Privacy Practices

LightWork Therapy and Recovery Notice of Privacy Practices

Effective Date: 10/02/2023

Introduction

This Notice explains how LightWork Therapy and Recovery, along with its facilities, subsidiaries, and associates, manages and protects the medical information about you. It outlines how your Protected Health Information (“PHI”) may be used and disclosed, and your rights regarding this information.

Our Duties

We are committed to:

• Protecting the privacy of your PHI.
• Providing this Notice detailing our privacy practices.
• Adhering to the terms of this Notice.
• Informing you in case of a breach of unsecured PHI.

We reserve the right to change our privacy practices and this Notice, applying changes to all PHI we maintain. Any revised Notice will be communicated through our website and in our facilities.

Confidentiality of Mental Health Records

The confidentiality of mental health records is protected under Federal law and regulations. We will disclose such information only under certain conditions such as with your written consent, by court order, or in specific emergencies.

Uses and Disclosures

We may use and disclose your PHI for treatment, payment, and healthcare operations purposes, and as required or permitted by law, including:

• Among our mental health professionals for treatment purposes.
• For billing and payment purposes.
• For healthcare operations such as quality assessment and improvement.
• To comply with legal requirements and health oversight activities.
• In cases of suspected abuse, neglect, or domestic violence, or for public health and safety purposes.

Authorization to Use or Disclose PHI

We will obtain your written authorization before using or disclosing your PHI for purposes other than those provided above or as otherwise permitted or required by law. You may revoke this authorization at any time.

Your Rights

You have rights regarding your PHI, including:

• The right to access, inspect, and obtain a copy of your PHI.
• The right to request amendments to your PHI.
• The right to an accounting of disclosures of your PHI.
• The right to request restrictions on certain uses and disclosures.
• The right to request confidential communication methods.
• The right to be notified of a breach involving your unsecured PHI.

Filing a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services. Filing a complaint will not result in retaliation.

For complaints or questions, please contact:

Jackie Lightner; Jackie@lightworktr.com

You May Also Contact:

U.S. Department of Health & Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 877-696-6775
Email: OCRMail@hhs.gov
Website: www.hhs.gov

Changes to This Notice

We reserve the right to change this Notice and will post any revisions on our website and at our facilities.