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