NOTICE OF HIPAA PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. HOLISITIC PSYCHOTHERAPY CENTER (“HPC”) IS PROVIDING THIS NOTICE IN ACCORDANCE WITH THE HEALTH INSURANCE PROTABILITY AND ACCOUNTABILUTY ACT (HIPAA) AND WILL COMPLY WITH THE TERMS AS STATED.
Holistic Psychotherapy Center (“HPC”) respects your privacy. We understand that your personal health information is very sensitive and are dedicated to protecting the confidentiality and security of your information. This Notice will tell you about the ways HPC may use and disclose health information that identifies you. We also describe your rights and our legal obligations under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regarding the use and disclosure of your personal health information.
Protected Health Information (“Health Information”). We are required by law to protect the privacy of the Health Information we create and obtain in providing care and services to you. Your protected health information includes your health history, symptoms, assessment results, diagnoses, treatment plan, progress notes, health information from other providers, and billing and payment information relating to these services. We will not use or disclose your Health Information to others without your authorization, except as described in this Notice or as required by law.
YOURE RIGHTS REGARDING YOUR HEALTH INFORMATION
The health and billing records we create and store are the physical property of HPC but you have the following rights with regard to this information:
Right to Inspect and Copy. You have the right to inspect and copy your Health Information. Your request to inspect or review your Health Information must be submitted in writing. The request should describe the information you want to review. In limited circumstances, you may not be able to review or copy certain information. These include psychotherapy notes, or information collected for a claim or legal proceeding. If HPC determines that reviewing your records may cause harm to you or others or would negatively affect your treatment, we may deny access to your records. We must inform you of your right to designate another licensed professional to review the records. If you request copies, we will charge you a reasonable fee to cover the costs of copying, mailing, supplies, and other expenses associated with your request. To the extent your information is held in an electronic health record, you may be able to receive the information in an electronic format. We may provide you with a summary of this information rather than providing access to your record, but only if you agree in advance.
Right to Amend. If you believe that information within your records is incorrect or incomplete, you have the right to request that we amend the information. The addendum can be no longer than 300 words per alleged incomplete or inaccurate information. Your request must be submitted in writing to the Privacy Officer listed at the end of this Notice. You will receive a response within 30 days of our receipt of the request. We may deny your request to amend your Health Information under the following conditions: (a) We did not create the record; (b) The records are unavailable for disclosure, or (c) The record is accurate and complete. If we deny your request, we will notify you why. If you disagree with the refusal, then you have the right to request a review of the decision by the Clinical Director and Privacy Officer. If we still decline to amend after review, you have the right to file a statement of disagreement for inclusion in any future disclosures of the disputed information. If we grant your request, we will make the change and must include the addendum whenever a disclosure of the allegedly incorrect or incomplete portion of your record is made.
Right to Confidential Communications. You have the right to receive confidential communications containing your Health Information by another confidential means of communication or at an alternate location. For example, you may ask that we only contact you by email or at your place of employment. We will grant your request given that we are able to do so without undue inconvenience. Your request for restrictions must be submitted in writing.
Right to Revoke Your Authorization. You have the right to submit a written request to revoke your consent or authorization to use or disclose Health Information, except to the extent that we have already taken action in reliance on the consent or authorization.
Right to Request Restrictions. You have the right to ask that we not use or disclose your Health Information in a particular way except when specifically authorized by you, when required by law, or during emergency circumstances. Although we will consider your request, we are not legally obligated to agree to those restrictions. You do not have the right to limit the uses and disclosures that we are legally required or permitted to use. Your request for restrictions must be submitted in writing. You also have the right to request that we not disclose Health Information to your insurer if that information relates to services for which you have paid out of pocket, in full, at the time of service. You must notify NOVUS of your request to not provide Health Information about the services to your insurer. We will agree to such requests unless required by law to disclose that information to the insurer.
Right to an Accounting of Disclosures.
You have the right to receive a list of accounting disclosures of payments you made. Your request should specify the time period for which you want this list, which can be no longer than 3 years.
Your request must be submitted in writing to the Privacy Officer listed at the end of this Notice. We will provide the accounting within 30 days. You may receive this information without charge once every 12 months. We will notify you of the cost involved if you request this information more than once in a 12-month period.
Right to be notified of a Breach. You have the right to be notified in the event that HPC discovers a breach that may have compromised the privacy and security of your Health Information. Notice of any such breach will be made in accordance with federal requirements.
