HIPAA Notice of Privacy Practices

Peace of Serenity Psychiatry LLC
 

This Notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

Your Protected Health Information (PHI)

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“PHI” includes information about your health, diagnosis, treatment, and any data that can identify you. Peace of Serenity Psychiatry LLC is committed to protecting your privacy and complying with the Health Insurance Portability and Accountability Act (HIPAA).

 

How We May Use and Disclose Your PHI

1. Treatment

We may use your PHI to provide, coordinate, or manage your mental health care. This includes communication with other providers involved in your treatment.

2. Payment

We may use or disclose PHI to obtain payment for services, including insurance billing, prior authorizations, and eligibility verification.

3. Healthcare Operations

We may use PHI for administrative, quality improvement, training, and practice management purposes.

4. When Required by Law

We may disclose PHI when required by federal, state, or local law, including:

• Court orders

• Mandatory reporting (abuse, neglect, safety concerns)

• Public health requirements

5. With Your Written Authorization

Any use or disclosure not described in this Notice requires your written permission. You may revoke authorization at any time.

 

Your Rights Regarding Your PHI

1. Right to Access

You may request copies of your health records.

2. Right to Amend

You may request corrections to your records if you believe information is inaccurate.

3. Right to Request Restrictions

You may ask us to limit how your PHI is used or disclosed.

4. Right to Confidential Communications

You may request that we contact you in a specific way (e.g., phone, email).

5. Right to an Accounting of Disclosures

You may request a list of certain disclosures made without your authorization.

6. Right to a Paper Copy

You may request a paper copy of this Notice at any time.

 

Our Responsibilities

• Maintain the privacy of your PHI

• Provide you with this Notice

• Notify you if a breach occurs involving your PHI

• Follow the terms of this Notice

 

Contact for Questions or Complaints

Peace of Serenity Psychiatry LLC
1 Overlook Point, Suite 142
Lincolnshire, IL 60069
Email: info@thepeaceofserenity.com