HIPAA Notice

HIPAA Notice of Privacy Practices

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

Our Commitment to Your Privacy

Habilitation Institute, PLLC is required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice of our legal duties and privacy practices, and to notify affected individuals following a breach of unsecured PHI. We are required to abide by the terms of the notice currently in effect.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for treatment (coordinating your care among providers), payment (billing and collecting payment for services), and healthcare operations (quality assessment, training, and business management). We may also disclose limited information as required by law, for public health activities, health oversight, and in response to court orders or subpoenas.

Uses That Require Your Written Authorization

Uses and disclosures not described in this notice — including most uses of psychotherapy notes, use of your information for marketing purposes, and any sale of your health information — will be made only with your written authorization. You may revoke that authorization in writing at any time, except to the extent we have already relied on it.

Your Rights Regarding Your Health Information

You have the right to inspect and obtain a copy of your health record, request corrections to your record, request an accounting of certain disclosures, request restrictions on certain uses and disclosures, and obtain a paper copy of this notice upon request. If you pay for a service or item in full, out of pocket, you have the right to request that we not disclose information about that service or item to your health plan, and we are required to honor that request unless disclosure is otherwise required by law. You may also request confidential communications by an alternative means or location, and you have the right to be notified in the event of a breach of your unsecured PHI.

Fundraising Communications

We may contact you to raise funds for our organization. You have the right to opt out of receiving fundraising communications at any time by notifying our office in writing or by using the contact information below. Opting out will not affect your treatment or payment for services.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information, provide you with this notice of our legal duties and privacy practices, follow the terms of the notice currently in effect, and notify you if we are unable to agree to a requested restriction. 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 to make the revised notice effective for health information we already have as well as any information we receive in the future. The current notice is available upon request at our office and posted on this website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our organization and with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR). You will not be retaliated against for filing a complaint.

To file a complaint with us

Contact our Privacy Officer at (501) 850-6288 or Hi@HabilitationInstitute.com, or submit a written complaint to:

Habilitation Institute, PLLC
Privacy Officer
8619 Chicot Rd.
Little Rock, AR 72209

To file a complaint with the Office for Civil Rights

Phone: 1-800-368-1019
Mail: Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201
Online: www.hhs.gov/ocr/privacy/hipaa/complaints/

Contact Information

If you have questions about this notice or would like to exercise any of the rights described above, please contact our office using the information below.

Habilitation Institute, PLLC
Office Manager
8619 Chicot Rd.
Little Rock, AR 72209
Fax: (501) 850-6927

Phone: (501) 850-6288 | 8619 Chicot Rd. Little Rock, AR 72209 | Fax: (501) 850-6927