Notice of Privacy Practices

Effective Date: June 24, 2024

 

Your Privacy Matters

At Zenith Counseling, PLLC, we are committed to protecting your personal health information (PHI). This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.

 

Our Responsibilities

We are required by law to:

  • Maintain the privacy of your health information.
  • Provide you with this notice of our legal duties and privacy practices regarding your health information.
  • Abide by the terms of the notice currently in effect.

 

How We May Use and Disclose Your Health Information

The following categories describe different ways we may use and disclose your health information. Not every use or disclosure will be listed. However, all of the ways we are permitted to use and disclose information will fall within one of these categories:

1. Treatment:

We may use your health information to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, or other personnel involved in your care.

2. Payment:

We may use and disclose your health information so that the treatment and services you receive at [Your Practice Name] may be billed and payment may be collected from you, an insurance company, or a third party.

3. Healthcare Operations:

We may use and disclose your health information for operations to ensure that all of our patients receive quality care. For example, we may use health information for quality assessment and improvement activities.

4. Appointment Reminders:

We may use and disclose health information to contact you as a reminder that you have an appointment.

5. Treatment Alternatives:

We may use and disclose health information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.

6. Health-Related Benefits and Services:

We may use and disclose health information to tell you about health-related benefits or services that may be of interest to you.

7. Individuals Involved in Your Care or Payment for Your Care:

We may disclose your health information to a family member, friend, or other person you identify, who is involved in your medical care or payment for your care.

8. Research:

Under certain circumstances, we may use and disclose health information for research purposes.

9. As Required by Law:

We will disclose health information about you when required to do so by federal, state, or local law.

 

Your Rights

You have the following rights regarding health information we maintain about you:

  1. Right to Inspect and Copy: You have the right to inspect and copy your health information, with some exceptions.
  2. Right to Amend: If you believe that health information we have about you is incorrect or incomplete, you may ask us to amend the information.
  3. Right to an Accounting of Disclosures: You have the right to request a list of the disclosures we have made of your health information.
  4. Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations.
  5. Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
  6. Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice.

 

Changes to This Notice

We reserve the right to change this notice, and the changes will apply to all information we have about you. We will provide a revised notice promptly upon request.

 

 

Complaints

Any concerns or issues with therapy should first be brought to our attention. However, if at any time you feel as if you are not receiving ethical treatment, you have the right to contact our state licensing board. To register a complaint, you can complete a complaint/inquiry form citing the ethical violation as outlined by the American Counseling Association’s Ethical Guidelines. You will then be assigned a complaint number and upon the Board’s quarterly meetings, the ethics committee will reach out regarding what the next steps will be.

To obtain this form contact:

North Carolina Board of Licensed Clinical Mental Health Counselors

Address: PO Box 77819, Greensboro, NC 27417
Web: https://ncblcmhc.org 
Telephone: 844-622-3572
E-mail: LCMHCinfo@ncblcmhc.org  or complaints@ncblcmhc.org
Fax: 336-217-9450

 

Contact Information

For questions about this notice or to request a copy of this notice, please contact:

Zenith Counseling, PLLC
1140 Kildaire Farm Road
Ste. 102
Cary, NC 27511
(984)263-9990
jsozio@zenithcounselingpllc.com

 

Thank you for entrusting us with your care. We are committed to protecting your privacy and health information.