This CREARTH Psychotherapy/Creative Arts Therapy Privacy 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. A hardcopy of the Privacy Notice will be provided to you upon request.
Medical information about you and your health is personal. At Creative Arts Therapy & Integrative Care, we create a record with information provided by you as well as information from our assessments, sessions, and information that may be provided by other medical or health care professionals, (for example, your primary care physician or a specialist who is treating you.) We need this information in order to provide you with the best clinical services to meet your needs.
The following categories describe different ways that protected health information may be used and disclosed: for treatment; for health care business operations; as required by law; to avert a serious threat to your health or safety or to the health or safety of another person; for public health risks (for example, to prevent or control disease, injury, or disability, to report reactions to medications, to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition); for health oversight activities, lawsuits and disputes in response to a court order or subpoena, discovery request, or other lawful process; law enforcement in response to a court order, subpoena, warrant, summons, or similar process subject to all applicable legal requirements; coroners, medical examiners, funeral directors; information not personally identifiable.
Certain categories of protected health information have extra protections by law, and therefore require special written authorization for disclosure. For example, most uses and disclosures of psychotherapy notes require special written authorization.
Your Rights Regarding Protected Health Information:
Right to Inspect and Copy
You have the right, with few exceptions, to inspect and copy protected health information that may be used to make decisions about your care. Typically this does not include psychotherapy notes or information gathered for judicial proceedings.
To inspect and copy your protected health information, submit a request in writing to Creative Arts Therapy & Integrative Care. We may charge a reasonable fee for the cost of copying, mailing, or other supplies associated with your request.
Right to Amend
If you feel that protected health information we may have about you is incorrect or incomplete, you may ask Creative Arts Therapy & Integrative Care to amend the information. You have the right to request an amendment for as long as the information is kept by Creative Arts Therapy & Integrative Care. It is Creative Arts Therapy & Integrative Care policy to keep client records for ten years.
Requests for amendment must be done in writing and submitted to Creative Arts Therapy & Integrative Care.
Requests for amendment may be denied if they are not in writing or if they do not include a reason to support the request. Amendment requests may also be denied if:
- The information was not created by Creative Arts Therapy & Integrative Care;
- The information is not part of the information kept by Creative Arts Therapy & Integrative Care;
- The information is not part of the information which you would be permitted to inspect and copy; or
- The information is accurate and complete.
Creative Arts Therapy & Integrative Care will respond to your request in writing within sixty (60) calendar days from receipt of written request.
Right for an Accounting of Disclosures
You have the right to ask for a list of the disclosures of your protected health information that Creative Arts Therapy & Integrative Care has made during the previous six years, but the request cannot include dates before April 14, 2003. This listing will include the dates of each disclosure, who received the disclosed protected health information, a brief description of the protected health information disclosed, and the reason for the disclosure. The listing will not include the following disclosures:
- Disclosures made for the purpose of treatment, payment, health care services, operations, or disclosures made to family or responsible caregivers;
- Disclosures made directly to you;
- Disclosures made based on a valid authorization from you or from your legally authorized representative;
- Oral or incidental disclosures;
- Disclosures made for the purpose of national security, or to correctional institutions or law enforcement officers;
- Disclosures made prior to April 14, 2003.
You must request this listing of disclosures by submitting your request in writing to Creative Arts Therapy & Integrative Care.
Creative Arts Therapy & Integrative Care will provide you with the list within sixty (60) calendar days of receipt of your request, unless you agree to a thirty (30) calendar day extension. There is no charge to you for the list, unless you request such a list more than once a year.
Right to Request Restrictions
You have the right to request restrictions on how your protected health information is used or to whom your information is disclosed, even if the restriction affects the services you receive. However, Creative Arts Therapy & Integrative Care is not required to agree to your requested restriction and, even if we agree to the restriction, we are permitted to use your protected health information without complying with the restriction if necessary in an emergency situation.
Restrictions must be requested in writing. In your written request you must tell us: (1) what information you want to limit; (2) whether you want to limit our use, disclosure, or both; (3) to whom you want the limits to apply. Although Creative Arts Therapy & Integrative Care is generally not required to agree to requested restrictions, Creative Arts Therapy & Integrative Care is required to keep your protected health information confidential if you pay for a health care service “out-of-pocket” in full, and you request that we not disclose protected health information related to that health care service(s).
You must submit requests for restrictions in writing to Creative Arts Therapy & Integrative Care.
Right to Request Confidential Communication
You have the right to request that Creative Arts Therapy & Integrative Care communicates with you about protected health information matters in a certain way or at a certain location. For example, you can ask that we only contact you at work, or by mail, or to not leave voicemail messages.
To request confidential communications, you must submit your request in writing to Creative Arts Therapy & Integrative Care. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
Right to a Copy of this Notice
You have the right to a paper copy of this Notice. You may ask Creative Arts Therapy & Integrative Care to provide you with a paper copy of this Notice at any time. Even if you have agreed to receive this Notice electronically, you are still entitled to a paper copy of this Notice. You may obtain a paper copy of this Notice by contacting Creative Arts Therapy & Integrative Care.
Changes to this Notice
The effective date of this Notice is September 30, 2014. It will remain in effect until it is replaced by Creative Arts Therapy & Integrative Care.
If you believe your privacy rights have been violated, you may file a complaint with Creative Arts Therapy & Integrative Care or with the Secretary of the Department of Health and Human Services.
To file a complaint with Creative Arts Therapy & Integrative Care, submit your complaint in writing to Creative Arts Therapy & Integrative Care. You will not be penalized for filing a complaint.
Other Uses of Protected Health Information
Other uses and disclosures of protected health information not covered by this Notice or by the Creative Arts Therapy & Integrative Care Policy Statement will be made only with your written permission.
If you provide Creative Arts Therapy & Integrative Care permission to use or disclose protected health information about you, you may revoke that permission, in writing, at any time.
If you revoke your permission, Creative Arts Therapy & Integrative Care will no longer use or disclose protected health information about you for the reasons covered by your written authorization. You understand that Creative Arts Therapy & Integrative Care is unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of services we have provided to you.
If you have any questions about this notice
Please contact Creative Arts Therapy & Integrative Care with any questions you may have.
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