Mindful Psychiatry Services values the privacy of your medical information. This page describes how medical information about you may be disclosed and how you can get access to this information. Please review it carefully.
Consent for Use and/or Disclosure of Health Information
At Mindful Psychiatry Services LLC, we are very concerned with protecting your privacy. While the law require us to give you this disclosure, please understand that we have, and always will, respect the privacy of your health information.
There are several circumstances in which we may have to use or disclose your health care information.
-We may have to disclose your health information to another health care provider or a hospital if it is necessary to refer you to them for the diagnosis, assessment, or treatment of your health condition.
-We may have to disclose your health information and billing records to another party if they are potentially responsible for the payment of your services.
-We may need to use your health information within our practice for quality control or other operational purposes such as recall notices, reminder calls, and treatment news.
Your right to limit uses or disclosures
You have the right to request a restriction or limitation that we do not disclose your health information to specific individuals, companies, or organizations. If you would like to place any restrictions on use or disclosure of your health information, please let us know in writing. We are not required to agree to your restriction request if we feel it is in your best interest to use or disclose that information.
However, if we agree with your restrictions, we will comply with your request unless that information is needed for emergency treatment.
Your right to revoke your authorization
You may revoke any of your authorizations at any time; however, your revocation must be in writing. We will not be able to honor your revocation request if we have already released your health information before we receive your request to revoke your authorization. If you were required to give authorization as a condition of obtaining insurance, the insurance company may have a right to your health information if they decide to contest any of your claims.
