Our Commitment to Your Privacy
We understand that your mental health information is highly sensitive. We follow all applicable federal and state privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA), to safeguard your information.
How We May Use and Disclose Your Information
We may use or disclose your protected health information for the following purposes:
1. Treatment
To provide, coordinate, or manage your mental health care.
This may include communication with therapists, primary care providers, pharmacies, or other specialists involved in your treatment.
2. Payment
To obtain reimbursement for services provided.
This may include submitting claims to insurance companies or providing information required for billing.
3. Healthcare Operations
To support practice operations such as:
Quality improvement
Administrative activities
Licensing and compliance
Staff training
Other Situations Where Disclosure May Occur
We may disclose information:
When required by law
To prevent a serious threat to health or safety
In cases of suspected abuse or neglect (as required by law)
For public health reporting
In response to court orders or lawful requests
Your Rights Under HIPAA
You have the right to:
Request access to your medical records
Request a copy of your health information
Request corrections to inaccurate information
Request restrictions on certain disclosures
Request confidential communication methods
Receive an accounting of certain disclosures
File a complaint if you believe your privacy rights were violated
To exercise any of these rights, please contact our office in writing.
Website & Electronic Communication
Please note:
Website contact forms are not intended for transmitting sensitive medical information.
Email communication may not be fully secure unless otherwise specified.
We utilize secure electronic health record systems for clinical documentation and communication when appropriate.
Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint with:
Aly-Zion Psychiatry
Phone: 920-427-9314
Email: info@alyzionpsychiatry.com
You may also file a complaint with the U.S. Department of Health & Human Services (HHS). Filing a complaint will not affect your care.
Changes to This Notice
We reserve the right to update this Notice of Privacy Practices at any time. Any changes will be posted on this page with a revised effective date.