HIPAA Policy

NOTICE OF PRIVACY PRACTICES

Smart Counseling and Mental Health Center

Effective Date: June 01, 2017


YOUR HEALTH INFORMATION IS PROTECTED

This notice explains how we use and share your protected health information (PHI) and describes your rights regarding this information. Please read this carefully.

Questions? Contact our Privacy Officer:
Lawrence Librando, COO
Phone: (951) 816-6372
Email: lawrence@smartcounselingca.com


OUR COMMITMENT TO YOU

We are required by law to:

  • Keep your health information private and secure

  • Give you this notice of our privacy practices

  • Follow the terms of this notice

  • Notify you if your information is ever compromised

We may update this notice. The current version is always available at our office and on our website. Changes apply to all information we have about you.


HOW WE USE AND SHARE YOUR INFORMATION

WITH YOUR PERMISSION

We will ask for your written permission before using or sharing your information, except in the situations listed below. You can cancel this permission at any time by writing to us.

WITHOUT NEEDING YOUR PERMISSION

For Your Treatment

  • Sharing information with doctors, therapists, and other healthcare providers involved in your care

  • Coordinating your care between different providers

  • Providing treatment recommendations

For Payment

  • Billing you or your insurance company

  • Determining insurance coverage

  • Collection activities for unpaid bills

For Healthcare Operations

  • Quality improvement activities

  • Staff training and education

  • Business planning and management

  • Legal compliance activities

WHEN REQUIRED BY LAW

We may share your information without your permission when required by law:

Public Health and Safety

  • Preventing or controlling disease outbreaks

  • Reporting suspected abuse, neglect, or domestic violence

  • Preventing serious threats to health or safety

Legal Proceedings

  • Court orders or subpoenas

  • Law enforcement investigations

  • Workers' compensation claims

Government Functions

  • Military and national security activities

  • Correctional institutions

  • Medical examiner investigations

Research

  • Approved research studies (with strict safeguards)

  • De-identified information for research purposes

SPECIAL SITUATIONS

Psychotherapy Notes: We do not maintain separate psychotherapy notes as defined by federal law. Our treatment records are available to you upon request.

Marketing: We will never sell your information or use it for marketing without your written permission.

Family and Friends: We may share information with family members or friends involved in your care if:

  • You give us permission, OR

  • You don't object when we ask, OR

  • In an emergency, we believe it's in your best interest


YOUR RIGHTS

Right to See and Get Copies of Your Records

  • You can request copies of your medical and billing records

  • We will provide copies within 30 days

  • We may charge reasonable copying fees

  • You can request electronic copies

Right to Request Changes

  • You can ask us to correct information you believe is wrong or incomplete

  • We will respond within 60 days

  • We may deny your request if we believe the information is inaccurate

Right to Request Restrictions

  • You can ask us to limit how we use or share your information

  • We are not required to agree unless you pay for services completely out-of-pocket and don't want us to tell your insurance

Right to Choose How We Contact You

  • You can ask us to contact you at a specific phone number or address

  • We will honor reasonable requests

Right to a List of Disclosures

  • You can request a list of those with whom we shared your information (except for treatment, payment, and healthcare operations)

  • Covers the past 6 years

  • The first request each year is free

Right to a Copy of This Notice

  • You can request paper or electronic copies at any time


APPOINTMENT REMINDERS AND HEALTH INFORMATION

We may contact you to:

  • Remind you about appointments

  • Provide information about treatment options

  • Tell you about health-related services we offer

You can opt out of these communications at any time.


BREACH NOTIFICATION

If there is ever a breach of your protected health information, we will notify you as required by law, typically within 60 days of discovering the breach.


HOW TO FILE A COMPLAINT

If you believe we violated your privacy rights, you can file a complaint with:

Our Privacy Officer:
Lawrence Librando, COO
Phone: (951) 816-6372
Email: lawrence@smartcounselingca.com

U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr/privacy/hipaa/complaints

We will not retaliate against you for filing a complaint.


This notice complies with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and other applicable state and federal laws.

Last Updated: August 03, 2025