HIPPA Notice of Privacy Practices
Notice of Privacy Practices
Effective Date: 06/01/25
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Our Commitment to Your Privacy
Serenity Place, LLC is committed to protecting the privacy of your health information. We are required by law to maintain the confidentiality of your Protected Health Information (PHI) and to provide you with this notice of our legal duties and privacy practices.
How We May Use and Disclose Your Information
We may use or disclose your PHI for the following purposes without your written authorization:
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Treatment: To provide, coordinate, or manage your care with other professionals or services involved in your treatment.
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Payment: To bill and collect payment for services provided.
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Healthcare Operations: For internal administrative purposes, quality improvement, training, and evaluation.
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As Required by Law: We may disclose PHI when required by federal, state, or local law.
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Public Health & Safety: When necessary to prevent or reduce a serious threat to health or safety.
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Legal Proceedings & Law Enforcement: In response to a court order, subpoena, warrant, or as otherwise required by law.
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Health Oversight Activities: For audits, inspections, and investigations by government agencies.
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To Avoid Harm: If we believe disclosure is necessary to prevent serious harm to you or others.
Other uses and disclosures not described above will be made only with your written authorization. You may revoke any authorization at any time in writing, except to the extent we have already taken action based on it.
Your Rights Regarding Your Health Information
You have the following rights under HIPAA:
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Right to Access: You can request to see or get a copy of your medical record.
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Right to Amend: You may request corrections to your PHI if you believe it is incorrect or incomplete.
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Right to an Accounting of Disclosures: You may request a list of certain disclosures made without your authorization.
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Right to Request Restrictions: You can ask us to limit how we use or disclose your PHI. We are not required to agree to all requests.
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Right to Confidential Communications: You may request that we contact you in a specific way (e.g., at a different phone number or mailing address).
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Right to a Paper Copy of This Notice: You may request a paper copy of this notice at any time, even if you have agreed to receive it electronically.
Changes to This Notice
We reserve the right to change this notice and make the new provisions effective for all PHI we maintain. A copy of the current notice will be posted on our website with the effective date.
Questions or Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint.
To contact us:
(301)690-8008
appointments@serenityplace.biz
22655 Washington St, Leonardtown, MD 20650