Alevea Mental Health Notice of Privacy Practices

Effective Date: 05/05/2025

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

Your Information. Your Rights. Our Responsibilities.

At Alevea Mental Health, your privacy is important to us. This notice outlines your rights regarding your health information and our responsibilities under the Health Insurance Portability and Accountability Act (HIPAA).
 

Your Rights

You have the right to:

• Access Your Medical Record

  • Request to see or obtain an electronic or paper copy of your medical record.

  • Receive a copy within 30 days; a reasonable cost-based fee may apply.

• Request Corrections

  • Ask us to correct health information that you believe is incorrect or incomplete.

  • We may deny your request but will respond in writing within 60 days.

• Confidential Communications

  • Request to be contacted at a specific location or method (e.g., home, cell, or office).

  • We will honor reasonable requests.

• Limit What We Use or Share

  • Request limitations on the use or disclosure of your information.

  • We may deny requests if it affects your care.

  • If you pay for a service out-of-pocket in full, you may ask us not to share that information with your insurer.

• Get a List of Disclosures

  • Request an accounting of disclosures of your information (excluding disclosures for treatment, payment, and healthcare operations).

• Get a Copy of This Notice

  • You may request a paper copy of this notice at any time.

• Choose Someone to Act for You

  • If you have a legal guardian or someone with medical power of attorney, they may exercise your rights.

• File a Complaint

  • Contact us at info@aleveamentalhealth.com or file with the U.S. Department of Health and Human Services if you believe your rights are violated.
     

Your Choices

You have the right to request or restrict:

• Sharing information with family, friends, or others involved in your care.

• Use of your information for disaster relief efforts.

• Inclusion in a facility directory (if applicable).

We will not share your information unless you give written permission for:

• Marketing purposes

• Sale of your information

• Most uses of psychotherapy notes

We may contact you for fundraising efforts; you may opt out of such communications.
 

How We Use and Disclose Your Information

Treatment: Share information with healthcare professionals involved in your care.

Operations: Use information to manage operations, improve services, and conduct business activities.

Payment: Use and disclose information to obtain payment from insurance providers.

Public Health and Safety: Disclose information to:

• Prevent disease

• Report product recalls

• Report adverse reactions to medications

• Prevent or reduce a serious threat to health or safety

Research: Share information for health research purposes.

Law Compliance:

• Share if required by law or requested by HHS for compliance purposes.

Organ and Tissue Donation: Share with organizations handling donation requests.

Medical Examiner/Funeral Director: Share information when necessary after death.

Workers' Compensation/Law Enforcement:

• Respond to legal actions, court orders, or government functions (e.g., national security).
   

Our Responsibilities

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

• Notify you in case of a data breach.

• Comply with the privacy practices described in this notice.

• Use or share your information only as described or with your written authorization.

We may update this notice and changes will apply to all health information we maintain. The current version will be available at our office and on our website.

For more information, visit: www.hhs.gov/ocr/privacy/hipaa
 

Additional Digital Privacy Notice

Text Messaging & Online Communications:

• You may opt in to receive text messages.

• You may opt out at any time by replying "STOP."

• We do not share your mobile data or text message originator information with third parties.

Data Collection: We collect information through phone, email, online forms, and cookies to facilitate care and improve services. This may include your name, contact details, health information, and browsing behavior on our site.

Marketing: We may send marketing materials with your explicit consent. You may withdraw your consent at any time.

Third-Party Vendors: We may share your data with trusted vendors (e.g., EHR systems such as eClinicalWorks and Simple Practice, scheduling platforms) for operational purposes only, under strict confidentiality agreements.

Contact Us: Email: info@aleveamentalhealth.com
Website: www.aleveamentalhealth.com