HIPAA Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

As a patient of Core Horizon Behavioral Health, we recognize that you value your health information and want to keep it private and confidential. It is our commitment to provide you with compassionate, personalized psychiatry and behavioral health care services while keeping your health information secure and confidential.

This document provides information about the uses and disclosures we may make of your protected health information (PHI), your rights with respect to your health information, and our obligations under the Health Insurance Portability and Accountability Act (HIPAA).

Your Rights Regarding Your Health Information

You have the following rights regarding your protected health information:

Right to Access Your Health Records

You are entitled to inspect and obtain copies of your health records held at Core Horizon Behavioral Health. We may need you to make a written request and may impose a nominal fee, as allowed by the law.

Right to Request Corrections

If you have concerns about the accuracy of information contained in your medical record, you may ask us to amend the information or add any missing information. We will take action according to relevant legislation.

Right to Request Confidential Communications

You can ask us to communicate with you in a particular manner or at a particular address. For instance, you can ask us to communicate with you by telephone, e-mail or other preferred means.

Right to Request Restrictions

You can ask for restrictions on the uses and disclosures of your protected health information regarding treatment, payment, and healthcare operations. However, even if we respect your request, we may not be obligated to grant it.

Right to Receive an Accounting of Disclosures

You have the right to ask for a list of some of our disclosures of your protected health information, except for those made for purposes of treatment, payment, health care operations, or any other lawful exception.

Right to Receive a Copy of This Notice

You may request a paper or electronic copy of this Notice of Privacy Practices at any time.

How We May Use and Disclose Your Health Information

Core Horizon Behavioral Health may use or disclose your protected health information for the following purposes:

Treatment

We may use and share your health information to provide, coordinate, and manage your psychiatric and behavioral health care.

Examples include:

• Evaluating mental health concerns
• Providing psychiatric assessments
• Managing medications
• Providing psychotherapy services
• Coordinating care with other healthcare providers involved in your treatment

Payment

We may use and disclose health information to obtain payment for services provided.

Examples include:

• Processing insurance claims
• Verifying insurance coverage
• Billing and payment-related activities

Healthcare Operations

We may use and disclose information for healthcare operations that help us provide quality services.

Examples include:

• Quality improvement activities
• Provider training
• Administrative functions
• Compliance reviews

Other Uses and Disclosures Permitted or Required by Law

Core Horizon Behavioral Health may disclose health information when permitted or required by law, including:

Public Health Activities

Information may be shared for public health purposes when required by law.

Reporting Abuse or Neglect

Information may be disclosed when required to report suspected abuse, neglect, or domestic violence.

Health Oversight Activities

Information may be shared with government agencies responsible for healthcare oversight and compliance.

Legal Requirements

Information may be disclosed in response to court orders, legal proceedings, or other lawful requests.

Serious Threats to Health or Safety

Information may be disclosed when necessary to prevent a serious threat to the health or safety of a person or the public.

Behavioral Health and Mental Health Information Privacy

Because mental health information is especially sensitive, Core Horizon Behavioral Health takes additional care to protect the confidentiality of psychiatric evaluations, therapy records, diagnoses, treatment plans, and medication management information.

We only share behavioral health information when appropriate, permitted, or required by law, or when you provide written authorization.

Telepsychiatry Privacy Practices

We provide secure telepsychiatry services to improve access to mental health care throughout Georgia.

To help protect your privacy during virtual appointments, we recommend:

• Participating from a private and secure location
• Using a personal device whenever possible
• Protecting your appointment links and login information
• Avoiding public locations for confidential discussions

We use appropriate safeguards to protect electronic health information; however, no technology system can guarantee complete security.

Uses Requiring Your Authorization

You may revoke your authorization at any time in writing, except where action has already been taken based on your authorization. Certain uses and disclosures of your health information require your written authorization, including:

• Most uses and disclosures of psychotherapy notes
• Certain marketing communications
• Other uses or disclosures not described in this notice

Our Responsibilities

Core Horizon Behavioral Health is required to:

• Maintain the privacy and security of your health information
• Provide this notice explaining our legal duties and privacy practices
• Follow the terms of the current Notice of Privacy Practices
• Notify you if a breach occurs that may compromise the privacy or security of your health information
• Not use or disclose your information except as described in this notice or as allowed by law

Changes to This Notice

We may update this Notice of Privacy Practices from time to time. Any changes will apply to all health information maintained by our practice.

The updated notice will be available on our website and upon request.

Questions or Complaints

If you have questions about this Notice of Privacy Practices or believe your privacy rights have been violated, please contact:

Core Horizon Behavioral Health

Business Number: 678-804-7183

Business Fax: 678-692-7340

Email: info@corehorizonbh.com

Address: 4300 Paces Ferry Road Atlanta, Ga 30339

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.

Acknowledgment of Receipt

You may be asked to acknowledge that you have received this Notice of Privacy Practices. Your acknowledgment does not affect your right to receive treatment or your privacy rights.

Core Horizon Behavioral Health is committed to protecting your privacy while providing compassionate, ethical, and patient-centered psychiatric and behavioral health care.