Notice of Privacy Practices

Your rights

You have rights regarding your health information. Subject to applicable law, these include the right to inspect or obtain a paper or electronic copy of records we maintain about you; ask us to correct information you believe is incorrect or incomplete; request reasonable confidential communications; ask us to limit certain uses or disclosures; receive an accounting of certain disclosures; obtain a paper copy of this notice; choose a personal representative to act for you when legally authorized; and complain if you believe your privacy rights were violated.

Access to your records

You may ask to see or receive a copy of your medical record and other health information we maintain about you. We will respond within the time required by law and may charge only a permitted, reasonable cost-based fee when applicable.

Corrections

You may ask us to amend health information you believe is inaccurate or incomplete. We may deny the request in circumstances allowed by law and will explain a denial in writing.

Confidential communications

You may request that we contact you in a particular way or at a particular location. We will accommodate reasonable requests as required by law.

Restrictions

You may ask us not to use or share certain information for treatment, payment, or health care operations. We are generally not required to agree, except in situations where the law requires us to do so. If you pay out of pocket in full for a service and ask us not to disclose information about that service to a health plan for payment or operations, we will honor the request unless disclosure is required by law.

Accounting of disclosures

You may request a list of certain disclosures made during the period allowed by law. The accounting does not include every disclosure, such as many disclosures for treatment, payment, health care operations, or disclosures you authorized.

Your choices

In certain situations you may tell us your preferences about sharing information, including sharing with family, friends, or others involved in your care or payment for care. If you are unable to state a preference, we may share information when permitted by law and when, using professional judgment, sharing is in your best interest or is needed to reduce a serious and imminent threat.

We generally require your written authorization for marketing uses, sale of health information, and most disclosures of psychotherapy notes when such notes exist. You may revoke an authorization in writing as permitted by law.

How we may use and disclose health information

Treatment

We may use your information and share it with other health professionals involved in your treatment, including for consultation, coordination, medication management, laboratory services, pharmacy communication, and referrals.

Health care operations

We may use or disclose information to run the practice, improve quality, manage records and technology, conduct compliance and risk activities, and contact you about care or operational matters.

Payment

Even though Clarity Psychiatry is generally a private-pay practice, information may be used or disclosed for billing, payment processing, Good Faith Estimates, superbills requested by you, collections as permitted by law, or other lawful payment activities.

Other uses and disclosures allowed or required by law

Subject to applicable conditions and limitations, we may use or disclose information for public health and safety activities; reporting required by law; health oversight; certain law-enforcement requests; workers’ compensation; research when legally permitted; judicial or administrative proceedings; medical examiner or funeral-director duties; organ and tissue donation; specialized government functions; and to prevent or lessen a serious and imminent threat to health or safety.

Substance use disorder records protected by 42 CFR Part 2

To the extent Clarity Psychiatry receives, creates, or maintains substance use disorder patient records that are protected by 42 CFR Part 2, those records receive additional federal protections. Part 2-protected records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you unless you give written consent or the use/disclosure is supported by the court process required by applicable law.

Our responsibilities

We are required by law to maintain the privacy and security of protected health information, provide this notice, follow the privacy practices described in the current notice, and notify affected individuals when required after a breach of unsecured protected health information.

We will not use or disclose health information in ways not described in this notice unless you authorize us in writing or another law permits or requires it. You may revoke an authorization as permitted by law.

Changes to this notice

We may change this notice and make the revised terms effective for information we already maintain as well as information we receive in the future. The current notice will be available on this website and upon request.

Questions and complaints

You may contact Clarity Psychiatry’s privacy contact with questions or complaints. You will not be retaliated against for making a privacy complaint.

Privacy Officer: Stacy Stojakovic, PA-C
Phone: (480) 434-8936
Secure privacy email: [ADD HIPAA-CAPABLE PRIVACY EMAIL BEFORE LAUNCH]
Mailing address: [ADD BUSINESS MAILING ADDRESS BEFORE LAUNCH]

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Information about filing a HIPAA complaint is available at HHS.gov.