Right to a Paper Copy of this Notice. You have the right to obtain a hard copy of this Notice upon request, even if you have received the Notice electronically. You may request a copy at any time and we will provide it to you.
We are required by law to maintain the privacy of your Health Information, provide you with this Notice about our legal duties and privacy practices with respect to your Health Information, and abide by the terms of the Notice currently in effect. It’s our responsibility to notify affected individuals following a breach of unsecured Health Information. This includes uses or disclosures of psychotherapy notes, marketing communications or any other situation.
OUR USES AND DISCLOSURES OF YOUR HEALTH INFORMATION
As permitted or required by law, we may use and disclose your Health Information for certain purposes without your authorization. This section describes the different ways we can use and disclose your Health Information without your permission. The ways we are permitted to use and disclose Health Information will fall within one of the following categories.
For Treatment. We may use and disclose your Health Information with other professionals who are involved in your care for the purpose of providing, coordinating, or managing your treatment and related services. This includes consultation with clinical supervisors or other treatment team members. We may also provide information to health care providers outside our practice who have the medical or psychological responsibility for providing you care.
For Payment. We may use and disclose your Health Information so that we can bill and seek payment from you, the person financially responsible for your account, and/or your insurer for services you receive at HPC. Information provided to insurers may include your diagnoses, services rendered, or treatment recommendations. Your insurer may request your medical records to determine your care was necessary. Disclosure is limited to the minimal information necessary to allow responsibility for payment to be determined and made.
For Health Care Operations. We may use and disclose your Health Information to support our business activities, including, but not limited to, evaluation of treatment quality and improvement of our services. We may use your information to arrange or conduct other services, such as risk management, insurance services, and audit functions, including fraud and abuse detection and compliance programs.
Business Associates. We may provide some services through contracts with entities known as Business Associates who perform functions on our behalf or provide us with services. When we use these services, we may share your Health Information if it is necessary for them to perform the function(s) for which we have contracted with them. For example, we may share your Health Information with third parties that perform various business activities (e.g., accounting, billing, or legal services). To protect your Health Information, we require our business associates to appropriately safeguard the privacy of your Health Information, and they are not allowed to use or disclose any information other than as specified in their contract. They are required by law to comply with the same federal security and privacy rules as HPC
Appointment Reminders, Treatment Alternatives, Health-Related Benefits, and Services. We may contact you to remind you that you have an appointment for treatment, to provide you information about possible treatment options or other alternatives, or to inform you of health-related benefits and services that may be of interest to you.
Individuals Involved in Your Care or Payment for Your Care. We may share Health Information with a family member, a personal representative, or another person that you identify relevant to that person’s involvement in your care or payment related to your care. We may notify a family member, a personal representative, or another person responsible for your care, about your location or general condition, or disclose such information to an entity assisting during a disaster relief effort.
Medical Emergencies. We may disclose your Health Information to medical personnel who need the information to treat a condition which poses an immediate threat to your health and which requires immediate medical intervention. This includes situations in which you may need emergency treatment but are unable to express yourself (e.g., if you are unconscious or in severe pain).
As Otherwise Permitted or Required by Law. We may disclose your Health Information when required to comply by federal, state, or local law; judicial, board, or administrative proceedings; or law enforcement. We have to meet certain conditions set by law before we can share your information for these purposes, however.
Public Health and Safety. As required by law, we may use and disclose your Health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability. We may disclose your Health information if necessary to prevent or reduce a serious and imminent threat to your health and safety or the health and safety of the public or another person. If the information is disclosed to prevent or reduce a serious threat, it will be disclosed to an individual reasonably able to prevent or reduce the threat, including the target of the threat.
As authorized by law, these activities also include disclosures to report: (a) child abuse (as mandated by the California Child Abuse and Neglect Reporting Act); (b) elder/adult dependent abuse (as mandated by the Report of Suspected Dependent Adult/Elder Abuse under the California Welfare & Institutions Code); or (c) the intentional viewing or exchange of pornography (in any form) that involves a minor under the age of 18 (as mandated by Assembly Bill 1775 under the California Child Abuse and Neglect Reporting Act).
Other public health and safety activities generally include disclosures of Health Information: (a) for purposes related to the quality, safety, or effectiveness of a product or activity regulated by the Food and Drug Administration; (b) to prevent or control disease, injury, or disability; (c) to report births and deaths; (d) to report reactions to medications or problems with products; (e) to notify people of product recalls; or (f) to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.
