Notice of privacy practices

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.

Eye Cue Mental Health is required by the Health Insurance Portability and Accountability Act (HIPAA) and California law to protect the privacy of your protected health information (PHI), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your health information

We may use and disclose your PHI for the following purposes without your separate written authorization:

• Treatment. To provide and coordinate your care, including sharing information among the clinicians involved in your treatment and, when appropriate, with other providers such as your primary care physician.
• Payment. To bill and obtain payment from your health plan, which may involve sharing information to confirm coverage and obtain authorization for services.
• Health care operations. To run our practice, including quality review, clinical supervision of associate clinicians, training, and administrative functions.

Other uses and disclosures the law allows

We may use or disclose your PHI without your authorization when required or permitted by law, including:

• When required by federal, state, or local law.
• For public health and safety activities, including reporting that the law requires.
• To report suspected abuse, neglect, or domestic violence as required by California law.
• To avert a serious and imminent threat to the health or safety of you or others.
• For health oversight, judicial and administrative proceedings, law enforcement, coroners, and similar legally defined purposes.
• For workers' compensation as authorized by law.

Special protection for psychotherapy notes

Psychotherapy notes receive extra protection. Most uses and disclosures of psychotherapy notes require your written authorization, beyond the general uses described above. California law may provide additional protections for mental health records.

Uses that require your written authorization

Other uses and disclosures, including most uses of psychotherapy notes, marketing, and any sale of PHI, will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your rights regarding your health information

• Access. You may request to inspect and obtain a copy of your health record, with limited exceptions.
• Amendment. You may ask us to correct information you believe is incorrect or incomplete.
• Accounting of disclosures. You may request a list of certain disclosures we have made.
• Restrictions. You may ask us to limit how we use or disclose your information. You also have the right to restrict disclosure to a health plan for a service you paid for in full out of pocket.
• Confidential communications. You may ask us to contact you in a specific way or at a specific location.
• Paper copy. You may request a paper copy of this notice at any time.
• Complaint. You may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.

Our responsibilities

We are required to maintain the privacy of your PHI, to notify you following a breach of unsecured PHI, and to follow the terms of the notice currently in effect. We reserve the right to change this notice and to make the revised notice effective for information we already have, as well as for information we receive in the future. The current notice will always be posted on this page.

How to reach us about your privacy