Privacy Policy
Your Information • Your Rights • Our Responsibilities
"Protected Health Information" (PHI) is information about you, including demographic information, that may identify you or be used to identify you, and that relates to your past, present or future physical or mental health or condition, the provision of health care services, or the past, present or future payment for the provision of health care.
Your Rights Regarding your PHI
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we've shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with laws that may be in place now or in the future
Your Rights
Get an electronic or paper copy of your medical record
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
You can ask us to correct health information about you that you think is incorrect or incomplete. We may say "no" to your request, but we'll tell you why in writing within 60 days.
Request confidential communication
You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will say "yes" to all reasonable requests.
Ask us to limit what we use or share
You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.
Get a list of those with whom we've shared information
You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.
File a complaint if you feel your rights are violated
You can complain if you feel we have violated your rights by contacting us at office@abundantlifecounselingcenter.com or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by calling 1-877-696-6775.
Legal Limitations to Confidentiality
While Infinite Healing is committed to maintaining the privacy and confidentiality of your protected health information (PHI), there are specific situations in which we are legally and ethically obligated to disclose information without your consent:
Risk of Harm to Self or Others
If you disclose an intention or plan to harm yourself or another person, we are required by law to take protective actions.
Suspected Abuse or Neglect
We are mandated reporters. If there is reasonable suspicion or direct disclosure of abuse or neglect, we are legally required to report this information.
Court Orders and Legal Proceedings
If your records are subpoenaed or ordered by a court of law, we may be required to disclose relevant information as mandated by judicial order.
Our Responsibilities
- 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.
- We will not use or share your information other than as described here unless you tell us we can in writing.
Contact Information
Infinite Healing
2920 S. Webster Ave.
(920) 306-2602
www.infinitehealingcenter.org
