Therapy Client Rights
As a therapy client, you have rights protected by federal and state laws. As a practice, we are obligated to disclose these rights to you on our website and as part of our paperwork. If you are a therapy client of our practice, you also have the following inside your paperwork packet.
NOTICE OF PRIVACY PRACTICES
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
THIS NOTICE DESCRIBES HOW MEDICAL/OTHER INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
INFORMATION. PLEASE REVIEW IT CAREFULLY.
OUR COMMITMENT TO YOUR PRIVACY
Our practice is dedicated to maintaining the privacy of your personal health information as part of providing professional care. We also are required by law to keep your information private. These laws are complicated, but we must give you this important information. We will use the information about your health and other circumstances which we get from you or from others mainly to provide you with services, to arrange payment for our services, and for some other business activities which are called, in the law, health care operations. After you have read this NPP we will ask you to sign a Consent Form to let us use and share your information if necessary. If you do not consent and sign this form, we cannot treat you.
If we or you want to use or disclose (send, share, release) your information for any other purposes we will discuss this with you and ask you to sign an Authorization form to allow this. Of course we will keep your health information private but there are some times when the laws require us to use or share it. For example: When there is a serious threat to your health and safety or the health and safety of another individual or the public. We will only share information with a person or organization which is able to help prevent or reduce the threat.
1. Some lawsuits and legal or court proceedings.
2. If a law enforcement official requires to do so.
3. For Workers Compensation and similar benefit programs.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
1. You can ask us to communicate with you about your health and related issues in a particular way or at a certain place which is more private for you. For example, you can ask us to call you at home and not at work to schedule or cancel an appointment. We will try our best to do as you ask.
2. You have the right to ask us to limit what we tell people involved in your care or the payment for your care, such as family members and friends. While we don’t have to agree to your request, if we do agree, we will keep our agreement except if it is against the law, or in an emergency, or when the information is necessary to treat you or keep you safe.
3. You have the right to look at the health information we have about you such as your medical and billing records. You can even get a copy of these records but we may charge you. Contact us to arrange how to see your records.
4. If you believe the information in your records is incorrect or missing important information, you can ask us to make some kinds of changes (called amending) to your health information. You have to make this request in writing and send it to our Privacy Officer. You must tell us the reasons you want to make the changes.
5. You have the right to a copy of this notice. If we change this NPP we will post the new version in our waiting area and you can always get a copy of the NPP form us.
6. You have the right to file a complaint if you believe your privacy rights have been violated. You can file a complaint with us and with the Secretary of the Department of Health and Human Services. All complaints must be in writing. Filing a complaint will not change the health care we provide to you in any way.
If you have any questions regarding this notice or our health information privacy policies, please contact Idit Sharoni at (305) 507-9955 ext. 2 or by Email: idit@iditsharonicounseling.com
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. As a client in our practice, your Good Faith Estimate is available to you and can be requested at all times. Your Good Faith Estimate will be given to you in writing prior to your first visit with us.
• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.
If you believe you’ve been wrongly billed, you may contact: Florida's Department of health by calling 850-245-4444.
For questions or more information about your right to a Good Faith Estimate, visit
www.cms.gov/nosurprises or call 850-245-4444.
If you have any questions regarding this notice or our health information privacy policies, please contact Idit Sharoni at (305) 507-9955 ext. 2 or by Email: idit@iditsharonicounseling.com
