Local (318) 345-8200; Toll-free
(877) 345-7411
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 practice is dedicated to maintaining the privacy of your personal health information as part of providing professional care. We also are required by law to keep your information private. These laws are complicated, but we must give you this important information. This pamphlet is a shorter version of the full, legally required NPP and you may have a copy of this to read and refer to it for more information. However, we can’t cover all possible situations so please talk to our Privacy Officer (see the end of this pamphlet) about any questions or problems.
We will use the information about your health which we get from you or from others mainly to provide you with treatment, to arrange payment for our services, and for some other business activities which are called, in the law, health care operations. After you read this NPP we will ask you to sign a Consent Form to let us use and share your information. If you do not consent and sign this form, we cannot treat you.
If we or you want to use or disclose (send, share, release) your information for any other purposes we will discuss this with you and ask you to sign an Authorization form to allow this.
Of course we will keep your health information private but there are some times when the laws require us to use or share it. For example:
1. If you threaten grave bodily harm or death to another person, we are required to inform the intended victim and appropriate law enforcement agencies.
2. If you report to us your knowledge of the continuing physical or sexual abuse of a minor child by an adult, we are required to inform the appropriate child welfare agency which may decide to investigate the matter. The elderly and dependant adults are covered under this type of disclosure as well.
3. Your safety always takes precedence over confidentiality. In the event you become unable to care for yourself or there is good reason to suspect suicidal behavior, I am able to waive the right of confidentiality in order to help insure your safety.
As part of the therapy experience sessions are subject to videotaping and/or live supervision by the clinical supervisor. Pursuant to Louisiana Law, all tapes and information will be held in the strictest confidence and will be used only for the purposes of supervision and consultation. Tapes are erased after your client file has been closed and are not a part of the permanent record kept of the sessions. If you have any questions, please ask your counselor.
It is the policy of the Granberry Counseling Centers to close all cases that are inactive for 30 days. If you desire further assistance from Granberry Counseling Centers after your file has been closed, you will need to be received as a new client.
If you have any questions regarding this notice or our health
information privacy policies, please contact our Privacy Officer who is Dr.
Also, you may have other rights which are granted to you by the laws of our state and these may be the same or different from the rights described above. We will be happy to discuss these situations with you now or as they arise.