PRIVACY POLICY

This notice describes how medical information about you may be used and disclosed as well as your access to it. Protected health information about you is obtained as a record of your visits or contacts with Katrina Denise Scannelli, PA-C, Current Mind Care for health care services.

Specifically protected health information (“PHI”) is demographic and individually identifiable health information that will or may identify the patient and relates to the patient's past, present or future physical or mental health or condition and related health care services.

Katrina Denise Scannelli, PA-C, Current Mind Care (“The Company” which also infers a provider from The Company) is required by law to maintain the privacy of your health information and to provide you with this Notice of Privacy Practices. The Company will abide by the terms of this Notice of Privacy Practices; notify you if The Company cannot accommodate a requested restriction or request; and accommodate your reasonable requests regarding methods to communicate health information with you.
It describes your rights to access and control your protected health information. It also describes how we follow those rules in the use and disclosure of your protected health information for the purposes of providing treatment, obtaining payment for the services you receive, managing our healthcare operations and for other purposes permitted/required by law.

HOW MEDICAL INFORMATION MAY BE USED
The Company uses medical records as a way of recording health information, planning care and treatment and as a tool for routine health care operations. Your insurance company may request information such as procedure and diagnosis information that The Company is required to submit in order to bill for treatment provided to the patient. Other health care providers or health plans reviewing your records must follow the same confidentiality laws and rules required of us.

USES AND DISCLOSURES OF INFORMATION
Under federal law, The Company is permitted to use and disclose personal health information without authorization for treatment, payment and health care operation (including but not limited to activities such as communications among health care providers, conducting quality assessment and improvement activities, contracting with insurance companies). Such information may include documenting your symptoms, examination, test results, diagnoses, treatment and applying for future care or treatment. It also includes billing documents for those services.
Under most circumstances, The Company will not share your PHI with anyone without your express permission. However, this office is permitted by federal privacy laws to use and disclose your PHI for purposes of treatment, payment, and health care operations.

HOW MEDICAL INFORMATION MAY BE DISCLOSED WITHOUT REQUIRING AUTHORIZATION
In addition to uses and disclosures related to treatment, payment, and health care operations, The Company may also use and disclose your personal information without authorization for the following additional purposes:
●Abuse, neglect or domestic violence: As required or permitted by law, The Company may disclose health information about you to a state or federal agency to report suspected abuse, neglect or domestic violence. If such a report is optional, The Company will use its professional judgment in deciding whether or not to make such a report. If feasible, The Company will inform you promptly that such a disclosure has been made.
●Appointment reminders and Other Health Services: The Company may disclose your PHI to remind you about an appointment or to inform you about treatment alternatives or other health related benefits and services that may be of interest to you, such as case management or care coordination.
●Communicable diseases: To the extent authorized by law, The Company may disclose information to a person who may have been exposed to a communicable disease or who is otherwise at risk of spreading a disease or condition.
●Coroners, medical examiners and funeral directors: The Company may disclose health information about you to a coroner or medical examiner, for example, to assist in the identification of a decedent or determining cause of death. The Company may also disclose health information to funeral directors to enable them to carry out their duties.
Food and Drug Administration: The Company may disclose your PHI to the FDA or an entity regulated by the FDA, in order, for example, to report an adverse event or a defect related to a drug or medical device.
●Health oversight: The Company may disclose your PHI for oversight activities authorized by law or to an authorized health oversight agency to facilitate, auditing, inspection, or investigation related to our provision of health care, or the health care system.
Judicial or administrative proceedings: The Company may disclose your PHI in the course of a judicial or administrative proceeding, in accordance with our legal obligation.
●Law enforcement: The Company may disclose your PHI to a law enforcement official for certain law enforcement purposes. For example, The Company may report certain types of injuries as required by law, assist law enforcement to locate someone such as a fugitive or material witness or make a report concerning a crime or suspected criminal conduct.
●Personal representative: If you are an adult or emancipated minor, The Company may disclose your PHI to a personal representative authorized to act on your behalf in making decisions about your health care.
●Public health activities: As required or permitted by law, The Company may disclose your PHI to a public health authority, for example, to report a disease or death.
●Public safety: Consistent with our legal and ethical obligations, The Company may disclose your PHI based on a good faith determination that such disclosure is necessary to prevent a serious and imminent threat to the public or to identify or apprehend an individual sought by law enforcement.
●Required by law: The Company may disclose your PHI as required by federal, state or other applicable law.
●Specialized government functions: The Company may disclose your PHI for certain specialized government functions as authorized by law. This includes military command, determination of veteran’s benefits, national security and intelligence activities, protection of the President and other officials, and the health, safety and security of correctional institutions.
●Workers compensation: The Company may disclose health information about you for purposes related to workers compensation as required and authorized by law.
●Serious threat: The Company may disclose your PHI to avert a serious threat to health or safety consistent with applicable law to prevent or lessen a serious imminent threat to the health or safety of a person or the public.
●Other uses and disclosures will be made only with your written authorization and you may revoke that authorization in writing as below (see “your rights”).

YOUR RIGHTS UNDER THE PRIVACY RULE
The following is a statement of your rights under the Privacy Rule in reference to your protected health information.
Please feel free to discuss any questions or concerns with the staff.

