Notice of Privacy Practices

Our Commitment to Your Privacy

Open Minds Therapy, LLC is 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, and follow the terms of the notice currently in effect.

How We May Use and Disclose Your Health Information

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your mental health treatment and related services. For example, we may share information with other healthcare providers involved in your care.

Payment

We may use and disclose your PHI to obtain payment for services we provide to you. For example, we may submit claims to your insurance company that include information about your diagnosis and treatment.

Healthcare Operations

We may use and disclose your PHI for our healthcare operations, including quality assessment, training, licensing, and business management activities.

As Required by Law

We will disclose your PHI when required to do so by federal, state, or local law, including mandatory reporting requirements for child abuse, elder abuse, or imminent danger to yourself or others.

Uses and Disclosures Requiring Your Authorization

Other uses and disclosures of your PHI not described in this notice will be made only with your written authorization. You may revoke your authorization at any time in writing, except to the extent that we have already taken action in reliance on it.

We will not use or disclose your psychotherapy notes, use your PHI for marketing purposes, or sell your PHI without your written authorization.

Your Rights Regarding Your Health Information

• Right to Inspect and Copy:

  You have the right to inspect and obtain a copy of your PHI that we maintain. We may charge a reasonable fee for copies.

• Right to Amend:

  You have the right to request that we amend your PHI if you believe it is incorrect or incomplete. We may deny your request under certain circumstances.

• Right to an Accounting of Disclosures:

  You have the right to request a list of certain disclosures we have made of your PHI in the past six years.

• Right to Request Restrictions:

  You have the right to request restrictions on how we use or disclose your PHI. We are not required to agree to your request, except in certain circumstances involving disclosures to health plans for services you paid for in full.

• Right to Confidential Communications:

  You have the right to request that we communicate with you about your health matters in a certain way or at a certain location.

• Right to a Paper Copy of This Notice:

  You have the right to receive a paper copy of this notice at any time, even if you have agreed to receive it electronically.

How to Exercise Your Rights

To exercise any of the rights described above, please submit a written request to:

How to File a Complaint

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

To file a complaint with HHS, visit www.hhs.gov/ocr/privacy/hipaa/complaints or call 1-800-368-1019.

Changes to This Notice

We reserve the right to change this notice at any time. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our office and on our website.