Compliance Officer: compliance@flowpsychiatry.com
Effective Date: June 20, 2022
This notice describes how protected medical and drug-related information about you may be used and disclosed and how you can get access to this information. If you have any questions about this Notice, please contact our Compliance Officer at the email listed above.
We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information. We make a record of the medical care we provide and may receive such records from others. We use these records to provide or enable other health care providers to provide quality medical care, to obtain payment for services provided to you as allowed by your health plan, and to enable us to meet our professional and legal obligations to operate this medical practice properly. We are required by law to maintain the privacy of protected health information and to provide individuals with notice of our legal duties and privacy practices with respect to protected health information.
Information regarding your health care, including payment for health care and treatment, is primarily protected by three federal laws: (i) the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 & 164; (ii) the additional privacy and security requirements enacted pursuant to Subtitle D of the Health Information Technology for Clinical Health Act (HITECH), including 45 C.F.R. Sections 164.308, 164.310, 164.312, and 164.316; and (iii) the Confidentiality Law, 42 U.S.C. § 290dd-2, 42 C.F.R. Part 2. Under these laws, Flow Psychiatry, A Professional Nursing Corporation may not say to a person outside Flow Psychiatry, A Professional Nursing Corporation that you are a patient, nor may Flow Psychiatry, A Professional Nursing Corporation disclose any information identifying you or disclose any other protected information about you, except as permitted by federal or state law.
The following list describes the ways Flow Psychiatry, A Professional Nursing Corporation may use and disclose your medical information without your written authorization. The examples provided serve only as guidance and do not include every possible use or disclosure.
Flow Psychiatry, A Professional Nursing Corporation will not use or disclose your medical information for any other purposes (including, without limitation, marketing), unless you give Flow Psychiatry, A Professional Nursing Corporation your written authorization to do so. If you give Flow Psychiatry, A Professional Nursing Corporation such written authorization for a purpose not described in this Notice, then you may, in most cases, revoke such authorization in writing at any time. Your revocation will be effective for all your medical information Flow Psychiatry, A Professional Nursing Corporation maintains unless our practice has already taken action in reliance on your prior authorization.
Right to Inspect and Copy: You have the right to inspect and obtain a paper or electronic copy of medical information that may be used to make decisions about your care, except for information compiled for use in a civil, criminal, or administrative proceeding or in other limited circumstances.
To inspect and copy your medical information, you must submit your request in writing to the Flow Psychiatry, A Professional Nursing Corporation Compliance Officer. If you request a copy of the information, our practice may charge a fee as established by its licensing authority, if applicable, for the costs of copying, mailing, or summarizing your medical records.
Flow Psychiatry, A Professional Nursing Corporation may deny your request to inspect and copy your medical information in certain very limited circumstances. If you are denied access to medical information, you may request that the denial be reviewed. A third-party licensed health care professional chosen by Flow Psychiatry, A Professional Nursing Corporation will review your request and denial. This professional will not be the same person who denied your request. Our practice will comply with the outcome of the review.
Right to Amend: If you feel that medical information maintained about you is incorrect or incomplete, you may ask your provider to correct or amend the information. You have the right to request an amendment for as long as the information is kept by Flow Psychiatry, A Professional Nursing Corporation.
To request an amendment, your request must be made in writing and submitted to the Flow Psychiatry, A Professional Nursing Corporation Compliance Officer. In addition, you must provide a reason that supports your request. Our provider may deny your request for an amendment if it is not in writing or does not include a reason to support the request.
Right to an Accounting of Disclosures: You have the right to request an “accounting of disclosures.” This is a list of the disclosures made of your medical information for purposes other than treatment, payment, or health care operations.
To request this list, you must submit your request in writing to the Flow Psychiatry, A Professional Nursing Corporation Compliance Officer. Your request must state a time period, which may not be longer than six (6) years. Your request should indicate in what form you want the list (for example, on paper or electronically). The first list you request within a 12-month period will be provided to you by our practice for free. For additional lists within the 12-month period, you may be charged for the cost of providing the list. Our practice will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred.
Right to Request Restrictions: You have the right to request a restriction or limitation on the medical information Flow Psychiatry, A Professional Nursing Corporation uses or discloses about you for treatment, payment, or health care operations. You also have the right to request a limit on the medical information our practice uses or discloses about you to someone who is involved in your care or the payment for your care. Our practice is not required to agree to such a request. Should our practice agree to your request, we will comply with your request unless the information is needed to provide you with emergency treatment.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for the purpose of payment or our operations. We will honor such a request unless law requires us to share that information.
To request restrictions, you must make your request in writing to the Flow Psychiatry, A Professional Nursing Corporation Compliance Officer. In your request you may indicate: (1) what information you want to limit; (2) whether you want to limit our practice’s use and/or disclosure; and (3) to whom you want the limits to apply. For example, you may not want disclosures to be made to your spouse.
Right to Request Confidential Communications: You have the right to request that Flow Psychiatry, A Professional Nursing Corporation communicate with you about medical matters in a certain way or at a certain location. To request that our practice communicates in a certain manner, you must make your request in writing to the Flow Psychiatry, A Professional Nursing Corporation Compliance Officer. You do not have to state a reason for your request. Our practice will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.
Flow Psychiatry, A Professional Nursing Corporation reserves the right to change its privacy and security practices and to make the new provisions effective for all Protected Health Information that our practice holds or maintains. Should our privacy practices change, we will post the amended Notice of Privacy Practices on our website.
If you believe your privacy rights have been violated, you may file a complaint with the Compliance Officer at Flow Psychiatry, A Professional Nursing. To file a complaint with us, you can email our Compliance Officer at compliance@flowpsychiatry.com.
You may also file a complaint with the Office for Civil Rights, U.S. Department of Health and Human Services by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint. All complaints should be submitted in writing.
We will NOT retaliate against you in any way for filing a complaint.