Health Oversight. We may disclose Health Information to a health oversight agency for activities authorized by law. These oversight activities may include audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with applicable regulations.
Workers Compensation. We may disclose Health Information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.
Judicial and Administrative Proceedings. We may disclose your Health Information if required by a court, pursuant to an order of the court, subpoena, administrative order, or similar lawful process, when required by law.
Law Enforcement. We may disclose Health Information to a law enforcement official for the following reasons: (a) in compliance with a court order, subpoena, warrant, summons, or similar document; (b) to identify or locate a suspect, fugitive, material witness, or missing person; (c) about the victim of a crime if, under certain limited circumstances, we are unable to obtain the person’s agreement; (d) about a death we believe may be the result of criminal conduct; (e) about criminal conduct on our premises; or (f) to report a crime in emergency circumstances.
Correctional Institution. If you are an inmate of a correctional institution or under the custody of law enforcement, we may disclose to correctional institutions or officials thereof Health Information as necessary to provide you with care, to protect your health or the health and safety of others, or to protect the safety and security of the correctional institution.
Coroners, Medical Examiners, and Funeral Directors. We may disclose Health Information to a coroner, medical examiner, or funeral director consistent with applicable law to enable them to carry out their duties.
Military Personnel. If you are a member of the Armed Forces, we may release Health Information as required by appropriate military command authorities of U. S. and foreign military personnel.
OTHER USES OF YOUR HEALTH INFORMATION
Other uses and disclosures of your Health Information not covered by this Notice or applicable law will be made only with your written authorization with specific instructions and limitations on our use and disclosure of your Health Information. For example, except for limited circumstances allowed by federal privacy law, this includes the use or disclosure of psychotherapy notes, records for treatment of HIV and sexually transmitted diseases, and information about substance abuse treatment. Subject to some limited exceptions, your written authorization is also required for the sale of Health Information and for the use or disclosure of Health Information for most marketing purposes.
Once you give us the authorization to release your Health Information, we cannot guarantee that the recipient to whom the information is provided will not disclose the information. You may revoke your authorization at any time to prevent any future uses or disclosures by submitting a written request to the Privacy Officer listed at the end of this Notice.
COMPLIANCE WITH STATE LAWS
When we use or disclose your Health Information as described in this Notice, or when you exercise your rights set forth in this Notice, we may apply California state laws and provisions (e.g., Confidentiality of Medical Information Act, Lanterman-Petris-Short Act, California Health and Safety Code) about the confidentiality of your Health Information in place of federal privacy regulations. We do this when California state laws provide you with greater rights or protection for your Health Information. When California state laws are not in conflict or if these laws do not offer you more stringent privacy requirements, we will continue to protect your privacy by applying the federal regulations.
CHANGES TO THE TERMS OF THIS NOTICE
We reserve the right to change the terms of this Notice at any time. The revised notice will be available at our office and our website.
HOW TO EXERCISE YOUR RIGHTS
To exercise your rights described in this Notice please send your written request to the Privacy Officer listed at the end of this Notice. Alternatively, you may contact your therapist directly to exercise your right to inspect and copy your Health Information. To obtain a copy of our Notice, contact the Privacy Officer listed at the end of this Notice.
If you believe that your privacy has been violated, or if you disagree with a decision we made about access to your Health Information, you may contact the Privacy Officer listed at the end of this Notice.
You can also file a complaint with the U. S. Department of Health and Human Services—Office for Civil Rights (OCR) by writing to 200 Independence Avenue, S.W., Washington, DC. 20201; calling #877.696.6775; or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
If you have questions, need more information, or want to report a concern about the handling of your Health Information, please contact Dr. Uri Kenig at Holistic Psychotherapy Center. The address is 16542 Ventura Blvd, Suite 320, Encino CA Tel. 818 501 8029
EFFECTIVE DATE This Notice takes effect on October 1 , 2019
Effective date: October 1, 2019
Holistic Psychotherapy center (“HPC”) operates the https://myholistictherapy.org website (the “Service”).
The following page informs you of our policies regarding the collection, use, and disclosure of personal data when you use our Service and the choices you have associated with that data.
Information Collection and Use
We collect several different types of information for various purposes to provide and improve our Service to you.
While using our Service, we may ask you to provide us with certain personally identifiable information that can be used to contact or identify you (“Personal Data”). Personally identifiable information may include, but is not limited to:
First name and last name
Cookies and Usage Data
We may collect information about how the Service is accessed and used (“Usage Data”). This Usage Data may include information such as your computer’s Internet Protocol address (e.g. IP address), browser type, browser version, the pages of our Service that you visit, the time and date of your visit, the time spent on those pages, unique device identifiers and other diagnostic data.
Tracking & Cookies Data
Cookies are files with small amount of data which may include an anonymous unique identifier. Cookies are sent to your browser from a website and stored on your device. Tracking technologies also used are beacons, tags, and scripts to collect and track information and to improve and analyze our Service.
You can instruct your browser to refuse all cookies or to indicate when a cookie is being sent. However, if you do not accept cookies, you may not be able to use some portions of our Service.
Examples of Cookies we use:
Session Cookies. We use Session Cookies to operate our Service.
Preference Cookies. We use Preference Cookies to remember your preferences and various settings.
Security Cookies. We use Security Cookies for security purposes.
Use of Data
Holistic Psychotherapy Center (“HPC”) utilizes the collected data for various purposes:
To provide and maintain the Service
To notify you about changes to our Service
To allow you to participate in interactive features of our Service when you choose to do so
To provide customer care and support
To provide analysis or valuable information so that we can improve the Service
To monitor the usage of the Service
To detect, prevent and address technical issues
Transfer of Data
Your information, including Personal Data, may be transferred to — and maintained on — computers located outside of your state, province, country or other governmental jurisdiction where the data protection laws may differ than those from your jurisdiction.
If you are located outside United States and choose to provide information to us, please note that we transfer the data, including Personal Data, to United States and process it there.
Disclosure of Data
Holistic Psychotherapy Center (“HPC”) may disclose your Personal Data in the good faith belief that such action is necessary to:
To comply with a legal obligation
To protect and defend the rights or property of Novus Mindful Life Institute Family Counseling & Recovery
To prevent or investigate possible wrongdoing in connection with the Service
To protect the personal safety of users of the Service or the public
To protect against legal liability
Security of Data
The security of your data is important to us. We strive to use commercially acceptable means to protect your Personal Data and will take all security measures possible, but we cannot guarantee an absolute security.
We may employ third party companies and individuals to facilitate our Service (“Service Providers”), to provide the Service on our behalf, to perform Service-related services or to assist us in analyzing how our Service is used.
These third parties have access to your Personal Data only to perform these tasks on our behalf and are obligated not to disclose or use it for any other purpose.
We may use third-party Service Providers to monitor and analyze the use of our Service.
Google Analytics a web analytics service offered by Google that tracks and reports website traffic. Google uses the data collected to track and monitor the use of our Service. This data is shared with other Google services. Google may use the collected data to contextualize and personalize the ads of its own advertising network.
For more information on the privacy practices of Google, please visit the Google Privacy & Terms web page: https://policies.google.com/privacy?hl=en
Links to Other Sites
We have no control over and assume no responsibility for the content, privacy policies or practices of any third party sites or services.
Our Service does not address anyone under the age of 18 (“Children”).
We do not knowingly collect personally identifiable information from anyone under the age of 18. If you are a parent or guardian and you are aware that your Children have provided us with Personal Data, please contact us. If we become aware that we have collected Personal Data from children without verification of parental consent, we take steps to remove that information from our servers.
By email: email@example.com
Holistic Psychotherapists in Encino, CA
We are dedicated to helping individuals, couples, and families who are faced with challenges in life and want to get better.
If you are struggling with relationship issues, anxiety, depression, trauma, or prolonged physical symptoms that are not being helped with medical treatments, we can help with holistic interventions that work and promote deep and lasting healing.
We provide couples therapy, individual therapy, and child/adolescent therapy and family therapy.
We offer natural allergy clearing treatment to help eliminate a verity of allergies and food/environmental sensitivities, naturally without the use of drugs. We apply a gentle, none- invasive, natural treatment IPEC
Therapy (Integrated Physical-Emotional Clearing) to help the body clear allergies and desensitize a verity of sensitives.
IPEC Therapy is highly effective for newborns, babies, toddlers and kids who suffer from colic, allergies, and skin, digestive and breathing difficulties, recurring infections, ADD/ADHAD and behavioral issues.
It is effective for teens, adults and elderly for many issues that are stubborn and are not successfully treated in other forms of therapies.