HIPAA Policy

If you have any questions or need more details about this notice, please don't hesitate to contact me directly. You can contact me, Lean Smart, at (951) 816-2717 or drop an email to lean@smartcounselingca.com. Please keep in mind that this notice is governed by federal law, which dictates its content. Also, if you have any concerns or questions about handling your Protected Health Information (PHI), I'm here to help you. Your privacy and the protection of your information are paramount to us.

NOTICE OF PRIVACY PRACTICES

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.

I am required by law to maintain the privacy and security of your protected health information (“PHI”) and to provide you with this Notice of Privacy Practices (“Notice”). I must abide by the terms of this Notice, and I must notify you if a breach of your unsecured PHI occurs. I can change the terms of this Notice, which will apply to all information I have about you. The new Notice will be available upon request in my office and on my website. The website will always have the most recent version.

Except for the specific purposes below, I will use and disclose your PHI only with your written authorization (“Authorization”). You can revoke such Authorization at any time by giving me written notice of your revocation.

Uses (Inside Practice) and Disclosures (Outside Practice) Relating to Treatment, Payment, or Health Care Operations Do Not Require Your Written Consent. I can use and disclose your PHI without your Authorization for the following reasons:

  • For your treatment. I can use and disclose your PHI to treat you, which may include disclosing your PHI to another healthcare professional. For example, if a physician or a psychiatrist is treating you, I can tell them your PHI to help coordinate your care, although I prefer you authorize me.

  • To obtain payment for your treatment. I can use and disclose your PHI to bill and collect payment for the treatment and services you provide. For example, I might send your PHI to your insurance company to get paid for the health care services I have provided, although I prefer that you authorize me to do so.

  • For health care operations. I can use and disclose your PHI to conduct healthcare operations about my practice, including contacting you when necessary. For example, I may need to disclose your PHI to my attorney to obtain advice about complying with applicable laws.

Specific Uses and Disclosures Require Your Authorization:

  • Psychotherapy Notes. I do not keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501; instead, I keep a record of your treatment, and you may request a copy of such record at any time, or you may request that I prepare a summary of your treatment. There may be reasonable, cost-based fees for copying the record or preparing the summary.

  • Marketing Purposes. As a counselor, I will not use or disclose your PHI for marketing purposes. Marketing is defined as receiving financial remuneration for communicating about other businesses’ health-related services or products to patients.

  • Sale of PHI. As a counselor, I will not sell your PHI in the regular course of my business.

Specific Uses and Disclosures Do Not Require Your Authorization. Subject to certain limitations mandated by law, I can use and disclose your PHI without your Authorization for the following reasons:

  • When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.

  • For public health activities, including reporting suspected child, elder, or dependent adult abuse or preventing or reducing a serious threat to anyone’s health or safety.

  • For health oversight activities, including audits and investigations.

  • For judicial and administrative proceedings, including responding to a court or executive order, I prefer obtaining an Authorization from you before doing so.

  • For law enforcement purposes, including reporting crimes occurring on my premises.
    To coroners or medical examiners when such individuals perform duties authorized by law.

  • For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of treatment for the same condition.

  • Specialized government functions, including ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or helping to ensure the safety of those working within or housed in correctional institutions.

  • For workers' compensation purposes. Although I prefer obtaining an Authorization from you, I may provide your PHI to comply with workers' compensation laws.

  • Appointment reminders and health-related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives or other healthcare services or benefits that I offer.

Specific Uses and Disclosures Require You to Have the Opportunity to Object:

  • Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person you indicate is involved in your care or the payment for your health care unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergencies.

YOUR RIGHTS REGARDING YOUR PHI

You have the following rights concerning your PHI:

  • The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.

  • The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or service you have paid for out-of-pocket in full.

  • The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.

  • The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and additional information that I have about you. I will provide you with a copy of your record or a summary of it if you agree to receive a summary within 30 days of receiving your written request, and I may charge a reasonable, cost-based fee for doing so.

  • The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving it. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost-based fee for each additional request.

  • The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request.

  • The Right to Get a Paper or Electronic Copy of this Notice. You have the right to get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy.

HOW TO COMPLAIN ABOUT MY PRIVACY PRACTICES

If you think I have violated your privacy rights, you may file a complaint with me as the Privacy Officer for my practice.  My contact information is at the beginning of this document.

You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by:

I will not retaliate against you if you complain about my privacy practices.

EFFECTIVE DATE OF THIS NOTICE

This notice went into effect on June 01, 2017.