HIPAA Agreement

Notice of Privacy Practices

MindSpa, LLC is required to abide by the terms of this Notice of Privacy Practices and the laws that protect the privacy and confidentiality of health and care information. We will not share your protected health information without your consent, except as outlined below.

Notice of Privacy Practices, HIPAA Data Use Agreement

This Notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review it carefully.

Permitted Disclosures

Treatment

Our staff and providers may access your health information to deliver care. We may consult with other healthcare professionals involved in your treatment to ensure you receive coordinated, high-quality care.

Healthcare Operations

Internal staff and business associates may use your information for scheduling, licensing, quality improvement, training, and similar administrative functions. These parties operate under written contracts that require them to maintain the confidentiality of your information.

Billing

Our billing staff and your insurance company may review your information to determine eligibility and approve or process services and payments on your behalf.

Legal & Public Health Requirements

Your information may be disclosed if required by law, including when we receive a valid subpoena, when reporting to public health authorities, or when disclosure is necessary for law enforcement purposes due to a safety concern.

Other Uses

All other uses and disclosures of your healthcare information require your written authorization. You have the right to revoke an authorization at any time.

Your Patient Rights

You have the following rights regarding your protected health information:

  1. Access your records: Request electronic or paper copies of your medical records, typically provided within 30 days (fees may apply).
  2. Request amendments: Ask to have inaccuracies in your records corrected; we will provide a written explanation if denied.
  3. Confidential communications: Request that we contact you only through specific means (e.g., by phone only, not email).
  4. Restrict disclosures: Request restrictions on how your information is used or shared, though we are not always legally required to agree.
  5. Disclosure accounting: Receive a list of disclosures we have made of your health information over the past six years.
  6. Copy of this notice: Obtain a paper or electronic copy of this Notice of Privacy Practices at any time.
  7. Designate a representative: Appoint an authorized representative (such as a medical power of attorney or legal guardian) to act on your behalf.
  8. File a complaint: File a complaint with MindSpa or the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. You will not be penalized for filing a complaint.

Consent and Acknowledgment

By using MindSpa's services, you acknowledge that you have been provided this Notice of Privacy Practices, you understand the terms described herein, and you consent to the uses of your health information as outlined in this notice.

Please be aware that certain circumstances limit confidentiality, including statements indicating harm to yourself or others, criminal activity on our premises, and court-ordered subpoenas requiring disclosure.

Contact Information

Questions about this notice or your privacy rights may be directed to:

MindSpa Psychiatry & Therapy
Privacy Officer
3469 W Boynton Beach Blvd, Suite 18
Boynton Beach, FL 33436
561-576-9404