At Ember Therapy, PLLC, protecting the confidentiality of our clients is a high priority, and your health information is considered confidential. There are only a few scenarios in which your information may be disclosed without your permission.  These scenarios are discussed below,  in the newest version of the Notice of Privacy Practices, effective November 5, 2024.  Please contact us at support@embertherapy.org  with  any questions that you may have about your rights and our responsibilities regarding the security and privacy of your health information.

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This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI.

 

1. Uses and Disclosures of Protected Health Information

We may use and disclose your PHI for the following purposes:

• Treatment: We may use your health information to provide you with mental health services. We may disclose your health information to other health care providers involved in your care.

• Payment: We may use and disclose your health information to obtain payment for services provided to you. This may include contacting your insurance company to confirm coverage or billing.

• Health Care Operations: We may use and disclose your health information for our internal operations, including quality assessment, improvement activities, and training programs.

2. Other Uses and Disclosures

We may also use or disclose your PHI in the following situations:

• Required by Law: We may disclose your information if required to do so by federal, state, or local law.

• Public Health Activities: We may disclose your PHI to public health authorities for purposes related to preventing or controlling disease, injury, or disability.

• Health Oversight Activities: We may disclose your PHI to health oversight agencies for audits, investigations, or inspections.

• Judicial and Administrative Proceedings: We may disclose your PHI in the course of a judicial or administrative proceeding in response to a court order or subpoena.

• Emergencies: We may disclose your PHI if necessary to prevent a serious threat to your health and safety or the health and safety of others.

3. Your Rights Regarding Your Health Information

You have the following rights regarding your PHI:

• Right to Access: You have the right to inspect and obtain a copy of your health information.

• Right to Amend: You have the right to request an amendment to your health information if you believe it is incorrect or incomplete. We may say “no” to your request, but we’ll tell you why in writing within 60 days.

• Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we have made of your PHI.

• Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI.

• Right to Confidential Communications: You have the right to request that we communicate with you in a certain way or at a certain location.

4. Changes to This Notice

We reserve the right to change this Notice of Privacy Practices at any time. We will provide you with a revised notice by posting it in our office and on our website.

5. Complaints

• You can complain if you feel we have violated your rights by contacting us using the information listed above.

• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

• We will not retaliate against you for filing a complaint.