Privacy Policy
This notice describes how your health information privacy is maintained and how medical information about you may be used and disclosed. It also explains how you can access your medical records rights. Please review it carefully.
To provide you with care, WIDE AWAKE Therapy Christian Counseling (your “Provider”) must collect, create, and maintain health information about you. This includes any individually identifiable information that we obtain from you or others related to your past, present, or future physical or mental health, the healthcare you have received, or payment for your healthcare. Your Provider is required by law to uphold the privacy of this information. This Notice of Privacy Practices (this “Notice”) outlines how your health information may be utilized and disclosed and explains your rights regarding this information. Your Provider is legally obligated to provide you with this Notice and will comply with its terms.
How Your Provider Uses and Discloses Your Health Information
Your Provider safeguards your health information from inappropriate use and disclosure and will use and disclose your health information only for the purposes listed below:
We may disclose your health information to all professionals involved in your treatment and those managing our practice to enhance your care, contact you when necessary, bill, and collect payment from health plans or other entities. We must meet several legal conditions before sharing your information for these purposes. More information is available at HHS.gov. We are permitted or required to disclose health information about you in certain situations, such as to a coroner, medical examiner, or funeral director when an individual passes away, to address workers’ compensation claims, for law enforcement and other special government requests, with health oversight agencies for activities authorized by law, and for public health to prevent disease. We can disclose health information about you when reporting suspected abuse, neglect, or domestic violence, to prevent or reduce a serious threat to anyone’s health or safety, in response to a court or administrative order, subpoena, or as mandated by state or federal laws, and with the Department of Health and Human Services to demonstrate compliance with federal privacy law.
Your Rights Regarding Your Health Information
Right to Inspect or Get a Copy of Your Medical Record.
Right to Request Changes to Your Medical Record.
Right to an Accounting of Disclosures. You have the right to receive a list of all disclosures we have made of your health information.
Right to Request Restrictions. You have the right to request limitations on how we use and disclose your health information for treatment, payment, and healthcare operations.
Right to Request Confidential Communications.
Right to Receive Notification of Breach.
Right to Paper Copy of Notice. You have the right to receive a paper copy of this Notice of Privacy Practices at any time. A full version of these rights will be provided to you.
Right to File Complaints. If you believe your privacy rights have been violated, you may file a complaint with your Provider or with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Ave, SW, Washington, D.C. 20201, calling 1-877-696-6775, or visiting HHS.gov. You will not face penalties or retaliation from your Provider for filing a complaint.
Changes to this Notice
Your Provider may change the terms of this Notice of Privacy Practices at any time. If the terms of the Notice are modified, the new terms will apply to all of your health information, whether created or received by your Provider before or after the date on which the Notice is changed. Any updates to the Notice will be provided to you.