Notice of Privacy Practices

 This practice is required by law to:

• Maintain the privacy of your protected health information (PHI)
• Provide you with notice of our legal duties and privacy practices
• Follow the terms of this Notice currently in effect

Your information may be used or disclosed for purposes including, but not limited to:

• Evaluation, consultation, or treatment services (when applicable)
• Administrative, legal, or adjudicative purposes consistent with the service requested
• Payment for services
• Health care operations as permitted by law
• As required by law, court order, or governmental authority

For forensic, consultative, or administrative services, disclosures may occur as required by the referral purpose or with appropriate authorization.

 You have the right to:

• Access your records
  You may request access to your records by submitting a written request. Records will be provided in accordance with applicable state and federal law.
• Request corrections
  You may request an amendment to your records if you believe information is inaccurate or incomplete.
• Request restrictions
  You may request limits on how your information is used or disclosed. Not all requests can be honored.
• Request confidential communications
  You may request that communications be sent in a specific manner or location.
• Receive an accounting of disclosures
  You may request a list of certain disclosures made of your information.