Notice of Privacy Practices

Your Health Information Rights

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.

Our Commitment to Your Privacy

SWinter Counseling and Consulting, LLC is committed to protecting your health information. We are required by law to:

• Maintain the privacy of your protected health information
• Provide you with this notice of our legal duties and privacy practices
• Follow the terms of this notice currently in effect

How We May Use and Disclose Your Health Information

Treatment

We may use your health information to provide you with mental health treatment and services.

Payment

We may use and disclose your health information for payment purposes, including billing and collection activities.

Health Care Operations

We may use your health information for health care operations, such as quality assessment and improvement activities.

Special Situations

We may disclose your health information without your authorization in the following situations:

• As Required by Law: When disclosure is required by federal, state, or local law
• Public Health: To prevent or control disease, injury, or disability
• Abuse or Neglect: When we suspect abuse, neglect, or domestic violence
• Health Oversight: To health oversight agencies for authorized activities
• Judicial Proceedings: In response to court orders or subpoenas
• Law Enforcement: To law enforcement officials as required by law
• Serious Threat: To prevent a serious threat to health or safety

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and receive a copy of your health information.

Right to Amend

You have the right to request that we amend your health information if you believe it is incorrect or incomplete.

Right to Accounting

You have the right to request an accounting of disclosures of your health information.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information.

Right to Alternative Communications

You have the right to request that we communicate with you in a certain way or at a certain location.

Right to Complain

You have the right to file a complaint if you believe your privacy rights have been violated.

Changes to This Notice

We reserve the right to change this notice and to make the revised notice effective for health information we already have about you as well as any information we receive in the future.

Contact Information

For more information about this notice or to file a complaint, contact us at:

SWinter Counseling and Consulting, LLC
Email: info@swinter.llc
Phone: 614-653-4019

You may also file a complaint with the U.S. Department of Health and Human Services.