Legal
Notice of Privacy Practices
How your protected health information may be used and disclosed, and how you can get access to it.
Notice of Privacy Practices
Effective date:
Review required before launch
This notice must be reviewed and approved by qualified healthcare counsel before publication, and tailored to this practice’s actual operations, state law, and the identity of its Privacy Officer. It is a legally operative document under 45 CFR §164.520 — publishing an unreviewed template exposes the practice to enforcement risk. Placeholder contact details must also be replaced.
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
EV Psychiatry is required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How we may use and disclose your health information
For treatment
We may use your health information to provide you with care, and disclose it to other clinicians, specialists or providers involved in your treatment — for example, coordinating with a therapist or your primary care physician.
For payment
We may use and disclose your health information to obtain payment for services provided to you, including verifying coverage and submitting claims.
For healthcare operations
We may use your health information for activities necessary to run the practice, such as quality assessment, staff review, and administration.
Other permitted or required uses
- Appointment reminders and information about treatment alternatives
- When required by law, including public health and safety reporting
- To avert a serious and imminent threat to the health or safety of a person or the public
- For health oversight activities, judicial proceedings, or law enforcement as permitted by law
- To business associates who perform services for us under a written agreement requiring them to protect your information
Uses that require your written authorisation
Most uses and disclosures of psychotherapy notes, uses for marketing purposes, and any sale of your health information require your written authorisation. You may revoke an authorisation in writing at any time, except to the extent we have already acted on it.
Your rights
- Access. You may inspect and obtain a copy of your health information, in an electronic format where readily producible.
- Amendment. You may request that we correct information you believe is incorrect or incomplete.
- Accounting of disclosures. You may request a list of certain disclosures we have made of your health information.
- Restrictions. You may request limits on how we use or disclose your information. We are required to agree where you have paid for a service in full out of pocket and ask that it not be disclosed to your health plan.
- Confidential communications. You may ask us to contact you in a specific way, or at a specific location.
- Paper copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Breach notification. You will be notified if a breach occurs that may have compromised the privacy or security of your information.
Changes to this notice
We may change this notice, and the changes will apply to information we already hold as well as information we receive in the future. The current notice will always be available on this page with its effective date.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact details below, or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.
Contact
To exercise any of these rights, or to raise a concern, contact our Privacy Officer:
EV Psychiatry
Email: hello@evpsychiatry.com