Notice of privacy practices

Our commitment to your privacy

SLS Psychiatry is dedicated to maintaining the privacy of your protected health information (PHI). We are required by law to maintain the confidentiality of health information that identifies you and to provide you with this Notice of our legal duties and privacy practices.

How we may use and disclose health information

We may use and disclose your PHI for the following purposes without your express consent or authorization:

• Treatment: We may use your PHI to provide you with medical treatment or services. We may disclose your PHI to doctors, nurses, technicians, or other personnel who are involved in taking care of you.
• Payment: We may use and disclose your PHI so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
• Health care operations: We may use and disclose your PHI for our health care operations, which are necessary to run the practice and make sure all of our patients receive quality care.

Your privacy rights

You have the following rights regarding the PHI we maintain about you:

• Right to inspect and copy: You have the right to inspect and copy your PHI.
• Right to amend: If you feel that the PHI we have is incorrect or incomplete, you may ask us to amend the information.
• Right to an accounting of disclosures: You have the right to request a list of certain disclosures we made of your PHI.
• Right to request restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or health care operations.
• Right to request confidential communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
• Right to a paper copy of this notice: You have the right to a paper copy of this notice.

Changes to this notice

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for PHI we already have as well as any information we receive in the future.