Notice of Privacy Practices

Hope Envisioned Counseling & Consulting LLC
2050 Newnan Crossing Blvd, Newnan, GA 30265
Phone: (770) 927-7417 | Email: [email protected]
Effective Date: June 21, 2024

Your Rights Under HIPAA

This notice describes how your health information (PHI) may be used and disclosed, and how you can access this information. You may have additional rights under Georgia law.

We are committed to protecting your privacy. Please review this notice carefully.

Our Responsibilities

We are required by law to:

Keep your health information private.
Provide you with this Notice of Privacy Practices.
Follow the terms of this notice.
Notify you if a breach of your PHI occurs.

How We Use and Share Your Health Information

For Treatment, Payment, and Healthcare Operations

We may use and share your PHI to:

Provide and coordinate treatment with other healthcare providers.
Process payments and insurance claims.
Conduct healthcare operations, such as scheduling, billing, and quality improvement.

Other Situations Where We May Disclose PHI

When required by law or court order.
To report suspected abuse or neglect.
For public health and safety purposes.
For health oversight, audits, or investigations.
To comply with workers’ compensation laws.
For research or government functions permitted by law.

Disclosures Requiring Your Authorization

We will not use or share your PHI without your written consent in these cases:

Psychotherapy notes (unless required by law or for treatment/training).
Marketing purposes.
Sale of your health information.

You may revoke your authorization at any time by providing written notice.

Your Rights

You have the right to:

Request limits on how your PHI is used or shared.
Ask for confidential communications (e.g., by phone, email, or mail).
View or request a copy of your health records.
Request corrections to your records.
Ask for a list of disclosures we have made.
Receive a paper or electronic copy of this notice.
File a complaint without fear of retaliation.

Filing a Complaint

If you believe your rights have been violated, you may file a complaint with:

Hope Envisioned Counseling & Consulting LLC at the address above, or
The U.S. Department of Health & Human Services Office for Civil Rights:
- 200 Independence Avenue, S.W., Washington, D.C. 20201
- Call: (877) 696-6775
- Online: www.hhs.gov/ocr/privacy/hipaa/complaints

We will not retaliate against you for filing a complaint.