Notice of Privacy Practices

Effective Date: December 6th, 2024

Our Commitment to Your Privacy

The Child + Family Therapy Center at Lowry is a private, group practice collective made up of licensed professionals who operate independently from one another. Each provider maintains their own practice policy, which can be found on their individual about pages. This Notice of Privacy Practices (NPP) outlines how we may use and disclose your Protected Health Information (PHI) and your rights regarding this information.

Uses and Disclosures of PHI

  • Treatment: We use your PHI to provide, coordinate, and manage your healthcare services. For example, information obtained by a therapist will be recorded in your record and used to determine your course of treatment.
  • Payment: We may use and disclose PHI to obtain payment for services provided. For instance, we may contact your insurer to verify coverage or submit claims for payment.
  • Healthcare Operations: Your PHI may be used for administrative purposes, such as quality assessment and improvement activities. This helps ensure that all our patients receive quality care.
  • Other Uses and Disclosures: We may use or disclose your PHI as required by law, for public health activities, or other purposes permitted by HIPAA.

Your Rights

  • Inspect and Copy: You have the right to inspect and obtain a copy of your PHI, with certain exceptions. Requests will be processed within 30 days of receipt.
  • Amend: If you believe that the information we have about you is incorrect or incomplete, you may request an amendment. Requests will be processed within 30 days of receipt.
  • Accounting of Disclosures: You can request a list of disclosures we have made of your PHI, excluding those for treatment, payment, and healthcare operations. Requests will be processed within 30 days of receipt.
  • Request Restrictions: You have the right to request a restriction or limitation on the use or disclosure of your PHI. While we are not required to agree to your request, we will consider it carefully.
  • Confidential Communications: You may request that we communicate with you using alternative means or at alternative locations.
  • Paper Copy of This Notice: You are entitled to a paper copy of this notice upon request.

Accessibility Statement

This notice is available in alternate formats, including large print or braille, upon request. Please contact us if you require accommodations.

Our Responsibilities

We are legally obligated to:

  • Maintain the privacy of your PHI.
  • Provide this notice to inform you of our legal duties and privacy practices.
  • Adhere to the terms outlined in this notice.
  • Notify you promptly if a breach occurs that may compromise the privacy or security of your PHI.

Each individual provider in this collective is independently responsible for their own compliance with privacy regulations. For details specific to a provider, please refer to their individual practice policy listed on their personal about page.

Changes to This Notice

We reserve the right to change our privacy practices and the terms of this notice at any time. Any changes will be effective for all PHI that we maintain. The revised notice will be available upon request and posted on our website.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the Office for Civil Rights. To file a complaint with our office, contact:

The Child + Family Therapy Center at Lowry
Location: 495 Uinta Way, Suite 120
Denver, CO 80230

To file a complaint with the Office for Civil Rights, contact:

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

We will not retaliate against you for filing a complaint.

Contact Information

For questions or further information regarding this notice, please contact:

The Child + Family Therapy Center at Lowry
Dr. Sheryl Ziegler
Location: 495 Uinta Way, Suite 120
Denver, CO 80230
Phone: (303) 344-4100
Email: info@denverchildtherapy.com

Acknowledgment of Receipt of This Notice

We will request that you sign an acknowledgment that you have received this NPP. This acknowledgment will become part of your records.

Effective Date: December 6th, 2024