HIPAA Notice of Privacy Practices

1. Introduction

Cornerstone respects privacy and intends to handle protected health information according to applicable privacy standards. This Notice of Privacy Practices describes how your medical/mental health information may be used and disclosed by Cornerstone Licensed Clinical Social Worker, Inc. and how you can get access to this information. Please review it carefully.

2. Your Rights

When it comes to your health information, you have certain rights. These include:

• The right to request restrictions on certain uses and disclosures
• The right to receive confidential communications by alternative means or at alternative locations
• The right to inspect and copy your protected health information
• The right to amend your protected health information
• The right to receive an accounting of disclosures
• The right to obtain a copy of this notice

3. Our Responsibilities

We are required by law to maintain the privacy of your protected health information, provide you with this Notice of our legal duties and privacy practices with respect to protected health information, and abide by the terms of this Notice.

4. How We May Use and Disclose Information

We may use and disclose your protected health information for the following purposes:

• Treatment: To provide, coordinate, or manage your health care
• Payment: To obtain payment for services provided
• Healthcare Operations: To support our business activities

5. Special Situations

We may also use or disclose your information for public health activities, law enforcement purposes, to avert a serious threat to health or safety, and as required by law.

6. Changes to This Notice

We reserve the right to change this Notice at any time. Any changes will be effective for all protected health information we maintain. We will post any revised Notice on our website and provide you with a copy upon request.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. We will not retaliate against you for filing a complaint.

8. Contact Information

To exercise your rights or for more information, please contact us at cornerstonelcsw@gmail.com.