Aligned to Nurture, LLC
Privacy Policy
NOTICE OF PRIVACY PRACTICES
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Effective Date: April 14, 2003 — Updated for Current Requirements
Dr. Alison Anstaett
Aligned to Nurture, LLC
10525 N Ambassador Dr., Suite 101
Kansas City, MO 64153
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Phone: (816) 429-3169
Fax: (816) 207-0627
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This Notice describes how your medical information may be used and disclosed and how you can get access to this information.Please review it carefully.
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OUR DUTIES REGARDING YOUR HEALTH INFORMATION
We are required by law to maintain the privacy and security of your protected health information (“PHI”). We must:
•Follow the duties and privacy practices described in this Notice.
•Inform you promptly if a breach occurs that may have compromised the privacy or security of your information.
•Provide you with a notice of any significant updates to our privacy practices.
•Only use or disclose your information as permitted by HIPAA and applicable federal and state laws.We take your confidentiality very seriously and are committed to safeguarding your information.
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HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use and disclose your health information in the following ways:For TreatmentWe may use and share your PHI to provide, coordinate, or manage your health care and related services. For example, we may consult with another healthcare provider or send information to a specialist involved in your care.For PaymentWe may use and disclose your PHI to bill and receive payment from health plans or other payers. For example, we may need to provide information to verify coverage or obtain prior authorization.For Health Care OperationsWe may use and disclose your PHI for practice operations, such as quality improvement, training, licensing, and auditing.
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OTHER USES AND DISCLOSURES PERMITTED OR REQUIRED BY LAW
We may also use or disclose your information without your authorization for:
•Public health activities (reporting certain diseases, injuries, or public health risks)
•Health oversight activities (audits, compliance reviews, inspections)
•Judicial or administrative proceedings (court orders or lawful subpoenas)
•Law enforcement purposes
•To avert a serious threat to health or safety
•Workers’ compensation as permitted by law
•Specialized government functions, when applicable (military, national security, etc.)We will only disclose the minimum necessary information required for these purposes.
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USES AND DISCLOSURES REQUIRING YOUR WRITTEN AUTHORIZATION
We will obtain your written authorization before using or disclosing your PHI for:
•Psychotherapy notes (where applicable)
•Marketing not permitted under HIPAA
•The sale of your PHI
•Any other uses or disclosures not described in this NoticeYou may revoke an authorization in writing at any time, except to the extent that action has already been taken.
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YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the following rights under HIPAA:1. Right to AccessYou may request to review or get a copy of your health records, including electronic copies.2. Right to Request AmendmentsIf you believe your information is incomplete or incorrect, you may request an amendment.3. Right to Request Confidential CommunicationsYou may request that we communicate with you in a specific way (e.g., mailing to a different address).4. Right to Request RestrictionsYou may ask us to limit the use or disclosure of your PHI. We are not required to agree to all requests, but we will comply with any legally mandated restrictions.5. Right to an Accounting of DisclosuresYou may request a list of certain disclosures made during a specified period.6. Right to a Paper or Electronic Copy of This NoticeYou may obtain additional copies upon request.
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OUR RESPONSIBILITIES
We are required to follow the terms of this Notice currently in effect.
•We may update this Notice, and revised versions will apply to all current and future health information we maintain.
•Updated Notices will be available in our office and on our website.
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COMPLAINTS
If you believe your privacy rights have been violated, you may file a complaint with:
Aligned to Nurture, LLC Attn: Privacy Officer10525 N Ambassador Dr., Suite 101Kansas City, MO 64153 Phone: (816) 429-3169Fax: (816) 207-0627You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
You will not be penalized for filing a complaint.
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CONTACT INFORMATION
For questions about this Notice or about your privacy rights, please contact us: Dr. Alison Anstaett at Aligned to Nurture, LLC10525 N Ambassador Dr., Suite 101Kansas City, MO 64153Phone: (816) 429-3169 Fax: (816) 207-0627
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We take your confidentiality very seriously and are committed to safeguarding your information.