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Notice of Privacy Practices

Last updated: June 2025

 

This Notice explains how your protected health information (PHI) may be used and disclosed and how you can access your information. Please read carefully.

 

Your Rights

 

You have the right to:

•Access your medical record

•Request corrections

•Receive confidential communications

•Request limits on sharing

•Receive a list of disclosures

•File a privacy complaint without fear of retaliation

 

Our Responsibilities

 

We are legally required to:

•Keep your health information private and secure•Inform you of our privacy practices

•Notify you of a breach of unsecured PHI

•Use or share your information only as described in this Notice or with your written permission

 

How We Use and Share PHI

We may share your information:

•For treatment – with other healthcare professionals involved in your care

•For payment – to process billing or insurance

•For healthcare operations – to improve services or conduct quality assessments

•As required by law – for public health, safety, or legal requirements

 

When Authorization is Required

 

We will not share your PHI:

•For marketing or fundraising

•For the sale of your information

•For sharing psychotherapy notes, unless you give written permission

 

Concerns or Questions

 

To ask questions or file a complaint, contact:

📧 hello@brainandbloom.com

📞 314.997.5208

 

You may also file a complaint with the U.S. Department of Health and Human Services at www.hhs.gov/hipaa

 

We will not retaliate for filing a complaint.

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