HIPPA Notice

This Notice describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.

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Your Rights

You have the right to:

• Get an electronic or paper copy of your medical record.

• Request corrections to your record.

• Request confidential communication through alternative contact methods.

• Limit the sharing of your information in certain cases.

• Obtain a list of disclosures made about your information.

• Receive a copy of this notice at any time.

Our Responsibilities

MindSculpt Psychiatry is required by law to:

• Maintain the privacy and security of your protected health information (PHI).

• Notify you if a breach occurs that may have compromised your PHI.

• Follow the duties and privacy practices outlined in this notice.

• Not use or share your information other than as described here unless you give written permission.

How We May Use and Disclose Information

We may use or disclose your information for:

• Treatment: To coordinate your care with other healthcare providers.

• Payment: To process billing, insurance, or reimbursement.

• Healthcare Operations: For quality assessment, licensing, or auditing.

• As Required by Law: For public health reporting, law enforcement, or legal proceedings.

Confidentiality and Security

Your information is stored and transmitted via secure, HIPAA-compliant systems. Only authorized personnel may access your records.

Changes to This Notice

We reserve the right to update this Notice at any time. The revised version will be posted on our website and available upon request.

Questions or Complaints

If you believe your privacy rights have been violated, you may contact us at:
📧 info@mindsculptpsychiatry.com
📞 312-661-5506