HIPPA NOTICE OF PRIVACY PRACTICES
This Notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
OUR COMMITMENT TO YOUR PRIVACY
Strong Hope Counseling Center is committed to protecting the privacy of your protected health information. We are required by law to maintain the confidentiality of your health information and to provide you with this Notice explaining our legal duties and privacy practices.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use and disclose your protected health information for the following purposes:
Treatment
We may use your information to provide, coordinate, or manage your mental health care and related services.
Payment
We may use and disclose your information to obtain payment for services, including billing insurance or processing payments.
Health Care Operations
We may use your information for administrative, legal, quality improvement, and business operations necessary to run our practice.
Required by Law
We may disclose information when required to do so by federal, state, or local law.
Public Safety and Legal Obligations
We may disclose information when necessary to prevent serious harm to you or others, to report suspected abuse or neglect, or to comply with legal proceedings such as court orders or subpoenas.
With Your Authorization
Other uses and disclosures of your health information will be made only with your written authorization. You may revoke that authorization at any time in writing.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to:
Access Your Records
You may request to inspect or receive a copy of your health records.
Request Corrections
You may request corrections to your health information if you believe it is incorrect or incomplete.
Request Restrictions
You may ask us to limit how your information is used or disclosed. We are not required to agree to all requests.
Request Confidential Communications
You may request that we communicate with you in a specific way or at a specific location.
Receive an Accounting of Disclosures
You may request a list of certain disclosures of your health information.
Receive a Paper Copy
You have the right to receive a paper copy of this Notice at any time, even if you agreed to receive it electronically.
OUR RESPONSIBILITIES
We are required to:
- Maintain the privacy of your protected health information
- Provide you with this Notice
- Follow the terms of this Notice
- Notify you if a breach occurs that may compromise your information
CHANGES TO THIS NOTICE
We reserve the right to change this Notice at any time. Any changes will apply to all protected health information we maintain. Updated Notices will be available upon request and posted on our website.
QUESTIONS OR COMPLAINTS
If you have questions about this Notice or believe your privacy rights have been violated, you may contact us at:
Strong Hope Counseling Center
operations@stronghopecounseling.com
(970) 414-0016
Fort Collins, CO
You also have the right to file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care in any way.
