preventing a serious threat to health or safety.
Our responsibilities
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised it.
- We must follow the duties and privacy practices in this notice and give you a copy of it.
Changes to this notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, in our portal and on this website.
Questions & complaints
Contact our privacy officer, Amanda Ribeiro, at info@wellnessbetweenthelines.com or through your secure patient portal. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.