Notice of Privacy Practices

We are required by law to protect the privacy of information about you and that can be identified with you.  We must give you notice of our legal duties and privacy practices concerning your personal information.

  • We must protect personal information that we have created or received about your past, present, or future health; treatment we provide to you or payment for treatment received.
  • We must notify you about how we protect your personal health information about you.
  • We must explain how, when, and why we use and/or disclose personal health information about you.
  • we may only use and/or disclose personal health information described in this notice.

We are required to follow the procedures in this notice.  we reserve the right to change the terms of this notice and to make new notice provisions effective for all personal health information that we maintain by first:

  • Posting the revised notice
  • Making copies of the revised notice available upon request.
  • Re-issuing the revised notice.

How We May Disclose Health Information About You

For Treatment – Your personal health information may be used and disclosed by those who are involved in your care for the purpose of coordination, or managing your health care treatment and related services.  this includes consultation with clinical supervisors or other treatment team members.  We may disclose personal health information to any other consultant only with your authorization.

For Payment – We may use and disclose personal health information so that we can receive payment for the treatment services provided to you.  this will only be done with your authorization.  Examples of payment related activities are:  making a determination of eligibility or coverage for insurance benefits, processing claims with your insurance company, reviewing services provided to you to determine medical necessity, or undertaking utilization review activities.  If it becomes necessary to use collection processes due to lack of payment for services, we will only disclose the minimum of personal health information necessary for the purposes of collection.

For Health Care Operations. We may use or disclose, as needed, your personal health information in order to support our business activities including, but not limited to, quality assessment activities, employee review activities, licensing, and conducting and arranging for other business activities. For example, we may share your personal health information with third parties that perform various business activities (e.g., billing or typing services provided we have a written contract with the business that requires it to safeguard the privacy of your personal health information. For training or teaching purposes personal health information will be disclosed only with your authorization. Your personal health information may be used to remind you of appointments as well as to provide information about treatment alternatives or other health-related benefits and services.

Required by Law. Under the law we must make disclosures of your personal health information to you upon your request. In addition we must make disclosures to the Secretary of the Department of Health and Human Services for the purpose of investigating or determining our compliance with the requirements of the Privacy Rule.

Without Authorization Applicable law and ethical standars permit us to disclose information about you without your autnorization only in a limited number of situations. The types of uses and disclosures that may be mad without your authorization are:

  • Required by Law, such as the mandatory reporting of the child abuse or neglect or mandatory government agency audits or investigations (such as the NC of the Licensed Professional Counselors or health department).
  • Require by court order.
  • Necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. If information is disclosed to prevent or lessen a serious threat it will be disclosed to a person or persons reasonably able to prevent or lessen the threat, including the target of the threat.

Verbal permission We may use or disclose your information to family members that are directly involved in your treatment with your verbal permission.

 

With Authorization Uses and disclosures not specifically permitted by applicable law will be made only with your written authorization, which may be revoked.

 

Your Rights Regarding your Personal Health information

You have the following rights regarding personal health information we maintain about you. To exercise any of these rights, please submit your request in writing to NewVision Counseling and Consulting Services, PLLC 1945 J. N. Pease Place, Suite 204 Charlotte, NC 28262.

  • Right Access to Inspect and Copy. You have the right, which may be restricted only in exceptional circumstances, to inspect and copy personal health information that may be uses to make decisions about your care. Your right to inspect and copy personal health information will be restricted only in these situations where there is compelling evidence that access would cause serious harm to you. We may charge a reasonable fee for copies.
  • Right to Amend. If you feel that the personal health information that we have about you is incorrect or incomplete, you may ask to amend the information although we are not required to agree to the amendment.
  • Right to an Accounting of Disclosures. You have the right to request an accounting of certain disclosures that we make of your personal health information. We may charge a reasonable fee if you request more than one accounting in a 12-month period.
  • Right to Request Restrictions. You have the right to request restrictions or limitation on the use or disclosure of your personal health information for treatment, payment, or health care operations. We are not required to agree to your request.
  • Right to Request Confidential Communications. You have the right to request that we communicate with you about your medical matters in a certain way or at a certain location.
  • Right to a Copy this Notice. You have the right to have a copy of this notice.

 

Complaints

If you believe we have violated your privacy rights, you have the right to file a complaint in writing with our Privacy Officer at NewVision Counseling and Consulting Services, PLLC, 1945 J. N. Pease Place, Suite 204 Charlotte, NC 28262 or with the Secretary of Health and Human Services at 200 Independence Avenue, S.W. Washington, DC 20201 or by calling (202) 619-0257. We will not retaliate against you filing a complaint.

 

Updated January 1, 2011