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Privacy Policy

This Notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.

Your Rights

You have the right to:

• Get a copy of your records: You can request to see or get a copy of your health and counseling records.

• Request corrections: If you believe your records are incomplete or incorrect, you may request an amendment.

• Request confidential communications: You can ask us to contact you in a specific way (e.g., only at work or by mail).

• Ask us to limit what we share: You may request that we not use or share certain information. While we are not required to agree, we will comply when possible.

• Get a list of disclosures: You can ask for a list of when and with whom we shared your information (other than those related to treatment, payment, or operations).

• Get a copy of this notice: You can request a paper copy at any time, even if you agreed to receive it electronically.

• Choose someone to act for you: If you have given someone medical power of attorney or if a guardian has been appointed, that person can exercise your rights.

• File a complaint: If you feel your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services.

• Your Choices

  You have choices in the way we use and share information:

  • Share information with family, friends, or others involved in your care.

  • Share information in a disaster relief situation.

  • Share your health information for fundraising purposes (with your permission).

  We will never share your information for:

  • Marketing purposes without your written authorization.

  • Sale of your information.

  • Most uses and disclosures of psychotherapy notes without your written authorization.

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  Our Uses and Disclosures

  We may use and share your information as we:

  • Treat you: We can use your health information to provide you with counseling and coordinate your care with other professionals involved.

  • Run our practice: We can use your information to improve services, train staff, and manage operations.

  • Bill for services: We can use and share your health information to bill and receive payment from insurance or other entities.

  We may also share your information when required by law, including:

  • Public health and safety issues (e.g., abuse reporting, threats of harm).

  • Law enforcement requests or court orders.

  • Health oversight agencies for compliance purposes.

  • Workers’ compensation claims.

  • To prevent a serious threat to health or safety.

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  Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information (PHI).

  • We will notify you promptly if a breach occurs that may have compromised your information.

  • We must follow the duties and privacy practices described in this Notice.

  • We will not use or share your information other than as described here unless you give written authorization. You may revoke authorization at any time in writing.

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  Complaints

  If you believe your privacy rights have been violated, you may file a complaint by contacting us:

  Fields of Ivy Counseling
  954-408-3547
  Counseling@fieldsofivy.com

  You may also file a complaint with:

  U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR):
  200 Independence Avenue, S.W.
  Washington, D.C. 20201
  1-877-696-6775
  https://www.hhs.gov/ocr/privacy/hipaa/complaints/

  We will not retaliate against you for filing a complaint.

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  Changes to This Notice

  We may update this Notice at any time. The updated Notice will be available on our website and in our office.