Notice of Privacy Practices

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Notice of Privacy Practices and Client Rights

Your health record contains personal information about you and your health. This information, referred to as Protected Health Information (PHI), relates to your past, present, or future physical or mental health or condition and related health care services.

This Notice describes how PHI may be used and disclosed in accordance with federal law, including the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws, and describes your rights regarding your PHI.

ReSoul Therapy, PLLC is required by law to maintain the privacy of PHI, provide this Notice of Privacy Practices, and comply with its terms. This Notice applies to all PHI maintained by this practice. We reserve the right to revise this Notice and will post any updates on our website or provide a copy upon request.

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Uses and Disclosures of PHI

PHI may be used or disclosed without authorization for treatment, payment, and health care operations, including coordination of care, supervision, billing, quality assurance, licensing, and administrative purposes. PHI may also be disclosed as required by law or as permitted by HIPAA in limited circumstances, including but not limited to:

• Child abuse or neglect reporting

• Judicial or administrative proceedings

• Medical emergencies

• Health oversight activities

• Law enforcement and public safety

• Public health activities

• Specialized government functions

Uses and disclosures not permitted by law will be made only with your written authorization. Authorization is required for most uses of psychotherapy notes, marketing, and disclosures subject to stricter federal or state laws, including substance use treatment information protected by 42 C.F.R. Part 2. ReSoul Therapy, PLLC does not sell PHI.

 

Your Rights:

You have the right to:

• Request access to and copies of your PHI (reasonable, cost-based fees may apply)

• Request amendments to your PHI

• Request an accounting of certain disclosures

• Request restrictions on disclosures when services are paid out of pocket

• Request confidential communications

• Receive notice of a breach of unsecured PHI

• Obtain a copy of this Notice

Requests must be submitted in writing by the client. Records will be provided within timeframes required by applicable law, including shorter timelines where state law is more stringent.

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Texas Consumer Notice:

In accordance with Texas Health & Safety Code § 181.105, Texas clients are provided the following information:

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Access to Records

Clients may request access to or copies of their health records by submitting a written request via email or through the secure client portal.

Licensing and Regulation

This practice is regulated by the Texas Behavioral Health Executive Council.

Texas State Board of Examiners of Marriage and Family Therapists
Website: https://www.bhec.texas.gov
Phone: (512) 305-7700

Filing a Complaint

Clients may file a complaint with the licensing authority listed above or with the Texas Department of State Health Services regarding health information privacy or access concerns.

 

Complaints

If you believe your privacy rights have been violated, you may file a complaint with this practice or with the U.S. Department of Health and Human Services, Office for Civil Rights. There will be no retaliation for filing a complaint.

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No Surprises Act: Good Faith Estimate

Clients who do not have insurance or who are not using insurance have the right to receive a Good Faith Estimate of expected charges for non-emergency services. If you receive a bill that is $400 or more above your estimate, you may dispute the bill. More information is available at www.cms.gov/nosurprises.