HIPAA NOTICE OF PRIVACY PRACTICES
This Notice of Privacy Practices (the “Notice”) describes how LG Behavioral Health and TMS Services, LLC’s (“LG,” “Company,” “we,” or “us”) may use and disclose your or your child’s protected health information to carry out treatment, payment, or business operations and for other purposes that are permitted or required by law. This Notice also describes your rights to access and control your Protected Health Information. “Protected Health Information” or “PHI” is information about you or your child that may be used to identify you or your child and that that was created, used, or disclosed in the course of providing a health care service. For the purposes of this document, references to “your Protected Health Information” or “your PHI” includes PHI about you or your child as it may be applicable.
When it comes to your Protected Health Information, you have certain rights. This section of the Notice explains your rights and some of our responsibilities to help you. To exercise any of these rights, please contact our Privacy Office using the contact information provided at the end of this Notice.
Get an electronic or paper copy of your medical record
Ask us to correct your medical record
Request confidential communications
Ask us to limit what we use or share
Get an accounting of disclosures
Get a copy of this Notice of Privacy Practices
Choose someone to act for you
File a complaint if you feel your rights are violated
For certain types of PHI, you can tell us your choices about what we share. If you have a clear preference for how we share the information in the situations described below, please tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and the choice to tell us to:
We may share your Protected Health Information in the event such disclosure is deemed necessary to lessen a serious and imminent threat to health or safety.
In the following cases, we never share your or your child’s information unless you give us written permission to do so:
OUR USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION:
Your PHI may be used and disclosed by our service providers, our staff, and others outside of our office who are involved in your or child’s treatment for the purpose of providing the health care services, supporting our business operations, obtaining payment for your or your child’s care, and any other use authorized or required by law. We never market or sell PHI.
Treatment: We will use and disclose your PHI to provide, coordinate, or manage your or your child’s treatment and any related services. This includes the coordination or management of your or your child’s health care with a third party. For example, your PHI may be provided to any other health care provider with whom you or child have an existing treatment relationship to ensure the necessary information is accessible to diagnose or treat you or your child.
Payment: Your PHI may be used to bill or obtain payment for your health care services. For example, we may use your PHI in connection with processing payments for services provided to you.
Health Care Operations: We may use or disclose, as needed, your PHI in order to support the business activities of this office. These activities include, but are not limited to, improving quality of care, providing information about treatment alternatives or other health-related benefits and services, developing or maintaining and supporting computer systems, legal services, and conducting audits and compliance programs, including fraud, waste, and abuse investigations.
Other Uses and Disclosures that Do Not Require Your Authorization: We may use or disclose your PHI in certain situations without your authorization. These situations include the following uses and disclosures: as required by law; for public health purposes; for health care oversight purposes; for abuse or neglect reporting; pursuant to Food and Drug Administration requirements; in connection with legal proceedings; for law enforcement purposes; to coroners, funeral directors and organ donation agencies; for certain research purposes; for certain criminal activities; for certain military activity and national security purposes; for workers’ compensation reporting; relating to certain inmate reporting; and other required uses and disclosures.
For more information see:
CHANGES TO THE TERMS OF THIS NOTICE:
We can change the terms of this Notice, and the changes will apply to all information we have about you or your child. The new Notice will be available upon request, in our office, and on our web site.
When communicating with us regarding this Notice, our privacy practices, or your privacy rights, please contact our Privacy Office using the following contact information:
LG Behavioral Health and TMS Services, LLC’s