NOTICE OF PRIVACY PRACTICES
Medical & Mental Holistic Healthcare Effective Date: 07-25-2023
This notice describes how your health information may be used and disclosed and how you can get access to this information. Please review it carefully.
OUR LEGAL DUTIES
Medical & Mental Holistic Healthcare is required by law to: - Maintain the privacy of your Protected Health Information (PHI). - Provide you with this notice of our legal duties and privacy practices. - Follow the terms of this notice currently in effect. - Notify you if a breach occurs that may compromise your information.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
For Treatment We may use and share your health information to provide, coordinate, or manage your care and related services.
Example: Sharing information with your therapist, primary care provider, or pharmacy.
For Payment We may use and disclose your information to bill and collect payment from insurance companies or other payers.
Example: Submitting claims or verifying coverage.
For Healthcare Operations We may use your information to operate our practice, improve quality of care, and conduct business functions.
Example: Quality improvement activities, staff training, and audits.
OTHER PERMITTED OR REQUIRED USES AND DISCLOSURES
We may also use or disclose your information without your authorization for: - Public health and safety activities. - Reporting abuse, neglect, or domestic violence. - Health oversight activities such as audits or investigations. - Legal proceedings, court orders, or subpoenas. - Law enforcement purposes as required by law. - Coroners, medical examiners, or funeral directors. - Research with approved safeguards. - Workers' compensation. - Serious threats to health or safety.
TEXT MESSAGING & MOBILE COMMUNICATIONS
No mobile information will be shared with third parties/affiliates for marketing or promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.
USES AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION
We will obtain your written authorization before: - Using or disclosing psychotherapy notes (except as permitted by law). - Using your information for marketing purposes. - Selling your health information. - Any other use not described in this notice.
You may revoke your authorization at any time in writing.
YOUR RIGHTS
You have the right to: - Access your records - Obtain a copy of your medical records. - Request amendments - Ask us to correct inaccurate or incomplete information. - Request an accounting of disclosures - Receive a list of certain disclosures. - Request restrictions - Ask us to limit how we use or share your information. - Request confidential communications - Ask us to contact you in a specific way or location. - Receive a paper copy - Even if you agreed to receive this notice electronically.
MENTAL HEALTH AND SUBSTANCE USE INFORMATION
Some mental health and substance use information may receive additional protections under federal and Georgia law. We will only disclose this information as allowed by law or with your written authorization, except in emergencies or when required for safety.
COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with:
Privacy Officer Medical & Mental Holistic Healthcare
138 Park Ave - Suite 206 Winder, GA 30680
Office: (770) 240-4849 Fax: 678-737-1743
Email: HealthInfo@medicalandmentalhealthcare.org
You may also file a complaint with:
U.S. Department of Health and Human Services Office for Civil Rights
www.hhs.gov/ocr/privacy/hipaa/complaints
1-800-368-1019
You will not be retaliated against for filing a complaint.
CHANGES TO THIS NOTICE
We reserve the right to change this notice at any time. The revised notice will apply to all health information we maintain and will be available in our office and on our website.
CONTACT INFORMATION
Medical & Mental Holistic Healthcare
138 Park Ave - Suite 206 Winder, GA 30680
Office: (770) 240-4849 Fax: 678-737-1743
Email: HealthInfo@medicalandmentalhealthcare.org
Website: https://www.medicalandmentalhealthcare.org
