Notice of Privacy Practices for Open Therapy, LLC
Effective Date: February 1, 2025
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.
Open Therapy ("we," "us," or "our") is committed to protecting the privacy and confidentiality of your Protected Health Information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH) Act, and other applicable state and federal laws. This Notice of Privacy Practices describes how we may use and disclose your PHI, your rights regarding your PHI, and our legal obligations concerning your PHI.
I. How We May Use or Disclose Your Protected Health Information
The following categories describe different ways that we may use or disclose your PHI without your authorization:
For Treatment: We may use and disclose your PHI to provide you with mental health treatment and related services. For example, we may use your information to develop a treatment plan, coordinate care with other healthcare providers, or communicate with you about your appointments.
For Payment: We may use and disclose your PHI to obtain payment for our services from you, your insurance company, or other third parties. For example, we may submit claims to your insurance company or provide them with information necessary to process your claim.
For Healthcare Operations: We may use and disclose your PHI for our healthcare operations, such as quality improvement activities, staff training, and administrative functions. These activities help us to improve the quality of our services and ensure the efficient operation of our practice.
Business Associates: We may disclose your PHI to our business associates who perform services on our behalf, such as billing, IT support, or administrative services. We require our business associates to protect the confidentiality of your PHI.
As Required by Law: We may disclose your PHI if required by law, such as in response to a court order or subpoena.
Public Health Activities: We may disclose your PHI to public health authorities for certain public health activities, such as preventing or controlling disease.
Abuse, Neglect, or Domestic Violence: We may disclose your PHI to authorities if we reasonably believe that you are a victim of abuse, neglect, or domestic violence.
Health Oversight Activities: We may disclose your PHI to health oversight agencies for audits, investigations, or other activities authorized by law.
Judicial and Administrative Proceedings: We may disclose your PHI in response to a court order or other legal process.
Law Enforcement: We may disclose your PHI to law enforcement officials under certain circumstances, such as to identify or locate a suspect or to prevent a crime.
Coroners, Medical Examiners, and Funeral Directors: We may disclose your PHI to coroners, medical examiners, and funeral directors for certain purposes, such as identifying a deceased individual or determining the cause of death.
Organ, Eye, or Tissue Donation: We may disclose your PHI to organizations involved in organ, eye, or tissue donation or transplantation.
Military and Veterans: We may disclose your PHI to military authorities under certain circumstances.
National Security and Intelligence Activities: We may disclose your PHI to authorized officials for national security and intelligence activities.
Individuals Involved in Your Care or Payment for Your Care: We may disclose your PHI to individuals involved in your care or payment for your care, but only with your permission or as permitted by law.
Other Uses and Disclosures: Other uses and disclosures not described in this notice will only be made with your written authorization.
II. Your Rights Regarding Your Protected Health Information
You have the following rights regarding your PHI:
Right to Access and Copy: You have the right to access and obtain a copy of your PHI.
Right to Amend: You have the right to request an amendment to your PHI.
Right to an Accounting of Disclosures: You have the right to receive an accounting of disclosures of your PHI.
Right to Request Restrictions: You have the right to request restrictions on certain uses and disclosures of your PHI.
Right to Request Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way or at a certain location.
Right to a Paper Copy of this Notice: You have the right to receive a paper copy of this Notice of Privacy Practices.
III. Our Legal Obligations
We are required by law to maintain the privacy and security of your PHI. We will notify you following a breach of unsecured PHI. We are required to follow the terms of this Notice of Privacy Practices.
IV. Changes to this Notice
We reserve the right to change this Notice of Privacy Practices at any time. We will post a copy of the revised notice in our office and on our website and make copies available upon request.
V. Complaints
If you believe that your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
VI. Contact Information
If you have any questions about this Notice of Privacy Practices or would like to exercise your rights regarding your PHI, please contact us at:
Open Therapy
330 King St. Wenatchee, WA 98801
509-433-7419