Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Oasis Mental Health Center is required by law to protect the privacy of your health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your health information

For treatment. To provide and coordinate your care — including sharing information among the clinicians treating you here, and with other providers involved in your care.

For payment. To bill and be paid by you, your insurer or Medicaid. This can include confirming your eligibility, obtaining prior authorization, and submitting claims.

For health care operations. For quality review, staff training, licensing, audits and running the practice.

Other uses permitted or required by law, including public health activities, reporting suspected abuse or neglect, health oversight, court orders and subpoenas, workers’ compensation, and to avert a serious and imminent threat to health or safety.

Appointment reminders and follow-up, unless you ask us not to contact you a particular way.

Uses that always require your written authorization

• Psychotherapy notes, with narrow exceptions the law allows.
• Marketing, and any disclosure that would be a sale of your information.
• Most other uses not described in this notice.

You may revoke an authorization in writing at any time. Revoking it does not undo disclosures we already made while it was in effect.

Your rights

• See and get a copy of your record. We may charge a reasonable, cost-based fee.
• Ask us to correct it if you believe something is wrong or incomplete.
• Ask for confidential communication — a different phone number or address, for example. We will accommodate reasonable requests.
• Ask us to restrict how we use or share information. We are not required to agree, except that we must agree if you pay in full out of pocket for a service and ask us not to tell your insurer.
• Get a list of disclosures we made outside treatment, payment and operations.
• Get a paper copy of this notice, even if you agreed to receive it electronically.
• Be notified of a breach of your unsecured health information.
• Choose someone to act for you — a personal representative or someone with medical power of attorney can exercise these rights on your behalf.

To exercise any of these, contact us using the details below.

Complaints

If you believe your privacy rights have been violated, tell us — contact details below. You may also complain to the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or at hhs.gov/ocr/privacy/hipaa/complaints.

We will not retaliate against you for making a complaint.

Note about this website

This website is a marketing site. It does not hold your medical record, and no clinical system is connected to it. Information you send through a form on this site is used to contact you and to arrange care; the record itself is created and kept in our clinical systems, which is what this notice governs. How the website itself handles information is described in our Privacy Policy.

Changes to this notice

We may change this notice and apply the change to information we already hold. The current version is always the one posted here, with its effective date at the top of the page.

Contact

Oasis Mental Health Center — Privacy Officer 5901 NW 183rd St, Ste 264, Hialeah, FL 33015 (786) 418-9790 · [email protected]