Notice of Privacy Practice
Notice of Privacy Practices
Effective Date: 5/31/2024
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.
Our Commitment to Your Privacy
At Clear Waters Counseling, we are committed to maintaining the privacy and confidentiality of your personal and health information. We understand that your health information is personal, and we are dedicated to safeguarding your privacy.
Understanding Your Health Record
Each time you visit , a record of your treatment and services is created. This record typically includes your symptoms, examination and test results, diagnoses, treatment plans, and billing information. This information, often referred to as your health record, serves as a basis for planning your care and treatment and allows us to provide you with quality service.
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 regarding your health information
Abide by the terms of this Notice
How We May Use and Disclose Your Health Information
We use and disclose health information for a variety of purposes, including but not limited to:
Treatment: We may use your health information to provide, coordinate, or manage your treatment and services. For example, we may disclose your health information to other healthcare providers involved in your care.
Payment: We may use and disclose your health information to bill and receive payment for the treatment and services provided to you.
Healthcare Operations: We may use and disclose your health information for activities such as quality assessment, staff training, and business management to ensure that we provide high-quality care.
Appointment Reminders: We may contact you to remind you of scheduled appointments or to provide information about treatment alternatives or other health-related benefits and services.
Required by Law: We may disclose your health information when required by law, such as for public health activities, judicial proceedings, or law enforcement purposes.
Authorization: We will obtain your written authorization before using or disclosing your health information for purposes not covered by this Notice or as required by law.
Your Rights Regarding Your Health Information
You have the following rights regarding your health information:
Right to Inspect and Copy: You have the right to inspect and obtain a copy of your health information, with certain exceptions.
Right to Amend: You have the right to request amendments to your health information if you believe it is inaccurate or incomplete.
Right to Request Restrictions: You have the right to request restrictions on how your health information is used and disclosed.
Right to Request Confidential Communication: You have the right to request confidential communication of your health information by alternative means or at alternative locations.
Right to Request Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your health information.
Right to Request a Paper Copy: You have the right to obtain a paper copy of this Notice upon request, even if you have agreed to receive this Notice electronically.
Changes to this Notice
We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all health information maintained by us. We will provide you with a revised Notice upon request.
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. To file a complaint with us, please contact Steven Jacques at Phone: 240-332-0797 or Email: steven.jacques@clearwaterscounseling.hush.com .
Contact Information
If you have any questions about this Notice or your privacy rights, or if you would like to exercise any of your rights, please contact:
Clear Waters Counseling, Phone: 240-332-0797, Fax: 240-666-8506, Email: steven.jacques@clearwaterscounseling.hush.com