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.
I. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your health care is personal. I am committed to protecting health infor
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.
I. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need 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 health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to:
II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am 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 health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your person 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 health care 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 health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.
Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I 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.
III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:
IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION. Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:
V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.
VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:
EFFECTIVE DATE OF THIS NOTICE
This notice went into effect on JANUARY 1, 2019
Acknowledgement of Receipt of Privacy Notice
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information. By checking the box below, you are acknowledging that you have received a copy of HIPAA Notice of Privacy Practices.
BY CONTINUING USE OF THIS WEBSITE I AM AGREEING THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ITEMS CONTAINED IN THIS DOCUMENT.
Judi Brooks has founded this practice with over 30 years as an experienced LMFT specializing in family needs as well as individuals experiencing grief, anxiety, depression or relationship difficulties. Her ethos is that therapists should serve as a guide to help nurture the skills & knowledge for you to be able to better navigate the dail
Judi Brooks has founded this practice with over 30 years as an experienced LMFT specializing in family needs as well as individuals experiencing grief, anxiety, depression or relationship difficulties. Her ethos is that therapists should serve as a guide to help nurture the skills & knowledge for you to be able to better navigate the daily challenges of life and the unusual circumstances that arise in as flexible a way as possible.
Children and adolescents are impacted by many factors that affect their overall well being. With treatment for ADHD/ADD, mood issues, school issues, self-esteem problems, depression, anxiety, trauma, disruptive behaviors, and family transitions, we can create an avenue in which they can thrive!
While parenting is a deeply rewarding part of life, it is also a journey filled with stressful phases and addressing your family's particular needs in a safe atmosphere allows for the development of healthy relationship building parameters. Having the experience of working with hundreds of families and children provides the backdrop to d
While parenting is a deeply rewarding part of life, it is also a journey filled with stressful phases and addressing your family's particular needs in a safe atmosphere allows for the development of healthy relationship building parameters. Having the experience of working with hundreds of families and children provides the backdrop to discovering what and how your family's needs will be addressed. Exploring advocacy for children and parents through the school IEP/504 process is provided as well.
We are in network with United Healthcare, Optum, Cigna and MPHI. We also deal with all the major insurance companies and will happily provide you with correctly completed super bills or claim forms so that you can send your reimbursement claim as quickly as possible.
We understand it may be hard for you to find the time, have mobility challenges, or you may be too anxious to leave the house, so we like to assist with this as much as we can by offering appointments in our offices face-to-face, over the telephone or by video chat session. Telehealth services are available to California residents and are often covered by your insurance company. These services are provided using HIPPA compliant and secure platforms so that confidentiality is protected.