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.
As part of providing professional care to you, we will do all we can to maintain the privacy of what is called your “protected health information” (PHI). We are also required by law to keep your PHI private. These laws are complicated, and we must give you this important information. Our practice is committed to protecting your medical information. We strictly follow the Health Insurance Portability and Accountability Act (HIPAA). If you have any questions about our practices, please contact our office.
We will use the information we collect about you mainly to provide you with treatment; to arrange payment for our services; and for some other business activities called, in the law, “health care operations”. We will ask you to sign this policy when you become a patient, to show that you understand the way we handle your information. If you do not agree and won’t sign this consent form, we will not treat you. If we want to use or send, share, or release your PHI for other purposes, we will discuss this with you so you fully understand it, and ask you to sign a release-of-information form to allow this.
There are times when the laws require us to share your information without getting your consent. They are described below in our Notice of Privacy Practices, and here are the most common situations (as laws change, these may change also:
1. When there is a serious threat to your or another person’s health or safety or to the public. We will only share information with people who are able to help prevent or reduce the danger.
2. When we are required to do so by lawsuits and other legal or court proceedings.
3. When a law enforcement official requires us to do so.
4. For workers’ compensation and some similar programs if you seek these benefits.
1. You can ask us to communicate with you in a particular way or at a certain place that is more private for you. For example, you can ask us to call you at home, rather than at work, to schedule or cancel an appointment. We will try our best to do as you ask.
2. You can ask us to limit what we tell people involved in your care or the payment of your care, such as family members and friends.
3. You have the right to look at the health information we have about you, such as your medical chart, case file, and billing records. You can get a copy of these records, and we can charge you for it. Please contact our office to arrange how to see your records.
4. If you believe that the information in our records is incorrect or missing something important, you can ask us to make additions to your records to correct the situation. You have to make this request in writing to our office.
5. You have the right to file a complaint if you believe your privacy rights have been violated. You can file a complaint with our office and with the Secretary of the U.S. Department of Health and Human Services. All complaints must be in writing. Filing a complaint will not change the health care we provide to you in any way.
6. You have the right to a copy of this notice.
Also, you may have other rights that are granted to you by the laws of our state, and these may be the same as or different from the rights described above. We will be happy to discuss these situations or answer any questions now or as they arise. Please contact our office for more information and to speak with us about this information.
Trident Therapy Center (services offered online at this time - - see our Contact Page) 303-932-0792 (MST) Located within the office of other interdisciplinary organizations. All Services Currently Offered Online or By Phone Only.
Disclaimer: A counselor, coach or hypnotherapist does not diagnose, prescribe for or treat any medical condition. Any information on this website does not diagnose, prescribe for or treat any medical condition. The information here is general in nature and not to be taken as professional advice for specific health problems. Any decision you make involving the treatment of an illness should include the advice of the medical doctor of your choice. For some disorders a referral by a Physician is required. Call to inquire about a service if you do not see it listed. Medically related issues may be eligible for insurance reimbursement or tax credits/deductions.
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