Medium

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Notice of Privacy Practices Mobile App

The Notice of Privacy Practices mobile app was created for therapists to make it easy for patients and therapists to complete a Notice of Privacy Practices form using a mobile device. This app has the potential to be made HIPAA compliant. The app covers: requirements of therapist, mandatory disclosure, HIPAA notice of privacy and client’s rights. By turning on HIPAA compliance, a number of features that most of users find desirable will be disabled to meet the requirements dictated by HIPAA.

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  • Red Bull
  • Mirvac

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Take a peek inside the Notice of Privacy Practices Mobile App

Included Features

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Included Fields

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    THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN...

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    This Notice is effective as of July 16, 2009:

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    I am required:

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    • by law to maintain the privacy of protected health information, and must inform you of our priv...

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    • to abide by the terms of the Notice of Privacy Practices that is most current.

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    There is a designated Privacy Officer to answer your questions about privacy practices and to ens...

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    I may use or disclose information:

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    • in your record to provide treatment to you.

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    • from your record to obtain payment for the services you receive.

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    • from your record to allow “health care operations.

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    For example, we may use information in your record to train our staff about your condition and it...

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    Client Signature

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    Date

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    The following notice is an introduction to your rights and responsibilities as a client of counse...

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    I am required by law to maintain the privacy of your health information and to provide you with n...

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    Effective July 16, 2009:

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    How I Protect Your Health Information

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    •All of your health information that I collect is confidential.

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    •Access to your health information is restricted to clinical staff that needs to know your health...

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    •Physical, electronic, and procedural safeguards which comply with federal and state regulations ...

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    •Records of client health information is maintained in a confidential, locked file system.

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    Voluntary Release of Health Information

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    •Your counselor may disclose information to outside treatment or healthcare providers with your w...

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    •Your counselor may use your information to develop accounts receivable information and with your...

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    Mandatory Disclosures with Neither Consent Nor Authorization

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    Your counselor may disclose your mental health information without your consent or authorization ...

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    •Abuse – If your counselor has reason to believe that a minor child, elderly person, or person wi...

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    •Judicial and Administrative Proceedings as Required – If you are involved in a court proceeding ...

  • ...and More!

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