Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Who We Are

This notice applies to Healing Soulutions, a trade name used under license by BT RPN PLLC and Kristina Castro, Nurse Practitioner in Family Health, PLLC (together, “we” or “the practice”), and to the licensed nurses and nurse practitioners who provide care on our behalf. We are required by law to maintain the privacy of your protected health information (“PHI”), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How We May Use and Disclose Your Health Information

Treatment. We use your health information to provide, coordinate, and manage your care — for example, sharing your history and results between our nurses and nurse practitioner, or with a laboratory, pharmacy, or another provider involved in your care. Payment. We use your information to bill and collect payment for services, including providing a Good Faith Estimate and processing card payments through our payment processor. Health care operations. We use your information to run the practice — quality review, training, compliance, and scheduling.

Other Uses and Disclosures Permitted or Required by Law

We may use or disclose your information without your authorization when required by law; for public-health activities (such as reporting communicable disease to the New York State or New York City Department of Health); to report suspected abuse, neglect, or domestic violence; for health-oversight activities such as licensing audits; in response to a court order, subpoena, or other lawful process; to law enforcement in limited circumstances; to avert a serious threat to health or safety; to a medical examiner or funeral director; for workers’ compensation; and for certain specialized government functions. We may contact you about appointment reminders, follow-up care, and services we offer that may be of interest to you.

Uses That Require Your Written Authorization

We will not use or disclose your information for marketing purposes, sell your information, or disclose psychotherapy notes without your written authorization. Other uses and disclosures not described in this notice will be made only with your written authorization, which you may revoke in writing at any time, except to the extent we have already acted on it.

Your Rights

You have the right to: inspect and receive a copy of your health record, including an electronic copy, generally within 30 days of a written request (a reasonable, cost-based fee may apply); request an amendment of information you believe is incorrect or incomplete; receive an accounting of certain disclosures we have made in the prior six years; request restrictions on how we use or disclose your information — we are not required to agree, except that we must honor a request not to disclose information to your health plan for a service you have paid for in full out of pocket; request confidential communications by an alternative means or at an alternative location; receive a paper copy of this notice on request, even if you agreed to receive it electronically; and be notified if a breach of your unsecured health information occurs.

Our Duties

We are required by law to maintain the privacy and security of your PHI, to notify you promptly if a breach may have compromised the privacy or security of your information, to follow the duties and privacy practices described in this notice, and to give you a copy of it. We reserve the right to change the terms of this notice and to make the new terms effective for all information we maintain. The current notice is always available on this website and at your visit.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us at the contact below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, by mail (200 Independence Avenue SW, Washington, DC 20201), by phone (1-800-368-1019), or online at hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

Acknowledgment

You will be asked to sign an acknowledgment that you received this notice at your first visit. Your care does not depend on signing the acknowledgment.

Contact

Privacy Officer, Healing Soulutions — email info@healingsoulutions.care or call (585) 747-2215.