Notice of Privacy Practices

Your Rights

You have certain rights regarding your health information, including the right to:

• Obtain an electronic or paper copy of your health record.
• Request corrections to information you believe is incorrect or incomplete.
• Request confidential communications or ask to be contacted in a particular way.
• Request certain restrictions on the use or disclosure of your health information.
• Request information regarding certain disclosures of your health information.
• Obtain a copy of this Notice of Privacy Practices.
• Designate someone who is legally authorized to act on your behalf.

If you pay for a service in full out of pocket, you may request that information about that service not be disclosed to your health plan for payment or healthcare operations, except where disclosure is required by law.

How Your Information May Be Used or Disclosed

Your health information may be used or disclosed as permitted or required by law, including for:

• Providing and coordinating treatment.
• Obtaining payment for services.
• Healthcare operations necessary to operate the practice.
• Public health and safety purposes when permitted or required by law.
• Health oversight activities.
• Workers’ compensation matters.
• Legal proceedings or other circumstances in which disclosure is permitted or required by law.

Certain uses and disclosures require your written authorization. This generally includes most uses and disclosures of psychotherapy notes, marketing purposes, and the sale of protected health information. You may revoke an authorization in writing as permitted by law.

When another federal or state law provides greater privacy protection for your health information, the practice will follow the more protective law.

Our Responsibilities

The practice is required by law to maintain the privacy and security of your protected health information and to follow the privacy practices described in the Notice currently in effect.

You will be notified as required by law if a breach occurs that may have compromised the privacy or security of your protected health information.

Questions or Concerns

For questions regarding this Notice or the privacy practices of the practice, please contact:

Privacy Contact
Dana Bottari Psychotherapy
dana@danabottari.com
(561) 556-5593

If you believe your privacy rights have been violated, you may raise a concern with the practice or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for exercising your privacy rights.

Changes to This Notice

The practice may change the terms of this Notice as permitted by law. The current Notice will be available on the practice website and upon request.