Our Commitment to Your Privacy
At Mind, Medicine & Meaning, protecting your privacy is one of our highest priorities. We understand that the information you share with us is personal, and we are committed to safeguarding your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and other applicable federal and South Carolina laws.
This Notice explains:
How we may use and disclose your health information.
Your rights regarding your Protected Health Information (PHI).
Our legal responsibilities for protecting your privacy.
How to contact us if you have questions or concerns about your privacy rights.
Please read this Notice carefully. If you have any questions, we are happy to answer the
How We May Use & Disclose Your Information
Treatment
Payment
Healthcare Operations
Required by Law
Public Health
Abuse/Neglect Reporting
Health Oversight
Judicial Proceedings
Law Enforcement
Serious Threat to Health or Safety
Workers' Compensation (when applicable)
Uses Requiring Your Authorization
Examples:
Release to family (unless otherwise permitted)
Attorneys
Employers
Schools
Marketing
Psychotherapy notes (when applicable)
Most disclosures not otherwise permitted by HIPAA
Your Rights
Include:
Inspect records
Obtain copies
Request amendments
Request restrictions
Request confidential communications
Receive an accounting of disclosures
Receive a paper copy
File a complaint
Our Responsibilities
Include:
Protect PHI
Follow this notice
Notify of breaches when required
Change this notice with future effect
Questions or Complaints
Practice contact information.
Include language that patients may also file a complaint with the U.S. Department of Health and Human Services and that they will not be retaliated against for doing so.
Acknowledgment of Receipt of Notice of Privacy Practices
By reading this information, I acknowledge that I have received (or have been offered the opportunity to receive) the Mind, Medicine & Meaning Notice of Privacy Practices. I understand that if I choose to work with MMM, I will be provided with a copy of this information.
I understand that this Notice describes how my Protected Health Information may be used and disclosed, my privacy rights under HIPAA, and the practice's legal duties regarding my health information.