HIPAA Notice of Privacy Practices
AEF Art Therapy & Counseling
Effective Date: July 1, 2024
This Notice of Privacy Practices describes how medical and mental health information about you may be used and disclosed, and how you can access this information. Please review it carefully.
Our Commitment to Your Privacy
AEF Art Therapy & Counseling is committed to protecting the privacy of your Protected Health Information (PHI). PHI includes information that identifies you and relates to your mental health care, treatment, or payment for services.
We are required by law to:
Maintain the privacy of your PHI
Provide you with this Notice of our legal duties and privacy practices
Follow the terms of this Notice
How We May Use and Disclose Your Information
We may use and disclose your PHI without your written authorization for the following purposes:
Treatment
We may use your information to provide, coordinate, or manage your mental health care and related services.
Payment
We may use and disclose your information to obtain payment for services provided to you, including billing and insurance processing.
Health Care Operations
We may use your information for practice operations such as quality assessment, record management, and administrative activities.
Other Uses and Disclosures
We may disclose your PHI without your authorization in certain situations, including:
When required by law
To prevent a serious threat to health or safety
For public health activities
For health oversight activities
For law enforcement purposes as permitted by law
Any other uses or disclosures will be made only with your written authorization. You may revoke an authorization at any time in writing.
Your Rights Regarding Your Health Information
You have the right to:
Access your records
Request to inspect or obtain a copy of your health records.Request corrections
Ask us to amend information you believe is incorrect or incomplete.Request restrictions
Ask us to limit how your information is used or disclosed.Request confidential communications
Ask us to contact you in a specific way (e.g., phone instead of email).Receive a copy of this Notice
You may request a paper or electronic copy at any time.
Our Responsibilities
AEF Art Therapy & Counseling will:
Safeguard your PHI using reasonable administrative, technical, and physical protections
Notify you if a breach of unsecured PHI occurs
Not use or disclose your information without authorization except as described in this Notice
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
AEF Art Therapy & Counseling
355 North 21st Street, Suite 103, Camp Hill, Pa 17011
(717)831-2218
AEFArtTherapyandCounseling@proton.me
You may also file a complaint with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain. The revised Notice will be available on our website and upon request.
Contact Information
If you have questions about this Notice or your privacy rights, please contact:
AEF Art Therapy & Counseling
Phone: (717)831-2218
Email: AEFArtTherapyandCounseling@proton.me