Notice of Privacy Practices

This notice describes how health information may be used and disclosed and how you can get access to this information. Please review it carefully.

 

EFFECTIVE DATE OF THIS NOTICE

This notice went into effect on July 11, 2024.

 

PLEDGE REGARDING HEALTH INFORMATION

Dr. McMaster understands that health information about you and your healthcare is personal. She is committed to protecting health information about you. She creates a record of the care and services you receive from her. She needs this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental healthcare practice. This notice will tell you about the ways in which Dr. McMaster may use and disclose health information about you. She also describes your rights to the health information she keeps about you, and describes certain obligations she has regarding the use and disclosure of your health information. She is required by law to:

  • Make sure that protected health information (PHI) that identifies you is kept private.
  • Give you this notice of her legal duties and privacy practices with respect to health information.
  • Follow the terms of the notice that is currently in effect.
  • She can change the terms of this Notice, and such changes will apply to all information she has about you. The new Notice will be available on her website.

 

USE AND DISCLOSURE OF HEALTH INFORMATION

The following categories describe different ways that Dr. McMaster uses and discloses health information. For each category of uses or disclosures you will find examples. These examples are not exhaustive lists. However, all of the ways Dr. McMaster is permitted to use and disclose information will fall within one of the categories.

For Treatment Payment or Health Care Operations

Federal privacy rules (regulations) allow healthcare providers who have a direct treatment relationship with the client to use or disclose the client’s personal health information without the client’s written authorization, to carry out the healthcare provider’s own treatment, payment, or healthcare operations. Dr. McMaster may also disclose your protected health information for the treatment activities of any healthcare provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed healthcare provider about your condition, the clinician would be permitted to use and disclose your personal health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition.

Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other healthcare providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of healthcare providers with a third party, consultations between healthcare providers and referrals of a patient for healthcare from one healthcare provider to another.

Lawsuits and Disputes

If you are involved in a lawsuit, Dr. McMaster may disclose health information in response to a court or administrative order. She may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

 

CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION

Psychotherapy Notes. Dr. McMaster does keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:

  1. For Dr. McMaster’s use in treating you.
  2. For Dr. McMaster’s use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.
  3. For Dr. McMaster’s use in defending herself in legal proceedings instituted by you.
  4. For use by the Secretary of Health and Human Services to investigate Dr. McMaster’s compliance with HIPAA.
  5. Required by law and the use or disclosure is limited to the requirements of such law.
  6. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.
  7. Required by a coroner who is performing duties authorized by law.
  8. Required to help avert a serious threat to the health and safety of others.

Marketing Purposes. As a psychotherapist, Dr. McMaster will not use or disclose your PHI for marketing purposes.

Sale of PHI. As a psychotherapist, Dr. McMaster will not sell your PHI in the regular course of her business.

 

CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION.

Subject to certain limitations in the law, Dr. McMaster can use and disclose your PHI without your Authorization for the following reasons:

  1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
  2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.
  3. For health oversight activities, including audits and investigations.
  4. For judicial and administrative proceedings, including responding to a court or administrative order, although Dr. McMaster’s preference is to obtain an Authorization from you before doing so.
  5. For law enforcement purposes, including reporting crimes occurring on Dr. McMaster’s premises.
  6. To coroners or medical examiners, when such individuals are performing duties authorized by law.
  7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.
  8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
  9. For workers’ compensation purposes. Although Dr. McMaster’s preference is to obtain an Authorization from you, she may provide your PHI in order to comply with workers’ compensation laws.
  10. Appointment reminders and health-related benefits or services. Dr. McMaster may use and disclose your PHI to contact you to remind you that you have an appointment with her. She may also use and disclose your PHI to tell you about treatment alternatives, or other healthcare services or benefits that she offers.

 

CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

Dr. McMaster may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

 

YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

  1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask Dr. McMaster not to use or disclose certain PHI for treatment, payment, or healthcare operations purposes. She is not required to agree to your request, and she may say “no” if she believes it would affect your healthcare.
  2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or healthcare operations purposes if the PHI pertains solely to a healthcare item or a healthcare service that you have paid for out-of-pocket in full.
  3. The Right to Choose How PHI is Sent to You. You have the right to ask Dr. McMaster to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and she will agree to all reasonable requests.
  4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that Dr. McMaster has about you. She will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and she may charge a reasonable, cost-based fee for doing so.
  5. The Right to Get a List of the Disclosures that Have Been Made. You have the right to request a list of instances in which Dr. McMaster has disclosed your PHI for purposes other than treatment, payment, or healthcare operations, or for which you provided her with an Authorization. She will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list she will give you will include disclosures made in the last six years unless you request a shorter time. She will provide the list to you at no charge, but if you make more than one request in the same year, she will charge you a reasonable cost-based fee for each additional request.
  6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that Dr. McMaster correct the existing information or add the missing information. She may say “no” to your request, but she will tell you why in writing within 60 days of receiving your request.
  7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right to get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.

 

Revised: July 11, 2024