CrossWellnessCo. 

NOTICE OF PRIVACY PRACTICES UNDER HIPPA

The purpose of this notice is to inform you about how medical information about you may be used and disclosed, as well as how to get access to that information. Please read it thoroughly and will full attention. 

Our Legal Duty According to the law, I must:

Maintain the privacy of your Protected Health Information (PHI).

Provide you with information about your legal rights and our privacy

practices.

Additionally, we are allowed to:

Amend our privacy practices and this notice at any time, as long as the changes are permitted by law.

We will, however, update this notice before changing our privacy

practices.  

Your Protected Health Information

Your medical information will not be used or disclosed without your written permission, unless required by law. By writing to us, you may revoke your authorization. Using or disclosing your information for treatment, payment, or health-related operations does not require your consent.

Your PHI may be used and disclosed for treatment and billing purposes without your consent. Information may be given to office staff, insurance providers, business associates, etc., when appropriate.

Other Disclosures

If you need emergency treatment, your consent is not necessary if I

attempt to obtain it afterward. 

When compelled by federal, state, or law enforcement officials to use

or disclose your PHI, I may do so without your consent

Your personal information may be disclosed if it coincides with the

Mandatory Reporting Laws of my state, which normally refer to threats

to someone's safety, health, or welfare. 

What Rights Do You Have Over Your PHI?

You are entitled to see and obtain copies of your protected health

information. All requests must be in writing, and responses are

provided. In place of a full report, you may receive a summary. 

If you request a list of the disclosures I have made, it will be provided

within 60 days. Records of disclosure are kept for six years excluding

law enforcement records or items for which consent has already been

given. PHI you provided is subject to amendment under your consent. 

Any information that you think needs to be corrected or added can be

requested by you. You must submit your request and the reason for it

in writing. You may receive a written denial if I conclude that the PHI

is: 

○ Complete and accurate

○Information that cannot be disclosed

○Not included in my records

○Authored by someone else. 

Privacy Complaints

You can reach me directly by phone at (606) 495 5774 or by email at c.ross@crosswellnessco.com. It is required to provide this information to clients receiving psychotherapy under AB 630, Chapter 229 of the Statutes of 2019.

The Notice of Privacy Practices (NPP) requires me to state that you are entitled to notification in the event of a breach.