This notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review carefully.

Our Responsibilities

We are required by law to maintain the privacy of your health information, provide you with this notice of our legal duties and privacy practices, and follow the terms of this notice.

How We May Use and Disclose Health Information About You

The following categories describe different ways that we use and disclose health information. Not every use or disclosure in a category will be listed.

For Treatment: We may use your health information to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, or other personnel involved in your care.
For Payment: We may use and disclose your health information so that the treatment and services you receive may be billed and payment may be collected from you, an insurance company, or a third party.
For Health Care Operations: We may use and disclose your health information for health care operations, such as quality assessment, training, and evaluation of staff performance.
Appointment Reminders and Health-Related Benefits: We may use and disclose your health information to contact you as a reminder that you have an appointment or to tell you about possible treatment options or health-related benefits and services.
Individuals Involved in Your Care or Payment for Your Care: We may release health information about you to a friend or family member who is involved in your medical care or payment for your care, unless you object.
As Required by Law: We will disclose health information about you when required to do so by federal, state, or local law.

Other Uses and Disclosures

We may also use or disclose your health information in the following situations, as permitted or required by law:

Public health activities (e.g., reporting diseases, injuries)
Health oversight activities (e.g., audits, investigations)
Judicial and administrative proceedings
Law enforcement purposes
To avert a serious threat to health or safety
Organ and tissue donation
Military and veterans' activities
Workers' compensation
Coroners, medical examiners, and funeral directors
National security and intelligence activities

Other Uses of Health Information

Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written authorization. If you provide us authorization to use or disclose health information about you, you may revoke that authorization, in writing, at any time.

Your Rights Regarding Health Information About You

You have the following rights regarding health information we maintain about you:

Right to Inspect and Copy: You may request to inspect and copy your health information.
Right to Amend: If you believe that health information we have about you is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your health information.
Right to Request Restrictions: You may request a restriction or limitation on the health information we use or disclose for treatment, payment, or health care operations.
Right to Request Confidential Communications: You may request that we communicate with you about medical matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice: You may request a paper copy of this notice at any time.

Changes to This Notice

We reserve the right to change this notice. 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 facility and on our website.

Complaints

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

Contact Information

If you have any questions about this notice, please email: The Privacy Officer, My Mental Health Partner LLC, at support@mmhp.ai.

HIPAA Notice of Privacy Practices

Ready to Prioritize Your Mental Health?