NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU AND YOUR CARE MAY BE USED AND DISCLOSED—AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT WITH CARE AND CURIOSITY.
Your healing is personal—and your privacy matters. We are entrusted with sensitive information about your life, and we hold that responsibility with care. This notice outlines how your health information may be used, how it is protected, and the rights you have under the Health Insurance Portability and Accountability Act (HIPAA) and 42 CFR Part 2, which provides additional protections for care involving substance use.
Please also honor the privacy of others you may encounter through our offerings.
HOW YOUR INFORMATION IS HELD AND PROTECTED
We maintain a confidential electronic health record for each client. While the record is owned by the organization, the story it holds belongs to you. Under HIPAA and 42 CFR Part 2, your information may only be used or disclosed as permitted by law or with your written authorization.
If your care involves substance use or co-occurring disorders, your information receives additional protection under 42 CFR Part 2. This includes your diagnosis, treatment, and identity. We cannot release this information without your written consent, except in very limited circumstances.
Your consent must specify what information is shared, with whom, for what purpose, and for how long. You may revoke it at any time, verbally or in writing.
USES AND DISCLOSURES WITH YOUR WRITTEN CONSENT
With your permission, we may:
- Coordinate care with other medical or holistic providers
- Communicate with your insurance carrier or other payers
- Contact a family member or support person for treatment-related or emergency needs
Your information will not be shared for these purposes without your consent.
USES AND DISCLOSURES WITHOUT CONSENT
There are rare situations in which information may be disclosed without your written permission, including:
- Internal coordination for your care or administrative operations
- With contracted service providers who safeguard your information
- To auditors, licensing boards, or researchers under strict confidentiality rules
- In a medical emergency when necessary to preserve life
- To report a serious crime on-site or against staff
- When mandated by law (e.g., child abuse reporting, death reporting)
- By valid court order meeting legal criteria under 42 CFR Part 2
You may also be contacted for scheduling, appointment reminders, or updates about services.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to:
- Receive a paper copy of this notice at any time
- Request access to your record or ask that it be shared with another provider
- Request amendments to your record if something is incorrect
- Request restrictions on certain uses or disclosures (though we are not required to agree)
- Request a list of disclosures made without your consent, where applicable
- Choose how and where you prefer to receive communications
All requests must be made in writing. A reasonable fee may apply for copies or special handling.
CHANGES TO THIS NOTICE
This notice may be updated periodically. Any changes will apply to all records maintained, past and present. The most current version will always be made available to you.
QUESTIONS OR CONCERNS
If you have questions about your privacy rights or wish to raise a concern, please reach out:
Sacred Psyche
60 Leo Birmingham Parkway, Suite 2
Brighton, MA 02135
admin@sacredpsyche.com
You may also contact:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, SW, Room 509F
HHH Building, Washington, DC 20201
You will not face retaliation or penalties for filing a complaint.