HIPAA Privacy Policy
HIPAA Privacy Policy
Clinical Services – Mate Masie Healing
Mate Masie Healing is committed to protecting the privacy and confidentiality of your health information. This Notice of Privacy Practices explains how your protected health information (PHI) may be used and disclosed, and how you can access this information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Please review this notice carefully.
1. Our Legal Duty
We are legally required to:
Maintain the privacy of your protected health information (PHI)
Provide you with this Notice of Privacy Practices
Follow the terms of this notice
Notify you if a breach of your unsecured PHI occurs
2. How We May Use and Disclose Your PHI
We may use and disclose your PHI without your written authorization for the following purposes:
A. Treatment
To provide, coordinate, or manage your mental health care, including communication with other healthcare providers involved in your treatment.
B. Payment
To obtain payment for services, including billing insurance, processing claims, and eligibility verification.
C. Healthcare Operations
For business operations such as quality assessment, credentialing, training, licensing, audits, and compliance activities.
3. Other Permitted Uses and Disclosures
We may disclose your PHI without your authorization when required or permitted by law, including:
To prevent or lessen a serious and imminent threat to health or safety
To comply with legal obligations (court orders, subpoenas, investigations)
For public health activities
For health oversight activities
To report abuse, neglect, or domestic violence
For law enforcement purposes as required by law
4. Uses and Disclosures Requiring Your Written Authorization
We will not use or disclose your PHI for any purpose not listed above without your written authorization. This includes disclosures for marketing purposes or the sale of your PHI.
You may revoke your authorization in writing at any time, except to the extent we have already relied on it.
5. Your Rights Regarding Your PHI
You have the right to:
A. Inspect and Copy
Request access to or a copy of your clinical records, subject to certain legal limitations.
B. Request an Amendment
Request corrections to your records if you believe information is inaccurate or incomplete.
C. Request Restrictions
Request limits on how your PHI is used or disclosed. We are not required to agree to all restrictions.
D. Request Confidential Communications
Ask that we contact you in a specific way or at a specific location (e.g., only at work, by email, etc.).
E. Receive an Accounting of Disclosures
Request a list of certain disclosures made of your PHI.
F. Receive a Paper Copy of This Notice
You may request a printed copy of this notice at any time.
G. Be Notified of a Breach
You have the right to be notified if your unsecured PHI is breached.
6. Our Responsibilities Regarding Electronic Communications
Email, text messaging, and telehealth platforms involve some risk to privacy. By choosing to communicate electronically, you acknowledge and accept these risks. Mate Masie Healing will make reasonable efforts to protect your information.
7. Changes to This Policy
We reserve the right to change this Privacy Policy at any time. Any changes will apply to all PHI we maintain and will be posted on our website and available upon request.
8. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Mate Masie Healing
Attn: Privacy Officer
Email: felicia@matemasiehealing.com
Phone: 716-292-8848
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect your care.
9. Contact Information
If you have any questions about this Privacy Policy or your rights, please contact:
Mate Masie Healing
Privacy Officer
Email: felicia@matemasiehealing.com
Phone: 716-292-8848