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.
Our commitment to your privacy
BreatheWell Institute is committed to protecting the privacy and security of your protected health information (PHI). We are required by federal law (the Health Insurance Portability and Accountability Act of 1996, or "HIPAA") and state law to maintain the privacy of your health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of this notice.
How we may use and disclose your health information
For treatment
We use your health information to provide you with medical treatment and services. We may share your information with other healthcare providers within and outside our practice who are involved in your care.
For payment
We may use and disclose your health information to obtain payment for the services we provide, including verification of insurance coverage and submission of claims.
For healthcare operations
We may use and disclose your health information for activities necessary to run our practice, including quality assessment, training, accreditation, and management.
Other uses
We may also use or disclose your information as required by law, for public health activities, in response to legal process, to coordinate with health oversight agencies, for research with appropriate authorization, and for other purposes permitted or required by law.
Uses requiring your written authorization
Most uses and disclosures of psychotherapy notes, marketing communications, and the sale of PHI require your written authorization. You may revoke an authorization in writing at any time.
Your rights regarding your health information
- Right to inspect and copy your medical and billing records.
- Right to request amendment of information you believe is incorrect.
- Right to an accounting of certain disclosures we have made of your health information.
- Right to request restrictions on certain uses and disclosures, though we may not be required to agree.
- Right to confidential communications by alternative means or at alternative locations.
- Right to a paper copy of this notice upon request, even if you have agreed to receive it electronically.
- Right to be notified of a breach of your unsecured PHI.
Changes to this notice
We reserve the right to change this notice at any time. The revised notice will apply to all health information we maintain. The most current version will always be posted on our website and available in our office.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact our Privacy Officer
BreatheWell Institute
Attn: Privacy Officer
3501 S. Soncy Road, Amarillo, Texas
privacy@breathewellinstitute.com · (806) 353-1055