
Your trusted resource for mental health services
Privacy Policy
This Notice Describes How Your Health Information May Be Used and Shared
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This notice explains how Underdog Alchemy LLC may use and disclose your protected health information (PHI), and your rights regarding that information. Please review it carefully.
How We May Use and Share Your Information
We may use or share your health information for the following purposes:
Treatment
To provide, coordinate, or manage your healthcare. This may include communication with pharmacies, laboratories, hospitals, primary care providers, therapists, or other healthcare professionals involved in your care.
Payment
To bill and receive payment for services provided. This may include sharing information with insurance companies or other third parties responsible for payment.
Healthcare Operations
To operate and improve the practice. This may include quality review, licensing, training, compliance activities, and business management.
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Other Situations Where We May Share Information
We may share health information when required or permitted by law, including:
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Suspected child abuse
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Suspected elder or vulnerable adult abuse
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Serious threat to your health or safety or the safety of others
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Court orders or legal proceedings
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Public health reporting requirements
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We may also share relevant information in a medical or psychiatric emergency to protect your safety.
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Use of Electronic Systems
Underdog Alchemy LLC uses secure electronic systems to maintain medical records.
This may include electronic health records and HIPAA-compliant documentation tools. We require business associate agreements with technology vendors to protect your information. No recording of sessions will occur without your knowledge.
Your Rights
You have the right to:
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Access and receive a copy of your medical record (with limited exceptions)
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Request corrections to your record
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Request limits on certain uses or disclosures (though not all requests must be granted)
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Request confidential communications (such as contact at a specific phone number)
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Receive a list of certain disclosures of your information
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Receive a paper copy of this Notice
To exercise any of these rights, contact Underdog Alchemy LLC using the contact information above.
Our Responsibilities
Underdog Alchemy LLC is required by law to:
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Maintain the privacy and security of your health information
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Provide you with this Notice
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Follow the terms of the Notice currently in effect
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Notify you if a breach of your unsecured health information occurs
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We reserve the right to update this Notice.
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Updated versions will be posted on our website and available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Underdog Alchemy LLC
Misha Love, PMHNP
Phone:
Email: Underdog.Alchemy@gmail.com
You may also file a complaint with the U.S. Department of Health and Human Services.
Filing a complaint will not affect your care.ur privacy rights have been violated, you may file a complaint with:
Underdog Alchemy LLC
Misha Love, PMHNP
(Phone / Email)
You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Underdog Alchemy LLC
Misha Love, PMHNP
(Phone / Email)
You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care.