"Privacy is not something that I'm merely entitled to, it's an absolute prerequisite." - Marlon Brando
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.
The Renewed Self, LLC is required by law to maintain the privacy of certain health care information about our clients. The law required that you be notified of these standards. As part of our day-to-day activities, The Renewed Self, LLC may need to use and disclose your protected health care information for several purposes without first getting your written approval. These purposes include:
No other uses and disclosures of your protected health care information will occur without your written authorization. If you choose to sign a release of information, you have the right to cancel it at any time.
Your rights regarding your protected health care information: Under the law, you have several rights that The Renewed Self, LLC is committed to upholding. Those rights include:
The rights to a list of The Renewed Self, LLC disclosures that were not authorized by you and the disclosures that were unrelated to treatment or operations. If you feel that your rights have been violated, you can file a grievance or you can contact the Secretary of the US Department of Health and Hospitals.
The Renewed Self, LLC is required by law to maintain the privacy of certain health care information about our clients. The law required that you be notified of these standards. As part of our day-to-day activities, The Renewed Self, LLC may need to use and disclose your protected health care information for several purposes without first getting your written approval. These purposes include:
- The Renewed Self, LLC operations.
- The Renewed Self, LLC may contact you based upon your protected health care information. For example, The Renewed Self, LLC may call to schedule appointments, provide you with information about treatments, benefits, and services that are available to you.
- The Renewed Self, LLC may provide information to government officials who oversee health care or threats to public safety.
No other uses and disclosures of your protected health care information will occur without your written authorization. If you choose to sign a release of information, you have the right to cancel it at any time.
Your rights regarding your protected health care information: Under the law, you have several rights that The Renewed Self, LLC is committed to upholding. Those rights include:
- The right to request restrictions on some of the ways The Renewed Self, LLC uses and discloses your information.
- The right to receive confidential communications. While The Renewed Self, LLC cannot promise to communicate every possible way requested, we will work with you to find an acceptable way to communicate confidentially.
- The rights to inspect and get copies of your health care information held by The Renewed Self, LLC by making a request in writing. The Renewed Self, LLC may charge a reasonable fee to cover only the cost of providing information.
- The right to request that The Renewed Self, LLC amend or correct information about you. To make a change, you will be required to request in writing, including the reason you want your records changed. Ashleigh Castro, LPC-S may not always agree to such requests.
The rights to a list of The Renewed Self, LLC disclosures that were not authorized by you and the disclosures that were unrelated to treatment or operations. If you feel that your rights have been violated, you can file a grievance or you can contact the Secretary of the US Department of Health and Hospitals.
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