Notice of Privacy
Effective March 22nd, 2022
This Notice describes the privacy practices of Resilience Lab (“we,” “us,” or “our”) in relation to your health information we collect about you. Please review it carefully. For purposes of this Notice, when we refer to “you” or “your,” we mean you as a client or, in certain cases, you as the provider of information about a minor client.
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 the law
- Work with a medical examiner
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Provide mental health care
- Market our services
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
We understand that your health information is personal and we are committed to protecting your privacy. 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. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
How do we typically use or share your health information?
When sharing your health information with third parties, we only share the minimum information necessary to fulfill the purpose of the disclosure. We typically use or share your health information in the following ways:
- For treatment
- We use your health information to decide what type of treatment may be helpful.
- We may share your health information with your other treating professionals, such as your primary care provider.
- We use a team model of treatment to ensure the highest level of quality. Any professional on your treatment team may review your health information and provide input on the best treatment approach.
- Example: Your therapist asks another therapist about different treatment approaches for your health condition.
- To run our organization
- We can use and share your health information to run our practice, improve your care and the quality of our services, improve the efficiency of our organization, and contact you when necessary.
- Example: We might look at the outcomes across all clients who have a certain condition and evaluate how we can better serve this group.
- We may share your health information with our “business associates,” which are service providers or other persons who use or disclose health information to perform services for us. We enter into contracts with business associates requiring them to protect the privacy of your health information, and we share only the minimum amount of health information necessary for business associates to perform their duties.
- Example: We will disclose your health information to our third party billing vendor, that serves as our business associate, in order to bill for our services.
- To bill for our services
- We can use and share your health information to bill and get payment from health plans or other entities.
- Example: We give information about you to your health insurance plan so it will pay for your services.
What are other ways we may use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
1. To help with public health and safety issues
We can share health information about you for certain situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a
2. For research
Subject to certain limitations in the law, we can use and disclose your health information for research purposes with your authorization and, under very limited circumstances, without your authorization.
3. To comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
4. When we work with a medical examiner
We can share health information with a medical examiner or coroner when an individual dies.
5. To address workers’ compensation, law enforcement, and other
We can use or share health information about you:
- For workers’ compensation claims
- For law enforcement purposes or with a law enforcement official
- With health oversight agencies for activities authorized by law
- For special government functions such as military, national security, and presidential protective services
6. In response to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Certain uses and disclosure require your authorization. HIPAA is a federal law, which places limitations on how health care providers and others can use and disclose your health information. At times, state or other federal laws may afford more protection of your health information or provide additional patient rights that exceed those under HIPAA. Some examples of categories of information that are afforded such additional protections under state laws include information related to mental health and substance use disorder. In these and all other applicable cases, we will abide by the most stringent of the regulations as they pertain to your health information, including obtaining your prior written authorization, as required by law, before any such information is disclosed to a third party. If you have questions about the specific protections applicable to you, please contact us using the contact information at the end of this policy.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. In these cases tell us what you want us to do, and we will follow your instructions:
- Sharing information with your family, close friends, or others involved in your care
- Sharing information in a disaster relief situation
- Restricting information about self-paid services from being submitted to your insurance/health plan
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
- Marketing purposes
- Sale of your information
- Most sharing of psychotherapy notes
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
1. 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. Ask us how to do this.
- 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.
2. Ask us to correct your medical record
- You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
- We may say “no” to your request, but we’ll tell you why in writing within 60 days.
3. Request communications through your preferred method(s) to ensure confidentiality
- 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.
4. 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.
- We cannot guarantee that you will be able to pay out-of-pocket if you have coverage through a health insurer with which we participate. However, if you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
5. 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.
- We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
6. Get a copy of this privacy notice
- You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
7. 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 and make choices about your health information.
- We will make sure the person has this authority and can act for you before we take any action.
8. File a complaint if you feel your rights are violated
- You can complain if you feel we have violated your rights by contacting us using the information at the end of this Notice.
- You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
- We will not retaliate against you for filing a complaint.
Terms of this
We may change the terms of this Notice at any time. If we change this Notice, the new Notice terms will apply to all your health information that we maintain, including any information created or received prior to issuing the new Notice. If we change this Notice, we will post the new Notice on our website and in our offices. You also may obtain any new Notice by contacting the Privacy Officer.
You may contact the Resilience Lab Privacy Officer by email at email@example.com or by mail at:
175 E 94th St, Apt 1
New York, NY 10128
Attn: Privacy Officer