Notice of Privacy Practices

Our commitment to your privacy

RayMex Wellness LLC is committed to protecting the privacy of your protected health information (“PHI”) — information that may identify you and that relates to your past, present, or future physical or mental health, the health care you receive, or payment for that care. We are required by law to maintain the privacy of your PHI, to provide you with this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you following a breach of unsecured PHI.

How we may use and disclose your health information

We may use and disclose your PHI, without your written authorization, for the following purposes:

• Treatment. To provide, coordinate, and manage your psychiatric and behavioral-health care, including sharing information with other providers, pharmacies, and clinicians involved in your care.
• Payment. To bill and obtain payment for the services we provide, including verifying insurance coverage, obtaining prior authorizations, and providing documentation to your health plan.
• Health care operations. To support activities such as quality assessment and improvement, staff review and training, licensing, scheduling, care coordination, and general administration of the practice.
• Appointment reminders and health-related communications. To contact you with appointment reminders or information about treatment alternatives or other health-related services.

We may also use or disclose your PHI, as permitted or required by law, without your authorization:

• For public-health activities, such as reporting required by law.
• To report suspected abuse, neglect, or domestic violence, as permitted or required by law.
• For health-oversight activities, such as audits and investigations by government agencies.
• For judicial and administrative proceedings, in response to a valid court order or lawful process.
• For certain law-enforcement purposes, and to coroners, medical examiners, and funeral directors.
• To avert a serious and imminent threat to the health or safety of you or the public.
• For specialized government functions, such as military and veterans’ activities, and for workers’ compensation as authorized by law.
• For research, when permitted by law and appropriate privacy protections are in place.

Uses and disclosures that require your written authorization

Most uses and disclosures of psychotherapy notes, uses and disclosures of PHI for marketing purposes, and any sale of PHI require your written authorization. Other uses and disclosures not described in this notice will be made only with your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already relied on it.

Special protections for certain information

Some categories of information receive additional protection under state or federal law and may require your specific written authorization before disclosure. These may include psychotherapy notes, HIV/AIDS-related information, genetic information (as protected by GINA), and certain substance use disorder records.

Certain records related to substance use disorder treatment may be subject to additional confidentiality protections under federal law, including 42 CFR Part 2, when applicable. RayMex Wellness handles such information in accordance with applicable federal and state privacy requirements.

Your rights regarding your health information

• Access and copies. You may request to inspect and receive a copy of your health information, in paper or electronic form, subject to certain limited exceptions.
• Amendment. You may request that we correct health information you believe is incorrect or incomplete.
• Accounting of disclosures. You may request a list of certain disclosures we have made of your health information.
• Restrictions. You may request restrictions on certain uses and disclosures. We are not required to agree to all requests; however, if you pay for a service or item in full, out of pocket, you may request that we not disclose that information to your health plan for payment or operations, and we will honor that request except where disclosure is required by law.
• Confidential communications. You may request that we communicate with you in a specific way or at a specific location.
• Paper copy. You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
• Breach notification. You have the right to be notified following a breach of your unsecured PHI.

Our responsibilities

We are required to maintain the privacy of your PHI, to provide you with this notice of our legal duties and privacy practices, to follow the terms of the notice currently in effect, and to notify you following a breach of unsecured PHI. We reserve the right to change this notice and to make the revised notice effective for health information we already have as well as any information we receive in the future. The current notice will be posted, and you may request a copy at any time.

State law

Where Massachusetts or Rhode Island law provides greater privacy protections than federal law, we will follow the law that provides you greater protection.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer using the contact information below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201, or by visiting hhs.gov/ocr/privacy/hipaa/complaints. You will not be penalized or retaliated against for filing a complaint.

Website privacy

This notice addresses protected health information related to clinical care. For information about how this website collects and handles data submitted through online forms and questionnaires, please see our Privacy Policy.

Contact us

To exercise any of your rights, to request a paper copy of this notice, or to ask questions about our privacy practices, please contact our Privacy Officer:
Nnemeka Okpala, PMHNP-BC, APRN, Privacy Officer
RayMex Wellness LLC
Phone: 617-419-0482
Email: [email protected]
Office: 11 Freeman St, Suite 8, Stoughton, MA 02072