Draft for legal review, effective date to be set at counsel sign-off
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 Commitment
My Limitless Journeys is required by law to maintain the privacy of your protected health information (PHI), provide this notice of our legal duties and privacy practices, and abide by its terms. As a substance use disorder treatment provider, certain records are additionally protected under 42 CFR Part 2, which imposes stricter confidentiality requirements than HIPAA alone, in most circumstances, we may not disclose even the fact of your enrollment without your written consent.
How We May Use Your Information
With your consent or as permitted by law: for treatment (coordinating care across our clinical team and, with your authorization, with outside providers you designate), for payment (verifying benefits and billing your insurer at your request), and for health care operations (quality and safety activities). Uses beyond these generally require your written authorization, which you may revoke at any time.
Your Rights
You have the right to inspect and obtain a copy of your health records, request corrections, request restrictions on certain uses and disclosures, request confidential communications, receive an accounting of disclosures, and receive a paper copy of this notice. To exercise any of these rights, contact our Privacy Officer.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against for filing a complaint.
Contact
Privacy Officer · My Limitless Journeys · info@mylimitlessjourneys.com · (866) 209-4246 · Encino, California.