HIPAA Privacy Disclosure
Effective Date: April 10, 2025
Your Protected Health Information (PHI)
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), we are required to maintain the privacy of your Protected Health Information (PHI). PHI includes information that identifies you and relates to your past, present, or future physical or mental health or condition and related health care services.
How We May Use and Disclose Your PHI
We may use and disclose your PHI without your written authorization for the following purposes:
- Treatment: To provide, coordinate, or manage your mental health care and related services.
- Payment: To obtain payment for services we provide to you.
- Healthcare Operations: For administrative purposes, quality improvement, staff training, and other operational needs.
We may also disclose your PHI in certain other situations, including:
- When required by law
- For public health and safety purposes
- To comply with legal proceedings or law enforcement requests
- To avoid a serious threat to health or safety
- For research purposes (under strict confidentiality agreements)
- To medical examiners or funeral directors (in the case of death)
Uses and Disclosures That Require Your Authorization
We will not use or disclose your PHI for marketing purposes, the sale of PHI, or other non-routine purposes without your written consent. You have the right to revoke your authorization at any time in writing.
Your Rights Regarding Your PHI
You have the following rights under HIPAA:
- Right to Inspect and Copy: You can request access to your medical records.
- Right to Amend: You may request corrections to your records if you believe they are inaccurate.
- Right to an Accounting of Disclosures: You can request a list of certain disclosures we’ve made.
- Right to Request Restrictions: You may request limitations on how we use or disclose your PHI.
- Right to Confidential Communications: You can request communications in a specific manner (e.g., via phone or mail).
- Right to a Paper Copy of This Notice: You may request a printed copy of this notice at any time.
Our Responsibilities
We are required by law to:
- Maintain the privacy of your PHI
- Provide you with this notice of our legal duties and privacy practices
- Abide by the terms of the current notice
Changes to This Notice
We reserve the right to change this Privacy Notice. Any changes will apply to the PHI we already have, as well as any information we receive in the future. The updated notice will be posted on our website and available at our office.
Questions or Complaints
If you have any questions or believe your privacy rights have been violated, please contact us:
MindVibe
- PO BOX 104514 Pasadena, Ca 91189-4514
- Phone: (737)406-1861
- Email: inquiries@mindvibe.com
You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