YOUR RIGHTS TO A COPY OF PRIVACY POLICIES
We are required to follow the terms of this notice.
We reserve the right to change the terms of our notice at any time.
If needed, new versions of this notice will be effective for all protected health information that we maintain.
Upon request, you will be provided with a revised Notice of Privacy Policies.

YOUR RIGHTS TO AUTHORIZE OTHER USE AND DISCLOSURE
This means that you have the right to authorize or deny authorization for any other use/disclosure of protected health information not specified in this notice.
You may revoke an authorization at any time except to the extent that Katrina Denise Scannelli, PA-C, Current Mind Care has taken an action in reliance on the use or disclosure indicated in the authorization.
Any revocation of authorization to use or disclose protected health information must be presented in writing.

YOUR RIGHTS TO DESIGNATE A PERSONAL REPRESENTATIVE
This means that you may designate a person who then has the delegated authority to consent to or authorize the use or disclosure of your protected health information.
Any notice of revocation of authorization/designation of a previously named personal representative must be presented in writing.

YOUR RIGHTS TO PROTECTED HEALTH INFORMATION
This means you may inspect and obtain a copy of your PHI that is contained in a “designated record set” for so long as The Company maintains the PHI. A designated record set contains medical and billing records and any other records that we use in making decisions about your healthcare. You may not however, inspect or copy the following records: psychotherapy and psychosocial notes; information compiled in reasonable anticipation of, or use in, a civil, criminal or administrative action or proceeding, and certain PHI that is subject to laws that prohibit access to that PHI. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have the right to have this decision reviewed. Please contact our Privacy Officer if you have questions about access to your medical record.

YOUR RIGHTS TO REQUEST A RESTRICTION OF YOUR PROTECTED HEALTH INFORMATION
This means you may ask us to restrict or limit the medical information The Company uses or discloses for the purposes of treatment, payment or healthcare operations. We are not required to agree to a restriction that you may request. The Company will notify you if your request is denied. If The Company agrees to the requested restriction, we may not use or disclose your PHI in violation of that restriction unless it is needed to provide emergency treatment. You may request a restriction by contacting our Privacy Officer (Katrina Denise Scannelli, PA-C).

YOUR RIGHT TO RECEIVE COMMUNICATION BY ALTERNATIVE MEANS
The Company will accommodate reasonable requests. We may also condition this accommodation by asking you for an alternative address or other method of contact. The Company will not request an explanation from you as the basis for the request. Requests must be made in writing to our Privacy Officer.

YOUR RIGHT TO REQUEST YOUR PROTECTED HEALTH INFORMATION AMENDED
This means you may request an amendment of PHI about you in a designated record set for as long as I maintain this information. In certain cases, The Company may deny your request for an amendment. If your request is denied, you have the right to file a statement of disagreement with our Privacy Office and the Company may prepare a rebuttal to your statement and will provide you with a copy of this rebuttal. If you wish to amend your PHI, please contact our Privacy Officer. Requests for amendment must be in writing.

YOUR RIGHT TO RECEIVE AN ACCOUNTING OF DISCLOSURES OF YOUR HEALTH INFORMATION
You have the right to request an accounting of certain disclosures of your PHI. This right applies to disclosures for purposes other than treatment, payment or healthcare operations as described in this Privacy Notice. The Company is also not required to account for disclosures that you requested, disclosures that you agreed to by signing an authorization form, to family or friends involved in your care, or certain other disclosures we are permitted to make without your authorization. The request for an accounting must be made in writing to our Privacy Officer. The request should specify the time period
sought for accounting. The Company is not required to provide an accounting for disclosures that take place prior to April 14, 2003. Accounting requests may not be made for periods of time in excess of six years.

YOUR RIGHT TO RECEIVE A PAPER COPY OF THIS NOTICE OF PRIVACY PRACTICES
At your request, we will provide a paper copy of this notice.

YOUR RIGHT TO REVOKE AUTHORIZATIONS THAT YOU MADE PREVIOUSLY TO USE OR DISCLOSE INFORMATION
You have the right to revoke any previously made authorizations to use or disclose information.
You can accomplish this by delivering a written revocation to our office, except to the extent information or action has already been taken.

YOUR RIGHT TO FILE A COMPLAINT
If you believe your privacy rights have been violated, you may file a written complaint by mailing it or delivering it to me.
You may complain to the Secretary of Health and Human Services (HHS) by writing to Office for Civil Rights, US
Department of Health and Human Services, 200 Independence Avenue, SW Room 509F, HHH Building, Washington, DC 20201; by calling 1-800-368-1019; or by sending an email to OCRprivacy@hhs.gov. The Company cannot and will not make you waive your right to file a complaint as a condition of receiving care or penalize you for filing a complaint.
In order to exercise any of your rights described above, you must submit your request in writing to The Company (with the exception of #8). If you have any questions about your rights, please speak with The Company in person or by phone during normal office hours.

The undersigned acknowledges receipt of a copy of the currently effective Notice of Privacy Practices for Katrina Denise Scannelli, PA-C, Current Mind Care .