HIPAA Notice of Privacy Practices
Effective Date: January 1, 2025
A Better Version Collaborative Counseling
📍 127 E Liberty Street, Suite 255, Wooster, OH 44691
📞 234-249-2427 | 📧 [email protected]
Your Privacy Rights
This Notice of Privacy Practices explains how A Better Version Collaborative Counseling may use and disclose your Protected Health Information (PHI) and how you can access your records. We are legally required to protect the privacy and security of your PHI and provide this notice outlining your rights and our legal obligations.
How We May Use and Disclose Your Health Information
We may use and disclose your PHI without your written authorization in the following situations:
- Treatment – To provide, coordinate, or manage your healthcare services.
- Payment – To bill and collect payment from you, an insurance company, or a third party.
- Healthcare Operations – For internal audits, quality assessments, staff training, and business management.
- Legal Compliance – When required by law (e.g., public health reporting, abuse/neglect reporting, or law enforcement requests).
- Health Oversight Activities – To state and federal agencies overseeing healthcare services.
- To Prevent a Serious Threat – If necessary, to prevent harm to yourself or others.
Other uses and disclosures, such as marketing, the sale of PHI, and most sharing of psychotherapy notes, require your written consent.
Your Rights Regarding Your PHI
- Access & Copies – You have the right to request a copy of your health records. Fees may apply.
- Amendments – If you believe your health information is incorrect, you may request a correction.
- Restrictions – You may request restrictions on how we use or disclose your PHI, though we are not always required to agree.
- Confidential Communications – You can request that we contact you in a specific way (e.g., via mail instead of phone).
- Accounting of Disclosures – You may request a list of instances where your PHI was shared, except for treatment, payment, and healthcare operations.
- File a Complaint – If you believe your privacy rights have been violated, you may file a complaint with A Better Version Collaborative Counseling or with the U.S. Department of Health and Human Services (HHS).
Our Responsibilities
We are legally required to:
- Maintain the privacy of your PHI in accordance with HIPAA regulations.
- Notify you if there is a breach of your unsecured PHI.
- Follow the privacy practices outlined in this notice.
Contact Information
For questions, to exercise your privacy rights, or to file a complaint, contact:
A Better Version Collaborative Counseling
📍 127 E Liberty Street, Suite 255, Wooster, OH 44691
📞 234-249-2427 | 📧 [email protected]
This Notice of Privacy Practices may be updated periodically. Any changes will be posted on our website.