Notice of Privacy Practices

Effective Date: [Insert Date]

At Emet Integrative Psychiatry, your privacy is important to us. We are committed to protecting your personal and health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

This Notice explains how we may use and disclose your protected health information (PHI), your rights regarding your medical records, and our commitment to safeguarding your information.

Your Privacy Rights

As our patient, you have the right to:

· Access or request a copy of your medical records.
· Request corrections to information you believe is inaccurate or incomplete.
· Ask us to communicate with you in a specific way or at a preferred location.
· Request limitations on certain uses or disclosures of your health information.
· Receive an accounting of certain disclosures of your health information.
· Obtain a copy of this Notice at any time.
· Designate a legal representative to act on your behalf, when permitted by law.
· File a privacy complaint without fear of retaliation.

If you would like to exercise any of these rights, please contact our office.

How We Use Your Health Information

We may use or disclose your health information to:

· Provide, coordinate, and manage your mental health care.
· Verify insurance eligibility and process billing or payment.
· Communicate with you regarding appointments, treatment, or follow-up care.
· Improve the quality, safety, and efficiency of our services.
· Comply with applicable federal and state laws.

We only use or disclose the minimum amount of information necessary to perform these activities.

Your Choices

In certain situations, you have the right to decide how your information is shared. For example, you may choose whether we:

· Share information with family members or others involved in your care.
· Leave voicemail messages regarding appointments.
· Send appointment reminders by text message or email.

Whenever possible, we will honor your preferences.

Our Commitment to Your Privacy

Emet Integrative Psychiatry is committed to maintaining the confidentiality, integrity, and security of your protected health information.

We will:

· Protect your health information using administrative, physical, and technical safeguards.
· Notify you if a breach occurs that may compromise your protected health information.
· Follow the privacy practices described in this Notice.
· Never sell your health information or use it for marketing purposes without your written authorization.

Questions or Concerns?

If you have questions about this Notice or your privacy rights, please contact us.

Emet Integrative Psychiatry
Phone: (509) 352-3498
Email: info@emetpsych.com

If you believe your privacy rights have been violated, you also have the right to file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect your care or the services you receive.

Patient Acknowledgment

Patients will receive the complete HIPAA Notice of Privacy Practices during the intake process.

Before submitting a New Patient Request, you will be asked to acknowledge:

☐ I have reviewed the Emet Integrative Psychiatry Notice of Privacy Practices and understand my rights regarding the use and protection of my health information.

Last Updated: [Insert Date]