Notice of Privacy Practices
We are required to provide you with information about the HIPAA Privacy Notice and New Patient Consent to the Use and Disclosure of Health Information for Treatment, Payment, or Healthcare Operations. Full details may be accessed at www.hhs.gov/ocr/hipaa.
If you would like our full booklet, CTS Privacy Practices Booklet
As a part of your or your family’s health care, Collaborative Therapeutic Services, LLC (CTS) originates and maintains paper and/or electronic records describing your health history, symptoms, examination and test results, diagnoses, treatment, and any plans for future care or treatment. This information serves as:
A basis for planning your care and treatment
A means of communication among the many health professionals who contribute to your care
A source of information for applying your diagnosis and treatment information to your bill
A means by which a third-party payer can verify that services billed were actually provided, and
A tool for routine healthcare operations, such as assessing quality and reviewing the competence of healthcare professionals.
As a part of CTS’s treatment, payment, or health care operations, it may become necessary to disclose your protected health information to another entity (i.e., insurance, emergency, etc.), including disclosures via fax and email only to appropriate parties.
Certain situations do not require your authorization. These may include the following:
CONFIDENTIALITY-
The session content and all relevant materials to the client’s treatment will be held confidential unless the client requests in writing to have all or portions of such content released to a specifically named person/persons. Limitations of such client held privilege of confidentiality exist and are itemized below:
If a client threatens or attempts to commit suicide or otherwise conducts him/her self in a manner in which there is a substantial risk of incurring serious bodily harm.
If a client threatens grave bodily harm or death to another person.
If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18 years.
Suspicions as stated above in the case of an elderly person who may be subjected to these abuses.
Suspected neglect of the parties named in items #3 and # 4.
If a court of law issues a legitimate subpoena for information stated on the subpoena.
If a client is in therapy or being treated by order of a court of law, or if information is obtained for the purpose of rendering an expert’s report to an attorney.
YOUR RIGHTS
You may revoke Consent in writing, except to the extent that the organization has already taken action in reliance thereon. Refusing to sign the Consent or revoking Consent, CTS may refuse to treat you, as permitted by Federal regulations. Further CTS reserves the right to change its notice and practices prior to implementation, in accord with Federal regulations. Should CTS change its practices, they will send a copy of any revised notice to the address provided by U.S. mail, or email, or EMR, if you agree.
If your have any questions or would like additional information, you may contact CTS at (813) 951-7346.
EFFECTIVE DATE OF THIS NOTICE
This notice went into effect on September 20, 2013