Notice of Privacy Practices

Our Legal Duty

We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with notice of our legal duties and privacy practices with respect to protected health information about patients.

We are required to abide by the terms of this notice that is currently in effect. We reserve the right to change the terms of this notice and to make the new terms apply to all PHI that we maintain. However, we will not change this notice so that it impacts your rights, our duties, or our obligations as described here, with respect to protected health information created before our new notice takes effect, unless we give you notice and obtain your agreement to such a change.

We may use or disclose your protected health information only as described in this notice or as you agree to in writing.

How We May Use and Disclose Your Health Information

We may use and disclose your protected health information for the following purposes:

1. Treatment

We may use your health information to provide you with medical treatment or services. We may disclose your health information to doctors, nurses, therapists, or other healthcare providers who are involved in your care. For example, your therapist may share notes with a psychiatrist coordinating your care.

2. Payment

We may use and disclose your health information to bill and collect payment for the services we provide. This includes sharing information with your health insurance company to verify coverage, obtain pre-authorization, or process claims.

3. Healthcare Operations

We may use and disclose your health information to conduct, operate, or manage our organization and its healthcare operations. This includes quality assurance activities, training of healthcare professionals, and administrative functions.

4. Other Uses and Disclosures

In certain circumstances, we may use or disclose your health information without your authorization for:

• Public Health Risks: To prevent or control disease, injury, or disability.
• Abuse, Neglect, or Domestic Violence: If required by law to report suspected abuse or neglect.
• Judicial and Administrative Proceedings: In response to a court order, subpoena, or other lawful process.
• Health Oversight Activities: To comply with oversight activities by governmental agencies.
• Law Enforcement: As authorized or required by law.

Your Rights Regarding Your Health Information

You have certain rights regarding your health information after that information has been created, received, maintained, or used by In Therapy. These rights include:

Right to Request Restrictions

You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations. You also have the right to request a limitation on the health information we disclose about you to someone involved in your care or payment for your care, such as a family member or friend.

To exercise this right, you must specify what information you want to limit, who you want us to limit disclosures to, and any limitations you want. We are not required to agree to your request, except that we must agree to limit disclosures to a health plan if the information relates to an item or service for which you or someone other than a health plan has paid us in full.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. We will accommodate reasonable requests.

Right to Inspect and Copy

You have the right to inspect and copy your health information that may be used to make decisions about your care. To exercise this right, you must submit your request in writing to us. We may charge a reasonable, cost-based fee for the copies. In certain circumstances, we may deny you access to information, but you have the right to have that denial reviewed.

Right to Amend

You have the right to request an amendment of your health information that is maintained by us. This right extends to protected health information maintained for any length of time. To request an amendment, you must submit your request in writing to us and include a reason that supports your request. We may deny your request under certain circumstances.

Right to an Accounting of Disclosures

You have the right to receive an accounting of disclosures of your health information that we have made other than for treatment, payment, healthcare operations, or to you. You may request this accounting by submitting your request in writing to us. Your request must specify a time period, which may not be longer than six years and may not include dates before April 14, 2003.

Right to Receive a Paper Copy

You have the right to receive a paper copy of this notice even if you have agreed to receive electronic notices. Upon your written request, we will promptly provide a paper copy of this notice.

Filing a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

To File a Complaint with HHS:
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: (800) 368-1019
Email: OCR.Complaints@hhs.gov

Changes to This Notice

We reserve the right to change this notice at any time. If we make a change, the revised notice will apply to all PHI we maintain. We will make the current notice available without charge upon request. A copy of this notice is available on our website at intherapy.com/hipaa-notice.