Notice of Privacy Practices

Who this notice covers

Denali CRT, LLC provides behavior analysis, mental health counseling and training in Doral, Florida. When we treat you or bill your insurance we hold information that identifies you and relates to your health, your care and the payment for that care. The law calls that protected health information. This notice covers every clinician, technician, supervisor, administrator and contractor who works with us, wherever the service happens, at our office, in your home, at school, in the community or by telehealth.

We are required by law to keep that information private, to give you this notice explaining our legal duties and privacy practices, and to follow the terms of the notice that is currently in effect.

How we use and share your information for your care

There are three everyday reasons we use your information without asking you first. They are the reasons care works at all.

• For treatmentYour analyst writes a plan, your technician follows it, your counselor adjusts it, and all of them need to see the same record. We also share information with other providers involved in your care, a pediatrician, a school team or a psychiatrist, when that coordination helps you.
• For paymentWe send your plan the information it needs to authorize services, verify eligibility, process claims and review medical necessity.
• For running the practiceQuality review, supervision and training of staff, accreditation, licensing, audits, scheduling and general administration. When a case is used for teaching or supervision we use the least information necessary.

We work with companies that handle information on our behalf, for example our electronic record system or a billing service. Each of them signs a business associate agreement that requires them to protect your information the same way we do.

Other times the law lets or requires us to share

These are narrow situations. We share only what the situation requires.

• When a state or federal law requires the disclosure.
• To public health authorities, to prevent disease, report a reaction to a medication or a problem with a product.
• To report suspected abuse, neglect or exploitation of a child, an adult with a disability or an elderly adult, which Florida law requires us to do.
• To health oversight agencies for audits, investigations, inspections and licensure.
• In response to a court order, a subpoena or other lawful process, and to law enforcement in the limited circumstances the law allows.
• To prevent a serious and imminent threat to your health or safety or to the health or safety of someone else.
• To a coroner, a medical examiner or a funeral director carrying out their duties.
• For workers compensation claims, as the law on that program requires.
• For research that has been reviewed and approved by a board that protects participants.
• To military command authorities, to correctional institutions or to national security officials, in the specific situations the law names.

What we will never do without your written permission

• Share psychotherapy notes, except in the few narrow cases the law itself allows.
• Use your information for marketing.
• Sell your information. We do not sell it, ever.
• Use your photo, your video or your story in anything public.

If you do give us written permission you can take it back at any time, in writing. Taking it back does not undo what was already shared while the permission was active.

Where you get to tell us your preference

In these situations you tell us what you want and we follow it. If you are not able to tell us, for example in an emergency, we may share what we judge is in your best interest.

• Sharing information with a family member, a friend or anyone else involved in your care or in paying for it.
• Sharing information in a disaster relief effort so your family can be told where you are.

Your rights over your information

These are yours. Ask the office and we will walk you through any of them.

• See it and get a copyAsk in writing and we give you a copy of your record, on paper or electronically, usually within thirty days. We may charge a reasonable cost based fee for copying.
• Ask us to correct itIf something is wrong or incomplete, ask us in writing to fix it. If we say no we tell you why in writing, and you can file a statement of disagreement that stays with the record.
• Ask us to reach you a certain wayYou can ask us to call a specific number, write to a specific address, or avoid leaving voicemail. We say yes to all reasonable requests and we do not ask you why.
• Ask us to limit what we shareYou can ask us not to share certain information for treatment, payment or operations. We are not required to agree, with one exception we always honor. If you pay in full out of pocket for a service, you can tell us not to share that information with your health plan and we will not.
• Get a list of who we shared it withYou can ask for an accounting of certain disclosures made in the six years before your request. The list leaves out sharing for treatment, payment and operations, and anything you authorized. One list per twelve months is free.
• Get a paper copy of this noticeEven if you already read it online, ask and we hand you one.
• Choose someone to act for youA parent, a legal guardian or someone holding a medical power of attorney can exercise these rights for you. We confirm the authority before we act on it.
• Be told if your information is breachedIf an unsecured breach of your information happens, we notify you.

Florida law and information that gets extra protection

Where Florida law protects your information more strictly than federal law does, we follow Florida law. Mental health records, records of substance use treatment held by a federally assisted program, HIV and AIDS test results and genetic information all carry additional restrictions, and in most cases we need your specific written consent before sharing them.

For clients under eighteen, a parent or legal guardian normally exercises these rights. Florida law gives minors the right to decide on their own in certain situations, and in those situations that decision is theirs and we protect it.

What we are responsible for

• Keeping your health information private and secure, on paper and electronically.
• Letting you know promptly if a breach compromises it.
• Following the terms of the notice that is currently in effect.
• Not using or sharing your information in any other way unless you tell us in writing that we may, and honoring it if you change your mind.

Changes to this notice

We can change this notice, and the changed notice will apply to information we already hold as well as to information we receive later. The current version is always posted on this page and available at the office, with its effective date at the top.

If you think your privacy was violated

Tell us first if you are comfortable doing that. Ask for the Privacy Officer at the office and we will look into it.

• Privacy Officer, Denali CRT305-602-0268
• Emailinfo@denalibehaviorcrt.com
• Office10200 NW 25th St, Suite 204, Doral, FL 33172

You can also complain to the federal government

File with the Office for Civil Rights at the U.S. Department of Health and Human Services: 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201. By phone, 1-800-368-1019, or 1-800-537-7697 for TDD.

You can also file online through the federal complaint portal: ocrportal.hhs.gov

We will never retaliate against you for filing a complaint. Not with us, not with the government.