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PRIVACY NOTICE Rev. 04/20

 

What information do we collect?

We collect information from you when you pay your bill, subscribe to a newsletter, respond to a survey or fill out a form.

When completing forms on our site, as appropriate, you may be asked to enter your: name, e-mail address, mailing address or phone number. You may, however, visit our site anonymously.

Do we use cookies?

Yes (Cookies are small files that a site or its service provider transfers to your computers hard drive through your Web browser (if you allow) that enables the sites or service providers systems to recognize your browser and capture and remember certain information

We use cookies to compile aggregate data about site traffic and site interaction so that we can offer better site experiences and tools in the future.

Do we disclose any information to outside parties?

We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. This does not include trusted third parties who assist us in operating our website, conducting our business, or servicing you, so long as those parties agree to keep this information confidential. We may also release your information when we believe release is appropriate to comply with the law, enforce our site policies, or protect ours or others rights, property, or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses.

Third party links

Occasionally, at our discretion, we may include or offer third party products or services on our website. These third party sites have separate and independent privacy policies. We therefore have no responsibility or liability for the content and activities of these linked sites. Nonetheless, we seek to protect the integrity of our site and welcome any feedback about these sites.

California Online Privacy Protection Act Compliance

Because we value your privacy we have taken the necessary precautions to be in compliance with the California Online Privacy Protection Act. We therefore will not distribute your personal information to outside parties without your consent.

Childrens Online Privacy Protection Act Compliance

We are in compliance with the requirements of COPPA (Childrens Online Privacy Protection Act), we do not collect any information from anyone under 13 years of age. Our website, products and services are all directed to people who are at least 13 years old or older.

Your Consent

By using our site, you consent to our privacy policy.

Protected Health Information

At Tracy Green Life Coach, protected health information (PHI) is handled responsibly.  Below are the procedures utilized to safeguard PHI, the circumstances under which your personal health information may be disclosed, and your rights as they relate to this information.  The rules for confidentiality of mental health records are recorded in the privacy rules of the Health Insurance Portability and Accountability Act (HIPAA). It is in your best interests to review these provisions in order to fully understand TGLC procedures and your rights.

We strive to protect your personal health information (PHI).

At Tracy Green Life Coach, every effort is made to keep your PHI private.  If you have any questions or concerns about your privacy, please address them with your coach.

 

Your Rights

You are entitled to copy or review your mental health records.

You have the right to ask to see or get a copy of your mental health record. TGLC will provide a copy or a summary of your mental health information, usually within 30 days of your request.  A reasonable, cost-based fee may be assessed.  You can ask TGLC to correct health information about you that you think is incorrect or incomplete.  TGLC may say “no” to your request, but you will be given a reason why in writing within 60 days.

You can request confidential communications.

You have the right to ask TGLC to contact you in a specific way (for example, home or office phone) or to send mail to a different address.

You can request limitations on information sharing.

You have the right to ask TGLC not to use or share certain information for treatment, payment, or mental health care operations.  TGLC is not required to agree with your request and might say “no” if it would affect your care.  If you pay for counseling services out-of-pocket in full, you can ask TGLC not to share that information for the purpose of payment or or our operations with your insurance company.  TGLC will say “yes” unless a law requires the information to be shared.

You can request a list of those with whom TGLC has shared information.

You have the right to ask for a list (accounting) of the times TGLC has shared your mental health information for up to six years prior to the date you ask, who it has been shared with, and why.  TGLC will provide one accounting per year year for free, but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

You can obtain a copy of this privacy notice.  You can choose someone to act for you.

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your mental health information.  TGLC will ensure the person has this authority and can act for you before taking any action.

You can file a complaint if you feel your rights are violated.

You can complain if you feel TGLC has violated your rights by contacting the office via the contact information listed on the website.  You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visitingwww.hhs.gov/ocr/privacy/hipaa/complaints/.  TGLC will not retaliate against you for filing a complaint.

 

Your Choices

For certain information, you can tell TGLC your choices about what to share.

If you have a clear preference for how your information is shared in the situations described below, let TGLC know and your instructions will be followed.  Please note: TGLC does not use your PHI for marketing purposes and does not sell it.

In these cases, you have both the right and choice to tell TGLC to: 1) share information with your family, close friends, or others involved in your care; 2) share information in a disaster relief situation.

If you are unable to tell TGLC your preference, for example if unconscious, TGLC may share your information if it is in your best interests.  TGLC may also share your information when needed to lessen a serious and imminent threat to health or safety.

 

Other Uses and Disclosures

TGLC typically uses or shares your mental health information in the following ways:

1) Providing treatment: TGLC can use your mental health information and share it with other professionals who are treating you.

Example: A doctor treating you asks another doctor about your overall mental health condition.

2) Running this organization: TGLC can use and share your mental health information to run this practice, improve your care, and contact you when necessary.  Example: TGLC uses information about you to manage your treatment and services.

TGLC is also allowed or required to share your information in the following ways:

TGLC may use your information in ways that contribute to the public good, such as public health and research.  Many conditions in the law have to be met before your information can be shared for these purposes.

For more information, see:www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

  1. Help with public health and safety issues: TGLC can share health information about your for certain situations such as preventing disease, help with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence, and preventing or reducing a serious threat to anyone’s health or safety.

  2. Comply with the law: TGLC will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that TGLC is complying with federal privacy law.

  3. Address workers’ compensation, law enforcement, and other governmental requests: TGLC can use or share mental health information about you for workers’ compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security, and presidential protective services.

  4. Respond to lawsuits and legal actions: TGLC can share mental health information about you in response to a court or administrative order, or in response to a subpoena.

The following individuals can access a mental health record without written authorization.

1) An adult recipient of services.

Our Responsibilities

TGLC is required by law to maintain the privacy and security of your PHI.  You will be informed promptly if a breach occurs that may have compromised the privacy or security of your information.  TGLC is obligated to follow the duties and privacy practices described in this notice and provide you a copy of it.  TGLC will not use or share your information other than as described here unless you provide consent in writing.  Once you have provided consent, you may change your mind at any time.  Let TGLC know in writing if you change your mind.

For more information see: www. hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice

TGLC reserves the right to change the terms of its Privacy Policy and to make the new Privacy provisions effective for all PHI that it maintains.  The new policy will be available upon request, in the office, and on the TGLC web site.

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