Notice of Privacy Practices

Our Commitment

Primary Behavioral Health LLC 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 PHI

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your treatment, including consultation with and referrals to other healthcare providers.

Payment

We may use and disclose your PHI to bill and collect payment for services from you, an insurance company, or a third party.

Healthcare Operations

We may use and disclose your PHI for activities necessary to operate our practice, including quality assessment, staff training, and licensing.

As Required by Law

We will disclose PHI when required by federal, state, or local law, including reports to public health authorities and in response to court orders.

Uses and Disclosures Requiring Authorization

Most uses and disclosures of psychotherapy notes, uses for marketing, and sales of PHI require your written authorization. You may revoke authorization at any time in writing.

Your Rights

• Right to inspect and copy your PHI
• Right to request amendments to your PHI
• Right to an accounting of disclosures
• Right to request restrictions on certain uses and disclosures
• Right to request confidential communications
• Right to receive a paper copy of this Notice
• Right to be notified of any breach of unsecured PHI

Complaints

You may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.

Changes to This Notice

We reserve the right to change this Notice and to make the revised Notice effective for PHI we already have about you, as well as any information we receive in the future.