LANCASTER PRACTICE SUPPORT
1016 N. Houston Ave., Ste. A
Humble, TX 77338
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW YOUR MEDICAL DATA MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. REVIEW IT CAREFULLY.
The Healthcare Privacy and Accountability Act (HIPAA) is a Federal law that defines “protected health information” (PHI) and how, what and to whom information may be given. Your PHI is the information in your case records and financial file maintained at this office.
Uses and Disclosures of PHI
Your PHI may be used and disclosed by your treatment provider, office staff, and others outside of the office for the following purposes:
Treatment – PHI may be disclosed to provide, coordinate, and manage your care and related services. For example, when your clinician becomes unavailable and asks another to take calls, your clinician may disclose data to alert the on-call practitioner that you may make contact, and your clinician may give treatment management data. If it is necessary to talk to a provider of services about a routine referral, you will be asked to sign a release form.
Payment – Your PHI will be used as necessary to obtain payment for services provided to you. For example, if you use insurance, your insurance company requires that we give your diagnosis and other data to allow payment and to allow services to continue.
Administration Operations – Various administrative activities allow the casual disclosure of PHI. These include activities as simple as calling for you by name in the waiting room, calling to remind you of an appointment time, or discussing with administrative staff the filing of an insurance claim.
At times and without your prior authorization, the law requires disclosure of PHI. Specifically, abuse or neglect issues, certain public health issues, and manifest dangerousness all require the notification of proper authorities.
Other Uses and Disclosures – Most of the time, PHI may be disclosed only via your written consent. If you are the parent or guardian of a child or legally incompetent adult, you are the only one who can authorize release of data. These consents for release may be revoked at any time.
YOUR RIGHTS UNDER HIPAA
The following is a summary of your rights regarding your PHI. Please note that this is a summary and does not give examples of every eventuality.
You may inspect and copy your PHI except as limited by law.
Some of these limitations include information that your clinician may deem harmful to you, information that requires court order to obtain, and information that is contained in your file about someone seen in session with you who has not authorized release.
You may request restriction of your PHI.
For example, you may ask that we cease giving information to insurance companies, that family members have restricted access, or that notifications be sent to you at a different address.
You may request changes in your PHI.
You may disagree with what your clinician has written in your record, and you may request that the information be changed. In the event that your clinician disagrees, you may place a statement in your PHI. If your clinician rebuts your statement, you may obtain a copy of that rebuttal.
You may request an accounting of what PHI disclosures we have made.
Your request may be verbal or in writing.
You may obtain a copy of this notice from us at any time.
Ask for the HIPAA Disclosure Statement or the Notice of Privacy Practices, or download them from our website at www.sineadlancaster.com.
Questions and Complaints
If you have questions or believe your privacy rights have been violated, write T. Sinead Lancaster, LCSW, 1016 N. Houston Ave., Ste. A., Humble, TX 77338 or call her at 713-268-6734. Alternatively, you may file a complaint with the Secretary of Health and Human Services in Washington, D.C. Federal law prohibits retaliatory acts against those who file complaints.