BRANDON MENTAL HEALTH

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. 
 

 

YOUR HEALTH INFORMATION RIGHTS

When it comes to your health information, you have certain rights.  This section explains your rights and some of our responsibilities to help you.

  • You can ask to see or get a copy of your health record, however, the Health Information Portability and Accountability Act (HIPAA) and Florida law contain exceptions for psychotherapy records that may prevent disclosure of certain records. 
  • You can ask us to correct health information about you that you think is incorrect or incomplete.
  • You can ask us to contact you in a specific way (for example, home or cell phone). We will say “yes” to all reasonable requests.
  • You can request a list of disclosures we have made of your health information. The list may not include disclosures authorized by you, disclosures for treatment, payment and health care operations, and certain other disclosures.
  • You can ask that we limit the use and disclosure of your health information. We are not required to agree to your request.
  • You can ask for a paper copy of this notice at any time.

 

OUR RESPONSIBILITIES

  • We can share health information about you in response to a court order, or in response to a subpoena.
  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it upon request.
  • We will not use or share your information other than described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time.  Let us know in writing if you change your mind.
  • We may use or disclose your information for the purpose of treatment, payment, and healthcare operations, as discussed below, without obtaining written authorization from you.

 

Examples of Disclosures for Treatment, Payment and Health Care Operations

We will use your health information for treatment. For example, information obtained by a  member of your healthcare team will be recorded in your record and used to determine the course of treatment that should work best for you.

We may will also provide a subsequent healthcare provider with copies of various reports that should assist him/her in treating you.

We will use your health information for payment. For example, a bill may be sent to you or an insurance company (third party payer). The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures and supplies used.

We will use your health information for regular healthcare operations. For example, in day-to-day business practices, staff may handle your record in order to have the record assembled or for filing reports into your record. Certain data elements are entered into our computer system that processes most billing, schedules your appointments, etc. As part of our improvement efforts to provide the most effective services, your record may be reviewed by professional staff to assure accuracy, completeness and organization.

 

Other Uses or Disclosures

Communication with Family: Health professionals, using their best judgment, may disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care.

Public Health: As required by law, we may disclose your health information to public health or legal authorities for public health activities. For example, to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition, or to notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure when you agree or when required or authorized by law.

Law Enforcement: We may disclose health information for law enforcement purposes as required by law in response to a court order, valid subpoena, warrant, summons or similar process.

Health Oversight Agency: Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney

We will not use or disclose your health information without your authorization, except as described in this notice.

 

CHANGES TO THE TERMS OF THIS NOTICE

We can change the terms of this notice, and the changes will apply to all information we have about you.  The new notice will be available upon request.

 

FILING A COMPLAINT

If you believe your privacy rights have been violated by BMH or one of its staff, you may file a complaint with BMH and/or the Department of Health and Human Services at the addresses below.  You will not be retaliated against for filing a complaint.

 

Brandon Mental Health, LLC                              Department of Health and Humans Services

1134 Bell Shoals Rd                                              200 Independence Ave, SW

Brandon, FL  33511                                              Washington, D.C. 20201

(813) 315-8648                                                     (877) 696-6675

 

Effective Date 

This Notice of Privacy Practices, as modified, is effective beginning November 1, 2023, and shall be in effect until a new Notice of Privacy Practices is approved and posted.