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HIPAA Notice of Privacy Practices

Effective Date: December 2024

Our Commitment to Your Privacy

iHope Behavioral Health LLC is committed to protecting the privacy of your health information. We are required by law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of this Notice currently in effect.

How We May Use and Disclose Your Health Information

For Treatment

We may use your health information to provide, coordinate, or manage your mental health care. For example, we may share information with other healthcare providers involved in your care.

For Payment

We may use and disclose your health information for billing and payment purposes. This includes sending claims to your insurance company and providing them with information about services rendered.

For Healthcare Operations

We may use your health information to support our business activities, including quality improvement, staff training, and administrative purposes.

As Required by Law

We will disclose your health information when required to do so by federal, state, or local law.

To Avert Serious Threat to Health or Safety

We may use and disclose your health information when necessary to prevent a serious threat to your health and safety or that of others.

Uses and Disclosures Requiring Your Authorization

Except as described above, we will not use or disclose your health information without your written authorization. Specifically, we must obtain your authorization for:

• Psychotherapy notes (with limited exceptions)
• Marketing purposes
• Sale of your health information
• Other uses and disclosures not described in this notice

You may revoke your authorization at any time in writing, except to the extent we have already acted in reliance on it.

Your Rights Regarding Your Health Information

Right to Access

You have the right to inspect and obtain a copy of your health information. We may charge a reasonable fee for copies.

Right to Amend

You have the right to request an amendment to your health information if you believe it is incorrect or incomplete.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your health information.

Right to Request Restrictions

You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations.

Right to Request Confidential Communications

You have the right to request that we communicate with you in a specific way or at a specific location.

Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this Notice upon request.

Our Duties

• We are required by law to maintain the privacy and security of your PHI
• We will notify you promptly if a breach occurs that may have compromised your PHI
• We must follow the duties and privacy practices described in this Notice
• We will not use or share your information other than as described here unless you tell us we can in writing

Changes to This Notice

We reserve the right to change this Notice and make the new provisions effective for all PHI we maintain. If we make material changes, we will post the revised Notice on our website and make copies available upon request.

Complaints

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

Contact Information

For questions about this Notice or to exercise your rights, please contact:

iHope Behavioral Health LLC
Privacy Officer: Joy Odinammadu, CRNP-PMH
Phone: 667-352-6642
Email: ihopebehavioralhealth@gmail.com
Address: 6400 Baltimore National Pike, Suite 170A, Catonsville, MD 21228

To file a complaint with the U.S. Department of Health and Human Services:

Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr