Pine Psychiatric Care Services Privacy Notice

Introduction

Pine Psychiatric Care Services LLC (“PinePsych”) is committed to protecting your privacy and ensuring that your personal information is processed in a safe and responsible manner. This Privacy Notice explains how we collect, use, disclose, and protect (process) your information when you visit our clinic or use our services.

Information We Collect

We collect various types of information in connection with the services we provide, including:

1. Personal Information:
   • Name, address, phone number, email address, date of birth, and emergency contact information.
2. Health Information:
   • Medical history, treatment plans, diagnoses, progress notes, medications, and any other health-related information necessary for your care.
3. Payment Information:
   • Insurance details, billing address, credit card information, and other payment-related information.
4. Appointment Information:
   • Appointment dates, times, and related communications.

How We Use Your Information

We use the information we collect for the following purposes:

1. Provision of Services:
   • To provide mental health services, including diagnosis, treatment, and follow-up care.
2. Administration:
   • To manage your healthcare and appointments, including reminders and notifications.
3. Billing and Payments:
   • To process payments for services and communicate with insurance Companies.
4. Legal and Regulatory Compliance:
   • To comply with legal, regulatory, and accreditation requirements.
5. Communication:
   • To communicate with you regarding your treatment and our services, including sending newsletters and updates with your consent.

Disclosure of Your Information

We may disclose your information under the following circumstances:

1. To Healthcare Providers:
   • To other healthcare professionals involved in your care, such as specialists, pharmacists, and laboratories with your consent.
2. To Insurance Companies:
   • For the purpose of processing claims and obtaining payment for our services.
3. Legal Requirements:
   • When required by law, such as in response to a subpoena, court order, or other legal process.
4. To Protect Health and Safety:
   • When necessary to prevent a serious threat to your health and safety or the health and safety of others.
5. With Your Consent:
   • To third parties if you have provided consent.

Protecting Your Information

We implement various security measures to protect your information, including:

1. Physical Security:
   • Secure access to our facilities and storage areas.
2. Electronic Security:
   • Use of encryption, firewalls, and secure access protocols to protect electronic records.
3. Administrative Security:
   • Staff training on privacy and confidentiality, and policies to limit access to your information to authorized personnel only.

Your Rights

You have certain rights regarding your personal information, including:

1. Access:
   • The right to access and obtain a copy of your health records.
2. Correction:
   • The right to request corrections to your personal and health information.
3. Restriction:
   • The right to request restrictions on how we use or disclose your information.
4. Confidential Communication:
   • The right to request that we communicate with you in a specific way or at a certain location.
5. Complaints:
   • The right to file a complaint if you believe your privacy rights have been violated.

Contact Us

If you have any questions about this Privacy Notice or our privacy practices, please contact us at:

privacy@pinepsychcs.com
1-888-694-0606

Changes to This Privacy Notice

• We may update this Privacy Notice from time to time. A new Notice will be available on our website and upon request in our office.