Notice of Privacy Practices
(The following is a summary. The full text is in our office waiting room.)
We at Austin Psychotherapy Associates are committed to maintaining the confidentiality of your medical information. In most cases, your records will not be released without your written consent (which you can revoke). However, there are a few exceptions. We are permitted to disclose your medical information to other professionals involved in your treatment.
- We are permitted to use and disclose your medical information to your insurance company, if you choose to use them, or as required by worker’s compensation law.
- We may disclose your medical information for public health concerns as mandated by federal or state government.
- We are required to report child abuse or neglect.
- We may release information if you are under the custody of law enforcement, or if ordered by the court.
You may request in writing that we restrict how your information is disclosed for treatment, payment or healthcare operations. Although we are not required to restrict this information, we will do so except in emergency situations.
It is our policy not to release information to family members or other individuals without your written consent. You have a right to access your health records with some limitations. (See restrictions in the full text.) You must submit your request in writing to the Privacy Officer.
If you are concerned that your privacy rights have been violated, you may contact the person listed below. You may also send a written complaint to the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint with us or with the government. The contact information for the United States Department of Health and Human Services is:
U.S. Department of Health and Human Services
7500 Security Blvd., C5-24-04
Baltimore, MD 21244
Our Promise to You
We are required by law and regulation to protect the privacy of your medical information, to provide you with this notice of our privacy practices with respect to protected health information, and to abide by the terms of the notice of privacy practices in effect.
If you have any questions or want to make a request pursuant to the rights described above, please contact:
Gayle Harkrider, Privacy Officer
4601 Spicewood Springs Rd
Building 4, Suite 200
Austin, TX 78759
This notice is effective November 14, 2006.
Privacy policies are mandated by Federal and State Law. If the privacy laws change, we will post the new notice in the office where it can be seen. Revised Federal and/or State Laws apply to all the protected health information we maintain. When State and Federal Laws differ, our office will comply with the more restrictive law.
We are an association of independently practicing professionals providing an array of mental health services to individuals, couples, and families, including those with special needs.
We share certain expenses and administrative functions, but each professional is completely independent in providing you with clinical services, and each associate maintains separate records. Professional service fees may be covered by insurance companies.
Contact APA for more information or for an appointment. We respect your privacy and will hold your call in strictest confidence.