The following categories describe different ways that the Trauma Therapy Center, West Palm Beach therapists may use and disclose clinical information without your specific consent or authorization. Examples are provided for each category of uses or disclosures. Not all possible uses or disclosures are listed.
For treatment: Therapy is confidential. Your information will not be shared unless you sign a Release of Information for a specific person and specify which information you wish to be shared. Your therapist is only mandated to report information if you disclose an imminent threat to harm yourself or others. Please note that we may share limited information about your progress with your other healthcare providers, such as your doctor or psychiatrist, if you give us your written consent to do so. This information would only be shared for the purpose of coordinating your care and ensuring that you are receiving the best possible treatment. We will not disclose your progress notes to anyone, including family members, friends, or insurance companies, without your written consent.
For payment: We may use and disclose clinical information about you so that the treatment and services you receive from us may be billed and payment may be collected from your insurance, third party or you. Example: We may need to send your protected health information, such as your name, address, office visit date, and codes identifying your diagnosis and treatment to your insurance company for payment.
For legal issues: Your progress notes, which are detailed records of your therapy sessions, are considered highly confidential. The only exception to this rule is if we are legally mandated to do so by a court order or subpoena. In the event that we are subpoenaed to release your progress notes, we will make every effort to notify you in advance and to protect your privacy.
We are committed to protecting the confidentiality of your progress notes and to ensuring that your privacy is respected.
We May Contact You
We may contact you to provide appointment reminders, information about treatment alternatives, or other mental health-related benefits and services that may be of interest to you.
Protected Health Information (PHI)
I understand that, under The Health Insurance Portability Accountability Act of 1996, I have certain rights to privacy in regard to my protected health information (PHI). I have received, read, and understood The Notice of Privacy Practices.
I understand that I am formally giving consent to the practice to receive pharmacy and medication information that will be received from any and all outside pharmacies, hospitals, or other healthcare institutions. This information may be received electronically via electronic medical record or in writing.
Our practice reserves the right to change the terms of the Notice of Privacy Practices. I understand the practice will provide me with a copy of its Notice of Privacy Practices on request.