How medical information about you or your child may be used and disclosed, and how you can get access to it. Written out in full below.
Social House Therapy LLC: Notice of Privacy Practices
This notice describes how medical information about you or your child may be used and disclosed, and how you can get access to this information. Please review it carefully.
Social House Therapy LLC is committed to protecting the privacy and security of your health information.
This notice applies to services provided by Social House Therapy, including in-home therapy, community-based therapy, teletherapy, evaluations, consultations, caregiver education, and related administrative services.
Protected health information may include:
We are required by law to protect the privacy and security of your protected health information, provide you with this notice, and follow the privacy practices described in this notice.
We may use or share health information without written authorization for the purposes described below.
We may use and share health information to provide, coordinate, or manage care.
For example, we may communicate with a physician, occupational therapist, physical therapist, teacher, psychologist, behavioral health provider, or other professional involved in your child’s care.
We may request written permission before communicating with a school or another provider when permission is required or appropriate.
We may use or share health information to bill for services and receive payment. This may include sharing information with:
We may share information when needed to confirm benefits, request authorization, submit claims, provide superbills, collect payment, or respond to questions about charges.
We may use or share health information to operate and improve our practice. For example, we may use information to:
Outside companies that help us operate our practice may receive limited health information when necessary. When required, these companies must sign agreements requiring them to protect the information.
We may contact you by phone, voicemail, text message, email, patient portal, or mail regarding:
You may ask us to contact you in a different way or at a different location.
With your permission, or when otherwise permitted by law, we may share relevant information with family members, caregivers, or other people involved in the client’s care or payment.
When the client is a child, the child’s parent or legal guardian will generally act as the child’s personal representative. Certain exceptions may apply when a minor is legally permitted to consent to care or when another law limits a parent’s access.
We may share health information when permitted or required by law for purposes such as:
We may share information with authorized government agencies responsible for activities such as:
We may share health information in response to a valid court order, administrative order, subpoena, or other lawful request when the requirements of federal and state law have been met.
We may also share limited information with law-enforcement officials in specific situations permitted or required by law. We will not release an entire record merely because someone requests it.
We will share information when federal or state law requires us to do so. We may also share information with the U.S. Department of Health and Human Services when it is reviewing our compliance with federal privacy laws.
We may share information as permitted or required for workers’ compensation claims or similar programs involving work-related injuries or illnesses.
We may share information with a coroner, medical examiner, or funeral director when permitted or required by law following an individual’s death.
Social House Therapy does not routinely use client information for research. If information is used or shared for research, we will obtain written authorization or follow another process specifically permitted by law.
We will obtain written authorization before using or sharing health information for purposes not described in this notice, unless the use or disclosure is otherwise permitted or required by law.
Written authorization is generally required for:
Social House Therapy does not sell protected health information.
You may revoke an authorization at any time by submitting a written request. Revoking an authorization will not affect information that was already used or shared while the authorization was in effect.
Social House Therapy does not provide substance use disorder treatment. However, if we receive records protected by federal substance use disorder confidentiality laws, we will protect those records as required by HIPAA and 42 CFR Part 2.
Such records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against the individual without written consent or an appropriate court order and subpoena.
You have the following rights regarding health information maintained by Social House Therapy.
You may ask to inspect or receive an electronic or paper copy of the health and billing information we maintain.
We will generally provide the requested information within 30 days. We may charge a reasonable, cost-based fee when permitted by law.
Access may be limited in certain situations, including for information prepared for legal proceedings, copyrighted testing materials, or information that the law does not permit us to release.
You may ask us to correct information you believe is incorrect or incomplete.
We may deny the request in certain situations, but we will explain the reason in writing, generally within 60 days. You may submit a written statement of disagreement if your request is denied.
You may ask us to contact you in a particular way or at a particular location.
For example, you may ask us to communicate only through the patient portal, call a specific phone number, or avoid leaving detailed voicemail messages. We will honor reasonable requests.
You may ask us not to use or share certain information for treatment, payment, or health care operations.
We are not always required to agree to the request. If we agree, we will follow the restriction except when the information is needed to provide emergency treatment or when disclosure is required by law.
If you pay for a service completely out of pocket, you may ask us not to share information about that service with your health insurance company for payment or health care operations. We will agree unless the law requires us to share it.
You may request a list, called an accounting of disclosures, showing certain times we shared your health information during the six years before your request.
The list will not include every disclosure. For example, it generally will not include disclosures for treatment, payment, health care operations, or disclosures you specifically authorized.
We will provide one accounting within a 12-month period at no charge. We may charge a reasonable, cost-based fee for additional requests made during the same 12-month period.
You may request a paper copy of this notice at any time, even if you previously agreed to receive it electronically.
A legally authorized personal representative may exercise your privacy rights on your behalf.
For a child, this person is generally the child’s parent or legal guardian. We may request documentation confirming that the person has legal authority to act for the client.
We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your protected health information.
You may file a complaint if you believe your privacy rights have been violated. You may contact Social House Therapy’s Privacy Officer using the information below.
You may also file a complaint with the:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
Social House Therapy will not retaliate against you or deny services because you filed a complaint.
Social House Therapy is required to:
This notice applies to:
Everyone covered by this notice must follow its terms when handling protected health information.
We may change the terms of this notice at any time.
Changes may apply to information we already maintain as well as information we receive in the future. The current notice will be available upon request and posted on the Social House Therapy website.
The effective date at the top of the notice shows when the current version became effective.
Contact Social House Therapy’s Privacy Officer with questions about this notice, requests concerning health records, or privacy complaints.
Social House Therapy LLC
Attn: Privacy Officer
Mailing address available on request
A paper copy of this notice is available on request.
Thank you for trusting us with your family’s information.