HIPAA Notice of Privacy Practices
Jessica Harrison Counseling LLC · Effective January 1, 2023
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.
Jessica Harrison Counseling LLC (the Practice) is committed to protecting your privacy. The Practice is required by federal law to maintain the privacy of Protected Health Information (PHI), which is information that identifies or could be used to identify you. This notice explains the Practice's legal duties and privacy practices and your rights regarding PHI collected and maintained by the Practice.
Your Rights
To exercise any of the rights below, submit a written request to the Practice at JessicaHarrisonCounseling@gmail.com or 2843 S County Trl Suite 124, East Greenwich, RI 02818.
To inspect and copy PHI. You can ask for an electronic or paper copy of your PHI. The Practice may charge a reasonable fee. The Practice may deny your request if it believes disclosure would endanger your life or another person's life.
To amend PHI. You can ask to correct PHI you believe is incorrect or incomplete. The Practice may deny your request and will provide a written explanation, allowing you to submit a written statement of disagreement.
To request confidential communications. You can ask the Practice to contact you in a specific way. The Practice will say yes to all reasonable requests.
To limit what is used or shared. You can ask the Practice not to use or share PHI for treatment, payment, or business operations. If you pay for a service out of pocket in full, you can ask the Practice not to share PHI with your health insurer. You can ask the Practice not to share your PHI with specific family members or friends.
To obtain a list of those with whom your PHI has been shared. You can request an accounting of the times your health information has been shared. One accounting every 12 months is available at no charge.
To receive a copy of this notice. You can ask for a paper copy of this notice at any time.
To choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights.
To file a complaint if you feel your rights are violated. You can file a complaint by contacting the Practice directly. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue, S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints. The Practice will not retaliate against you for filing a complaint.
Our Uses and Disclosures
Routine uses. The Practice may use and disclose PHI without your written authorization for treatment, payment, and business operations — for example, to coordinate care with another provider, send appointment reminders, or process billing.
Uses and disclosures without authorization. The Practice may use or disclose PHI without your authorization to assist with public health and safety issues, comply with legal requirements including court orders and law enforcement requests, support national security activities, comply with workers' compensation laws, and assist coroners, funeral directors, and organ donation processes.
Uses and disclosures with your opportunity to object. Unless you object, the Practice may disclose PHI to family members, friends, or others whose involvement directly relates to your care, or when it is in your best interest and you are unable to state your preference.
Uses and disclosures requiring your written authorization. The Practice must obtain your written authorization to use or disclose PHI for marketing, sale of PHI, and psychotherapy notes. You may revoke your authorization at any time in writing.
Substance use disorder records. If applicable, substance use disorder records are subject to additional federal protections under 42 CFR Part 2. Disclosure of these records requires your explicit written consent except in limited circumstances including medical emergencies, reporting crimes on program premises, and child abuse reporting.
Our Responsibilities
The Practice is required by law to maintain the privacy and security of your PHI and to abide by the terms of this notice. The Practice reserves the right to amend this notice and will inform you if PHI is compromised in a breach. To request a revised notice, contact the Practice using the information below.Jessica Harrison Counseling LLC 2843 S County Trl Suite 124, East Greenwich, RI 02818JessicaHarrisonCounseling@gmail.com · (401) 541-5886