Effective Date of This Notice: This notice was last updated on December 6, 2023.
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION, AS WELL AS OUR PRIVACY POLICIES AS THEY PERTAIN TO TELECOMMUNICATION. PLEASE REVIEW IT CAREFULLY.
I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice.
This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website.
The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures, I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories.
Federal privacy rules (regulations) allow health care providers who have direct treatment relationships with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment, or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization.
If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
I do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:
Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:
Except as set forth in this Privacy Policy (“Policy”), we will not trade, sell, or disclose to any third party any form of Personal Information without your consent.
We treat your personal contact information strictly confidentially.
Message frequency will vary. Message and data rates may apply.
We utilize a third-party telecommunications services provider (Ooma Inc.) to keep your data secure.
Lighthouse Trauma Therapy LLC
3585 N University Ave, Suite 275, Provo, UT 84604, USA
Email: info@lighthousetraumatherapy.com
Phone: (801) 921-6517