Please note that The Morgens Group, LLC is a private
practice and not an Emergency Clinic. If you are experiencing any
suicidal or homicidal ideation, please go to your nearest hospital
emergency room or call 911.
Notice of Privacy Practices
Introduction
The Federal Health Insurance Portability and
Accountability Act (HIPAA) requires mental health professionals to issue
this official Notice of Privacy Practices. This notice describes how
information about you is protected, the circumstances under which it may
be used or disclosed and how you may gain access to this information.
Please review it carefully. For psychotherapy to be beneficial, it is
important that you feel free to speak about personal matters, secure in
the knowledge that the information you share will remain confidential.
You have the right to the confidentiality of your medical and
psychological information, and this practice is required by law to
maintain the privacy of that information. This practice is required to
abide by the terms of the Notice of Privacy Practices currently in
effect, and to provide notice of its legal duties and privacy practices
with respect to protected health and psychological information. If you
have any questions about this Notice, please contact us at 781-899-1160.
Who Will Follow This Notice
Any health care professional authorized to enter
information into your medical record, all employees, staff, and other
personnel at this practice who may need access to your information must
abide by this Notice. All subsidiaries, business associates (e.g., a
billing service), sites and locations of this practice may share medical
information with each other for treatment, payment purposes or health
care operations described in this Notice. Except where treatment is
involved, only the minimum necessary information needed to accomplish
the task will be shared.
Uses and Disclosures for Treatment, Payment, and Health
Care Operations
We may use or disclose your Protected Health Information
(PHI), for treatment, payment, and health care operations purposes. The
following should help clarify these terms:
PHI refers to information in your health record that
could identify you. For example, it may include your name, the fact you
are receiving treatment here, and other basic information pertaining to
your treatment.
Use applies only to activities within our office and
practice group, such as sharing, employing, applying, utilizing, and
analyzing information that identifies you.
Disclosure applies to activities outside of our office
or practice group, such as releasing, transferring, or providing access
to information about you to other parties.
Authorization is your written permission to disclose
confidential health information. All authorizations to disclose must be
made on a specific and required form.
Treatment is when we provide, coordinate, or manage your
health care and other services related to your health care. For example,
with your written authorization we may provide your information to your
physician to ensure the physician has the necessary information to
diagnose or treat you.
Payment
Your PHI may be used, as needed, in activities related
to obtaining payment for your health care services. This may include the
use of a billing service or providing you documentation of your care so
that you may obtain reimbursement from your insurer.
Health Care Operations are activities that relate to the
performance and operation of our practice. We may use or disclose, as
needed, your protected health information in support of business
activities. For example, when we review an administrative assistant's
performance, we may need to review what that employee has documented in
your record.
Written Authorizations to Release PHI
Any other uses and disclosures of your PHI beyond those
listed above will be made only with your written authorization, unless
otherwise permitted or required by law as described below. You may
revoke your authorization at any time, in writing.
Uses and Disclosures without Authorization
The ethics code of the American Psychological
Association, Massachusetts State law, and the federal HIPAA regulations all
protect the privacy of all communications between a client and a mental
health professional. In most situations, we can only release information
about your treatment to others if you sign a written authorization. This
Authorization will remain in effect for a length of time you and we
determine. You may revoke the authorization at any time, unless we have
taken action in reliance on it. However, there are some disclosures that
do not require your Authorization. We may use or disclose PHI without
your consent in the following circumstances:
Child Abuse - If we have reasonable cause to believe a
child may be abused or neglected, we must report this belief to the
appropriate authorities.
Adult and Domestic Abuse - If we have reason to believe
that an individual such as an elderly or disabled person protected by
state law has been abused, neglected, or financially exploited, we must
report this to the appropriate authorities.
Health Oversight Activities - we may disclose your PHI
to a health oversight agency for oversight activities authorized by law,
including licensure or disciplinary actions. If a client files a
complaint or lawsuit against us, we may disclose relevant information
regarding that patient in order to defend myself.
Judicial and Administrative Proceedings - If you are
involved in a court proceeding and a request is made for information by
any party about your treatment and the records thereof, such information
is privileged under state law, and is not to be released without a court
order. Information about all other psychological services (e.g.,
psychological evaluation) is also privileged and cannot be released
without your authorization or a court order. The privilege does not
apply when you are being evaluated for a third party or where the
evaluation is court ordered. You must be informed in advance if this is
the case.
