Privacy Practices

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This notice describes how medical information about you, as a Brain Wave Center™client, may be used and disclosed and how you can get access to this information. Please review it carefully. If you have any questions, please contact our HIPAA Privacy Office at the address or phone number located at the conclusion of this policy notice. This Notice is in accordance with the Health Insurance Portability & Accountability Act – HIPAA.

Who This Notice Applies To

This Notice describes Practices of all Brain Wave Center workforce members including:

Any health care professional or support personnel authorized to enter information into or consult your medical record.
All employees, physicians, or guests of The Brain Wave Center.

Our Pledge to You

We understand that medical information about you is personal. We are committed to protecting your medical information. We create a record of care, as well as maintain your comprehensive health files to provide quality services. This notice applies to all records created at TheBrain Wave Center and all records we store and maintain on your behalf. We are required by law to:

Keep medical information about you private.
Give you notice of our legal duties and privacy practices with respect to medical information about you.
Follow the terms of the notice that is currently in effect.

Use and Disclosure of Health Information

The Brain Wave Center may use your health information, that is, information that constitutes protected health information as defined in the Privacy Rule of the Administrative Simplification provision of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), for internal purposes of coordinating your care or making recommendations, as well as conducting health care operations. The Brain Wave Center has established a policy to guard against unnecessary disclosure of your health information. However, outside disclosures will be made only with your written authorization.Examples of disclosures that require your written authorization include, but are not limited to:

Consulting medical professionals, whether recommended by a Brain Wave Center Medical Professional, or upon your direction or request.
Your treating medical professionals
Insurers or third-party payers
Legal counsel
Vendors or suppliers of products
Individuals or persons at your request or direction

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Examples of internal use that will not require specific authorization include, but are not limited to:

Confidential discussions between The Brain Wave Center’s workforce members for purposes of furthering your wellness.
Internal use of your health information by The Brain Wave Center’s workforce members, whether obtained directly from you, or via an authorization executed by you, to determine your needs including appropriateness of referrals, consultation, services and/or products.
To make and confirm appointments on your behalf.
Internal operations such as quality assessment and improvement activities, clinical protocol development, healthcare professional competence or qualification review and business operations such as internal grievance review and customer service and satisfaction activities.
When it is required to do so by any federal, state or local law.
During the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process, but only when The Brain Wave Center makes reasonable efforts to either notify you about the request or to obtain an order protecting your health information.
As permitted or required by state law, The Brain Wave Center may disclose your health information to a law enforcement official for certain law enforcement purposes, including, but not limited to, if there is suspicion that your death or condition was the result of criminal conduct or in an emergency to report a crime.
To emergency disaster relief authorities, so your family can be notified of your location and condition.

Your Right to Access or Amend Your Records

You have a right to inspect and receive copies of any records containing your medical information. Any records created by The Brain Wave Center will be provided to you upon your request.
You have a right to request restrictions on certain uses and disclosures of your health information. We will consider all requests, once submitted in writing to the Privacy Officer. You may complete the “Request For Restrictions on Uses and Disclosures of Personal Health Information” form available from the Privacy Office at The Brain Wave Center, as listed at the conclusion of this policy notice.
You have a right to receive confidential communications. For example, you may wish to limit contact to a specific phone number, address or email address. You may complete the “Request for Alternate Communications” form available from the Privacy Office at The Brain Wave Center, as listed at the conclusion of this policy notice.
You have a right to request an amendment to your health information. You may request this, if you feel there is an error in your records. You may complete the “Request for Amendment of Health Information.” This form can be requested from the Privacy Office. at The Brain Wave Center as listed at the conclusion of this policy notice. If such record was created by The Brain Wave Center, we will provide you with such amendment, or an explanation if the information was accurate and cannot be amended. If your request pertains to records that were not created by The Brain Wave Center, we will assist you in pursuing such amendment through the appropriate health care provider or facility.
You have a right to an accounting of disclosures of your health information.The Brain Wave Center maintains a log of disclosures of your medical records. If you would like an accounting, please contact the Privacy Office at The Brain Wave Center as listed at the conclusion of this policy notice for a “Request for Accounting of Disclosures of Protected Health Information.”
You have a right to a paper copy of this notice. Please contact the Privacy Office at The Brain Wave Center as listed at the conclusion of this policy notice to request a copy of this notice.

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