Notice of Privacy Practices

Phoenix Behavioral Health & Wellness is required by law to maintain the privacy of your protected health information (PHI), to provide you with 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

Treatment

We may use your health information to provide, coordinate, and manage your care, and we may disclose it to other providers involved in your treatment, such as a prescriber, primary care physician, or a facility to which you are being referred.

Payment

We may use and disclose your health information to obtain payment for services, including verifying benefits, obtaining authorization, and submitting claims.

Health care operations

We may use your health information for quality assessment, clinical supervision, staff training and evaluation, accreditation, licensing, and other administrative activities necessary to operate our practice.

Uses and disclosures that require your written authorization

Most uses and disclosures beyond treatment, payment, and health care operations require your written authorization, including:

• Most uses and disclosures of psychotherapy notes
• Uses and disclosures for marketing purposes
• Any sale of protected health information

You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.

Uses and disclosures permitted or required by law

We may use or disclose your health information without your authorization when:

• Required by federal, state, or local law, or by court order or subpoena
• Necessary to prevent a serious and imminent threat to the health or safety of you or another person
• Reporting suspected abuse, neglect, or exploitation of a child, elderly person, or person with a disability, as required by Texas law
• Required for public health activities or health oversight activities
• Requested by the Secretary of Health and Human Services to review our compliance
• Related to workers compensation claims, as authorized by law

Your rights regarding your health information

• Right to inspect and copy. You may request access to your record, including an electronic copy where we maintain it electronically. We may charge a reasonable, cost-based fee.
• Right to amend. You may ask us to amend information you believe is incorrect or incomplete. We may deny the request in certain circumstances and will explain why in writing.
• Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your health information.
• Right to request restrictions. You may ask us to limit how we use or disclose your information. We are not required to agree, except where you pay in full out of pocket for a service and ask that it not be disclosed to your health plan.
• Right to confidential communications. You may ask that we contact you by a particular method or at a particular location.
• Right to notification of a breach. You will be notified if a breach occurs that may have compromised the privacy or security of your information.
• Right to a paper copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.

Our responsibilities

We are required by law to maintain the privacy and security of your protected health information, to notify you following a breach affecting your information, and to abide by the terms of the notice currently in effect. We will not use or share your information other than as described here unless you tell us in writing that we may.

Changes to this notice

We may change the terms of this notice, and any change will apply to information we already hold as well as information we receive in the future. The current notice will always be posted on this page and available in our office.

Questions and complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at the contact information below. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/complaints. You will not be retaliated against for filing a complaint.

Privacy Officer
Phoenix Behavioral Health & Wellness
102 Memorial Drive, Suite 101
Denison, TX 75020
(903) 300-1055
Fax (800) 818-8260
hello@phoenixbhw.com