Serious Threat to Health or Safety - If you communicate
to me a specific threat of imminent harm against another individual or
if we believe that there is clear, imminent risk of injury being
inflicted against another individual, we may make disclosures that we
believe are necessary to protect that individual from harm. If we
believe that you present an imminent, serious risk of injury or death to
yourself, we may make disclosures we consider necessary to protect you
from harm.
Worker's Compensation - we may disclose PHI regarding
you as authorized by and to the extent necessary to comply with laws
relating to worker's compensation or other similar programs, established
by law, that provide benefits for work-related injuries or illness
without regard to fault.
Third Party Intrusion
We will always take steps to try and prevent third party
intrusion. TheMorgensGroup.com contains links to independent outside
websites (which also post their own links). If you link to a third party
site from TheMorgensGroup.com, any information you provide a third party
website that is linked on TheMorgensGroup.com is not covered by this
privacy statement. To be informed of the third party privacy rules, you
must read their privacy statement.
Information We Collect from You
We may also collect information about you and your use
of our site through the use of cookies or IP address lookup (to verify
city/state/country). "Cookies" are small computer files that we transfer
to your computer's hard drive that provide us with visit information
(length of visit, what page was utilized for the longest period of
time).
Special Authorizations
Certain categories of information have extra protections
by law, and thus require special written authorizations for disclosures.
Psychotherapy Notes - we will obtain a special
authorization before releasing your Psychotherapy Notes. "Psychotherapy
Notes" are notes we have made about our conversation during a private,
group, joint, or family counseling session, which we have kept separate
from the rest of your record. These notes are given a greater degree of
protection than PHI.
HIV Information - Special legal protections apply to
HIV/AIDS related information. We will obtain a special written
authorization from you before releasing information related to HIV/AIDS.
Alcohol and Drug Use Information - Special legal
protections apply to information related to alcohol and drug use and
treatment. We will obtain a special written authorization from you
before releasing information related to alcohol and/or drug
use/treatment. You may revoke all such authorizations (of PHI,
Psychotherapy Notes, HIV information, and/or Alcohol and Drug Use
Information) at any time, provided each revocation is in writing, signed
by you, and signed by a witness. You may not revoke an authorization to
the extent that (1) we have relied on that authorization; or (2) if the
authorization was obtained as a condition of obtaining insurance
coverage, law provides the insurer the right to contest the claim under
the policy.
Patient's Rights and Psychologist's Duties Patient's
Rights
Right to Request Restrictions - You have the right to
request restrictions on certain uses/disclosures of PHI. However, we are
not required to agree to the request.
Right to Receive Confidential Communications by
Alternative Means - You have the right to request and receive
confidential communications by alternative means and locations. (For
example, you may not want a family member to know that you are seeing
us. On your request, we will send your bills to another address.)
Right to Inspect and Copy - You have the right to
inspect or obtain a copy of PHI in our records as these records are
maintained. In such cases we will discuss with you the process involved.
Right to Amend - You have the right to request an
amendment of PHI for as long as it is maintained in the record. We may
deny your request. If so, we will discuss with you the details of the
amendment process.
Right to an Accounting - You generally have the right to
receive an accounting of all disclosures of PHI. We can discuss with you
the details of the accounting process.
Right to a Paper Copy - You have the right to obtain a
paper copy of the Notice of Privacy Practices from the office upon request.
Psychologist's Duties:
We are required by law to maintain the privacy of PHI
and to provide you with a notice of our legal duties and privacy
practices with respect to PHI.
We reserve the right to change the privacy policies and
practices described in this notice. Unless we notify you of such
changes, however, we are required to abide by the terms currently in
effect.
If we revise our policies and procedures, we will notify
you at our next session, or by mail at the address you provided us.
Complaints
If you believe your privacy rights have been violated,
you may file a complaint with the Privacy Officer at this practice or
with the Secretary of the Department of Health and Human Services. All
complaints must be submitted in writing. You will not be penalized or
discriminated against for filing a complaint. If you have any questions
about this Notice, or would like to know how to file a complaint with
the Secretary of the Department of Health and Human Services, please
contact us.
Effective Date, Restrictions, and Changes to Privacy
Policy: This notice will go into effect on November 1, 2006.