Notice of Privacy Practices/NPP
We are committed to the right to privacy for our patients and website visitors. When a person visits our web site we may collect and track data from our site’s server. This information helps us to improve upon the content provided on our site. Information collected may include how long you spend on our site, the pages you visit, your browser and operating system types and the name of your Internet service provider.
Our web site provides the capability to request information online. To process your request, we may require that you provide us with personal identifying information. All information collected is held in complete confidence. It is our policy not to share the information with third parties for any reason, unless legally required to do so or as necessary to process your requests.
If you have any questions about our privacy policy or our use of information gathered through our web site, please contact us.
Notice of Health Information Privacy Practices
This Notice of Health Information Privacy Practices or “Notice” describes how Foresight Mental Health
may use and disclose your health information and how you can access this information. In this Notice,
we use terms like “we,” “us” or “our” or “Foresight Mental Health” to refer to Foresight Mental Health,
PLLC, and its affiliates. Please review this Notice carefully.
How and Why We Protect Your Privacy
We understand that information about you and your health is personal. By “health information,” we
mean protected health information as defined under federal law (the Health Insurance Portability and
Accountability Act, or HIPAA, and its implementing regulations). Not only is it our legal obligation, but it
is our business imperative to ensure the confidentiality of your health information. We continuously seek
to safeguard your health information through administrative, physical, and technical means, and
otherwise abide by applicable federal and state laws.
How We Collect and Maintain Your Health Information
The health information that we collect or maintain may include:
- Your name, age, date of birth, insurance policy information, email address, username, password,
and other registration information.
- Health information that you provide us, which may include information or records relating to
your medical or health history, health status and laboratory testing results, diagnostic images,
and other health-related information.
- Health information about you prepared or obtained by the Healthcare Professionals(s) who
provide clinical services through our electronic health record, such as medical and therapy
records, treatment and examination notes, and other health-related information.
- Billing information that you provide us, such as credit card information, or that we receive from a
health plan, employer or other provider of healthcare benefits on your behalf.
How We Use and Disclose Health Information
We use and disclose your health information for the normal business activities that the law sees as
falling in the categories of treatment, payment, and healthcare operations. Generally, we do not need
your permission for these disclosures under applicable laws. Below we provide examples of those
activities, although not every use or disclosure falling within each category is listed:
- Treatment – We keep a record of the health information you provide us. This record may include
your test results, diagnoses, medications, your response to medications or other therapies, and information we learn about your medical condition through therapy or psychiatry services. We
may disclose this information so that other doctors, nurses, and entities such as laboratories can
meet your healthcare needs.
- Payment – We document the services and supplies you receive when we are providing care to
you so that you, your insurance company, or another third party can pay us. We may tell your
health plan about upcoming treatment or services that require prior approval by your health
plan.
- Health Care Operations – Health information is used to improve the services we provide, to train
staff, for business management, quality assessment and improvement, and for customer service.
For example, we may use your health information to review our treatment and services and to
evaluate the performance of our staff in caring for you.
We may also use and disclose your health information to:
- Comply with federal, state, or local laws that require disclosure.
- Assist in public health activities, such as tracking diseases or medical devices.
- Inform authorities to protect victims of abuse or neglect.
- Comply with federal and state health oversight activities, such as fraud investigations.
- Respond to law enforcement officials or to judicial orders, subpoenas, or other processes.
- Inform coroners, medical examiners and funeral directors of information necessary for them to
fulfill their duties.
- Facilitate organ and tissue donation or procurement.
- Conduct research following internal review protocols to ensure the balancing of privacy and
research needs.
- Avert a serious threat to health or safety.
- Assist in specialized government functions, such as national security, intelligence, and protective
services.
- Inform military and veteran authorities if you are an armed forces member (active or reserve).
- Inform a correctional institution if you are an inmate.
- Inform workers’ compensation carriers or your employer if you are injured at work.
- Recommend treatment alternatives.
- Tell you about health-related products and services.
- Communicate within our organization for treatment, payment, or healthcare operations.
- Communicate with other providers, health plans, or their related entities for their treatment or
payment activities, or health care operations activities relating to quality assessment and
improvement, care coordination, and the qualifications and training of healthcare professionals.
