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.

Practice contact: ListenWell Behavioral Health, LLC, 1820 Jose Way, Murfreesboro, TN 37130. Privacy Officer: Donna Stephens. Phone: 615-487-3449. Email: donna.stephens@listenwellbehavioralhealth.com.

Your rights

• Get an electronic or paper copy of your medical record and other information in the designated record set, subject to lawful limits.
• Ask us to correct or amend health information you believe is inaccurate or incomplete.
• Ask us to contact you in a specific way or at a different address.
• Ask us to limit certain uses or disclosures. We are not required to agree to every request, but we will honor restrictions that the law requires.
• Request an accounting of certain disclosures of your health information.
• Get a paper copy of this notice at any time, even if you agreed to receive it electronically.
• Choose a person with valid legal authority to act for you.
• File a privacy complaint without retaliation.

Your choices

In certain situations, you may tell us your preferences about sharing information, including with family members, caregivers, or others involved in your care. If you are unable to tell us your preference, we may make disclosures permitted by law when they are in your best interest or needed to address a serious and imminent threat.
We generally need your written authorization for marketing uses, the sale of protected health information, and most uses or disclosures of separately maintained psychotherapy notes. You may revoke an authorization in writing except to the extent we have already acted on it or another law permits the use or disclosure.

How we may use and disclose your information

• Treatment. We may use and share information to provide psychotherapy, coordinate care, and communicate with other treating professionals when permitted.
• Health care operations. We may use information to operate the practice, improve quality, conduct compliance activities, train authorized personnel, manage complaints, secure systems, and support continuity of care.
• Payment. We may use and share information to bill health plans, process claims, verify coverage, and obtain payment.
• Public health and safety. We may make disclosures permitted or required for public health activities, serious threats to health or safety, or reporting suspected abuse, neglect, self-neglect, or exploitation.
• Health oversight and law. We may disclose information when required by federal or state law, to authorized health oversight agencies, or to HHS to demonstrate compliance with privacy law.
• Legal proceedings and law enforcement. We may respond to lawful court orders, subpoenas, warrants, or other legal process only as permitted by applicable law and privacy protections.
• Coroners, medical examiners, and funeral directors. We may disclose information when permitted or required after a death.
• Workers’ compensation and other government functions. We may make disclosures when authorized by applicable law.
• Research. We may use or disclose health information for research only when the requirements of applicable privacy law are met.

Mental health records, psychotherapy notes, and Tennessee law

Mental health information may receive additional protection under federal law, Tennessee law, and professional privilege rules. Certain confidential communications with mental health professionals are privileged in many legal proceedings. When Tennessee law or another applicable law provides greater privacy protection than HIPAA, ListenWell follows the more protective requirement.
Psychotherapy notes that are maintained separately from the medical record receive special protection. Most uses or disclosures of those notes require a specific written authorization unless a limited legal exception applies.

Substance use disorder records

To the extent ListenWell creates, receives, or maintains substance use disorder patient records that are subject to 42 CFR Part 2, those records receive additional confidentiality protections. Part 2 records generally may not be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against you without your written consent or the specific legal process required by Part 2.

Our responsibilities

• We are required by law to maintain the privacy and security of protected health information.
• We must provide you with this notice and follow the privacy practices described in the notice currently in effect.
• We will notify affected individuals after a breach when notification is required by law.
• We will not use or disclose your information in a way that is not described in this notice unless you authorize it in writing or another law permits or requires it.
• We apply reasonable safeguards and limit access to those who need information for an authorized purpose.

Changes to this notice

We may change the terms of this notice. A revised notice may apply to information we already have as well as information we receive in the future. The current notice will be available on our website and upon request.

Questions or complaints
You may contact Donna Stephens, Privacy Officer, at 615-487-3449, donna.stephens@listenwellbehavioralhealth.com, or 1820 Jose Way, Murfreesboro, TN 37130. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. ListenWell will not retaliate against you for filing a complaint.

HHS complaint information: HHS Office for Civil Rights complaint portal