NOTICE OF PRIVACY PRACTICES

Provide you with this Notice explaining our legal duties and privacy practices.
Abide by the terms of this Notice.

We may change this Notice at any time. If we do, the revised Notice will apply to all PHI we maintain and will be available upon request and on our website.

HOW WE MAY USE AND DISCLOSE YOUR PHI WITHOUT YOUR AUTHORIZATION

1. Treatment: We may use or share your PHI with health care providers involved in your care.

2. Payment: We may use or disclose your PHI to bill for services and collect payment from you, your insurance company, or a third party.

3. Health Care Operations: We may use your PHI to operate our practice, improve your care, and contact you when necessary.

4. Business Associates: We may share your PHI with third-party vendors who assist us with services such as billing or IT. These vendors are required by law to safeguard your information.

5. Individuals Involved in Your Care: Unless you object, we may disclose your PHI to family members or others involved in your care or payment for your care.

6. Public Health and Safety: We may disclose your PHI for public health activities, such as reporting disease, injury, or exposure to disease, or to prevent a serious threat to health or safety.

7. Health Oversight Activities: We may disclose your PHI to health oversight agencies for activities authorized by law such as audits, investigations, and inspections.

8. Judicial and Administrative Proceedings: We may disclose your PHI in response to a court or administrative order, subpoena, or other lawful process.

9. Research: We may use or disclose your PHI for research purposes when approved by an institutional review board or with your authorization.

10. Coroners, Organ Donation, and Funeral Directors: We may disclose your PHI to facilitate organ or tissue donation or for funeral-related duties.

11. Serious Threat to Health or Safety: We may use or disclose your PHI to prevent or reduce a serious threat to your health or the health and safety of others.

12. As Required by Law: We may use or disclose your PHI when required to do so by federal, state, or local laws.

USES AND DISCLOSURES THAT REQUIRE YOUR WRITTEN AUTHORIZATION

We will not use or disclose your PHI for the following purposes without your written permission:

Marketing
Sale of your PHI
Psychotherapy notes (if applicable)

You may revoke your authorization in writing at any time, except to the extent that we have already used or disclosed information based on your authorization.

YOUR RIGHTS REGARDING YOUR PHI

You have the right to:

 Access: Request to inspect and obtain a copy of your PHI.

Amend: Request corrections to your PHI if you believe it is incorrect or incomplete.

Restrict Disclosures: Request restrictions on how we use or disclose your PHI. We are not required to agree to all requests.

Confidential Communications: Request that we contact you in a specific way or at a specific location.

Accounting of Disclosures: Request a list of certain disclosures of your PHI made during the past six years.

Paper Copy: Request a paper copy of this Notice at any time.

Breach Notification: Be notified if your PHI is compromised due to a data breach.

TELEHEALTH PRIVACY CONSIDERATIONS

If you use our telehealth services, please be aware:

Telehealth visits are conducted through secure, HIPAA-compliant platforms.

 We recommend accessing telehealth from a private and secure location to maintain confidentiality.
Although we take precautions to protect your PHI, electronic communication always carries some risk.

QUESTIONS OR COMPLAINTS

If you have any questions about this Notice or believe your privacy rights have been violated, you may contact:

Privacy Officer
The Collective Healthcare Practice
Phone: 305-528-3360
Email: Wellness@Thecollectivehealthcarepractice.com