- Provide information to other third parties with whom we do business, such as a record storage
provider. However, you should know that in these situations, we require third parties to sign a
legal Business Associate Agreement (BAA) in order to attest that they will safeguard your
information.
- We may also use or disclose your personal or health information for operational purposes. For
example, we may communicate with individuals involved in your care or payment for that care,
such as family or guardians, and send appointment reminders.
All other uses and disclosures, not previously described, may only be done with your written
authorization. You may revoke your authorization at any time; however, this will not affect prior uses and
disclosures. In some cases, state law may require that we apply extra protections to some of your health
information.
Our Healthcare Professionals’ Responsibilities
We are required by law to:
- Maintain the privacy of your health information.
- Provide this Notice of our duties and privacy practices.
- Abide by the terms of the Notice currently in effect.
- Tell you if there has been a breach that compromises your health information.
We reserve the right to change our privacy practices, and make the new practices effective for all the
information we maintain. Revised notices will be posted on www.foresightmentalhealth.com.
Your Federal Rights
The law entitles you to:
- Inspect and copy certain portions of your health information. We may deny your request under
limited circumstances. You may request that we provide your health records to you in an
electronic format.
- Request amendment of your health information if you feel the health information is incorrect or
incomplete. However, under certain circumstances we may deny your request.
- Receive an accounting of certain disclosures of your health information made for the prior six (6)
years, although this excludes certain disclosures for treatment, payment, and health care
operations. (Fees may apply to this request.)
- Request that we restrict how we use or disclose your health information. However, we are not
required to agree with your requests, unless you request that we restrict information provided
to a payor, the disclosure would be for the payor’s payment or healthcare operations, and you
have paid for the health care services completely out of pocket.
- Request that we communicate with you at a specific telephone number or address.
- Obtain a paper copy of this notice even if you receive it electronically.
We may ask that you make a request in writing.
How to File a Complaint
If you believe that your privacy has been violated, you may file a complaint with us or with the US
Department of Health and Human Services. We will not retaliate or penalize you for filing a complaint
with us or the Secretary.
To file a complaint with us or receive more information contact:
Phone: (888) 588-8995
Email: compliance@foresightmentalhealth.com
Address: P.O. Box 530077, Atlanta, GA 30353-0077
To file a complaint with the Secretary of Health and Human Services:
Phone: (800) 537-7697
File an online complaint: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
Address: 200 Independence AVE, S.E., Washington, DC 20201
Accessibility
Foresight strives to make our website accessible for all users, regardless of their ability.
In order to assure that our website is accessible, we follow the Web Content Accessibility Guidelines (WCAG 2.0), which provide website standards that are both user-friendly and accessible for individuals with disabilities.
WCAG 2.0 guidelines include three tiers of accessibility: A, AA, and AAA. At launch, our website follows AA standards. On a continual basis, we monitor the changes on our website to maintain these standards. However if you experience any problems, please contact our practice.
Site Disclaimer
Any use of this website or the information contained on the website is at your own risk. We will not be responsible for the consequences of your decision to utilize the information contained in this website.
The medical information provided in this site is for educational purposes only, it is not intended nor implied to be a substitute for professional medical advice. Always consult your physician or healthcare provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
To view the forms, you will need to download Adobe Reader. Please bring your completed forms with you to our office at the time of your visit.
Stock Photography Models
The persons shown in photographs on this website are stock photography models (Models) and are not actual patients of, nor are they affiliated with, Foresight, Foresight’s direct and indirect parent companies, subsidiaries, or subsidiaries of its parent companies (“Affiliates”). Foresight or Foresight’s Affiliates, have obtained the rights to use the photographs via license agreements with certain third party stock photography companies, and Foresight or Foresight’s Affiliates use of the photographs is in compliance with the terms of those license agreements.
The photographs showing the Models are used on this website for illustrative purposes only. The Models do not personally endorse Foresight, or any products, services, causes, or endeavors associated with, or provided by, Foresight or any of Foresight’s Affiliates. The context in which the photographs are used on this website is not intended to reflect personally on any of the Models shown in the photographs. Foresight, Foresight’s Affiliates, their respective officers, directors, employees, agents and/or independent contractors assume no liability for any consequence relating directly or indirectly to the use of the photographs showing the Models on this website.