Privacy Policy

Notice of Privacy Practices


The privacy practices described in this Notice will be followed by healthcare professionals, employees, medical staff, trainees, students, contracted service providers, and volunteers in the clinically integrated healthcare setting of Psych360. At the end of this Notice is a list of the providers and locations to which this Notice of Privacy Practices applies.

Doctors and other caregivers who treat patients at Psych360  facilities but who are not employed by us exchange information about you as a patient with other providers and Psych360  employees. These healthcare practitioners may also give you other privacy notices that describe their office practices.

All of these hospitals, doctors, healthcare providers, entities, facilities, associates and services ( referred to as “Psych360 ” or “we”)  may share your health information with each other for reasons of treatment, payment, and healthcare operations as discussed below.

Psych360  is required by law to maintain the privacy of our patients’ personal, protected health information and to provide patients with notice of our legal duties and privacy practices with respect to personal, protected health information.  We are required to abide by the terms of this Notice so long as it remains in effect. We reserve the right to change the terms of this Notice of Privacy Practices as necessary and to make the new Notice effective for all personal, protected health information maintained by us.  You may receive a copy of any revised Notice by emailing a request to a Contact information is provided below. This Notice is also posted on our website.


Your Authorization. Except as outlined below, we will not use or disclose your personal, protected health information for any purpose unless you have signed a form authorizing the use or disclosure. You have the right to revoke that authorization in writing unless we have taken any action in reliance on the authorization.

Uses and Disclosures for Treatment.  We use and disclose your personal, protected health information as necessary for your treatment.  For instance, doctors, nurses and other professionals involved in your care will use information in your medical record and information that you provide about your symptoms and reactions to plan a course of treatment for you that may include procedures, medications, tests, etc.  We may also release your personal, protected health information to another healthcare facility or professional who is not affiliated with our organization but who is or will be providing treatment to you. For instance, if, after you leave a nursing facility, you are going to receive home healthcare, we may release your personal, protected health information to that home healthcare agency so that a plan of care can be prepared for you.  Psych360 and related offices make electronic medical record information and results available through electronic health systems to Psych360  related and affiliated providers as well as unrelated healthcare providers who agree to access the information for the purpose of patient care and treatment.

Uses and Disclosures for Payment.  We will use and disclose your personal, protected health information as necessary for the payment purposes of those health professionals and facilities that have treated you or provided services to you.  For instance, we and the health professionals involved in your care may forward information regarding your medical procedures and treatment to your insurance company to arrange payment for the services provided to you or we may use your information to prepare a bill to send to you or to the person responsible for your payment.

Uses and Disclosures for Healthcare Operations.  We will use and disclose your personal, protected health information as necessary and as permitted by law, for our healthcare operations that include clinical improvement, professional peer review, business management, accreditation and licensing, etc.  For instance, we may use and disclose your personal, protected health information for purposes of improving the clinical treatment and care of our patients.  We may disclose protected health information to doctors, nurses, technicians, medical students, volunteers and other persons for review and learning purposes and for the operation of educational programs.  We may also disclose your personal, protected health information to another healthcare facility, healthcare professional, or health plan for such things as compliance, billing audits, quality assurance and case management, if that facility, professional, or plan also has or had a patient relationship with you or is part of the clinically integrated healthcare setting.

Family and Friends Involved in Your Care.  With your approval, we may disclose your personal, protected health information to designated family, friends, and others who are involved in your care or in payment of your care in order to facilitate that person’s involvement in caring for you or paying for your care.  If you are unavailable, incapacitated, or facing an emergency medical situation and we determine that a limited disclosure may be in your best interest, we may share limited personal, protected health information with such individuals without your approval. We may also disclose limited personal, protected health information to a public or private entity that is authorized to assist in disaster relief efforts in order for that entity to locate a family member or other persons that may be involved in some aspect of caring for you.

Business Associates. Certain components of our services are performed through contracts with outside persons or organization such as auditing, accreditation, legal services, etc.  At times it may be necessary for us to provide some of your personal, protected health information to one or more of these outside persons or organizations who assist us with our healthcare operations.  In all cases, we require these business associates to appropriately safeguard the privacy of your information.

Fundraising.  We may contact you to donate to a fundraising effort for or on behalf of our non-profit entities.  You have the right to “opt-out” of receiving fundraising materials or communications and may do so by emailing Other or updated information regarding your opt-out rights may be included in fundraising or educational materials.

Appointments and Services.  We may contact you with appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.  You have the right to request, and we accommodate reasonable requests, to receive communications regarding your personal, protected health information by alternative means or at alternative locations.  For instance, you may not want appointment reminders left on voice mail or sent to a particular address and we will accommodate reasonable requests. You may request such confidential communication in writing and may send your request to

Health Products and Services.  We may from time to time use your personal, protected health information to communicate with you about health products and services necessary for your treatment, to advise you of new products and services we offer, and to provide general health and wellness information.

Marketing. We do not sell your personal protected health information. We will not engage in subsidized communications about health related products or services, with the exception of face-to-face communication or promotional items of minimal value, without your authorization. You may revoke such authorization in writing.

Research.  In limited circumstances, we may use and disclose your personal, protected health information for research purposes.  For example, a researcher may wish to compare outcomes of all patients that received a particular drug and will need to review a series of medical records.  In all cases where your authorization is not obtained, your privacy will be protected by strict confidentiality requirements applied by an Institutional Review Board that oversees the research, or by representations of the researchers that limit their use and disclosure of patient information.

Other Uses and Disclosures.  We are permitted or required by law to make certain other uses and disclosures of your personal, protected health information without your authorization.  We may release your personal, protected health information:


If you have any questions or need further assistance regarding this Notice, you may contact the

Notice of Nondiscrimination

Psych360 complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, creed, sex, sexual orientation, gender identity or expression, national origin, religion, disability, age or source of payment for care.S

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1.800.368.1019, 800.537.7697 (TDD)

EFFECTIVE July 1, 2015

UPDATED: 1/8/19

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(330) 536-3746