HIPAA Notice of Privacy Practices

Our Commitment to Your Privacy

Bloom Psychology is committed to protecting your health information. We are required by law to:

• Maintain the privacy of your protected health information (PHI)
• Provide you with this notice of our legal duties and privacy practices
• Follow the terms of the notice currently in effect
• Notify you if we are unable to agree to a requested restriction

How We May Use and Disclose Your Health Information

Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes consultation with other healthcare providers regarding your treatment.

Payment

We may use and disclose your health information to obtain payment for services provided. This may include:

• Billing and collection activities
• Insurance claim processing
• Determining eligibility for coverage
• Obtaining pre-authorization for treatment

Healthcare Operations

We may use and disclose your health information for our healthcare operations, including:

• Quality assessment and improvement activities
• Training programs and supervision
• Compliance with legal requirements
• Business planning and development

As Required by Law

We will disclose your health information when required to do so by federal, state, or local law.

Your Rights Regarding Your Health Information

Right to Inspect and Copy

You have the right to inspect and copy your health information. To request copies of your records, please submit a written request to our office.

Right to Amend

If you believe information in your health record is incorrect or incomplete, you may request an amendment. We may deny your request in certain circumstances, but we will provide you with written reasons for the denial.

Right to an Accounting of Disclosures

You have the right to receive a list of certain disclosures we have made of your health information.

Right to Request Restrictions

You may request a restriction or limitation on how we use or disclose your information. We are not required to agree to your request, but if we do, we will honor it unless the information is needed for emergency treatment.

Right to Request Confidential Communications

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice

You have the right to obtain a paper copy of this notice at any time, even if you have agreed to receive it electronically.

Security Measures

We implement appropriate physical, electronic, and administrative safeguards to protect your health information:

• Encrypted data transmission and storage
• Secure, HIPAA-compliant video conferencing for telehealth
• Access controls and authentication systems
• Regular security audits and staff training
• Business associate agreements with all third-party service providers

Telehealth and Technology

For virtual therapy sessions, we use HIPAA-compliant video conferencing platforms that employ end-to-end encryption. We never store Protected Health Information in cookies or unsecured systems. All clinical data is maintained in secure, HIPAA-compliant databases.

Breach Notification

In the unlikely event of a breach of your health information, we will notify you in accordance with federal and state law requirements.

Changes to This Notice

We reserve the right to change this notice and make the new notice effective for all health information we maintain. If we make material changes to our privacy practices, we will post the updated notice on our website and make copies available in our office.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

• Bloom Psychology: Email info@bloompsychologynorthaustin.com or call (512) 270-3779
• U.S. Department of Health and Human Services:
  Office for Civil Rights
  U.S. Department of Health and Human Services
  200 Independence Avenue, S.W.
  Washington, D.C. 20201
  Phone: 1-877-696-6775
  Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized or retaliated against for filing a complaint.

Contact Information

If you have questions about this notice or need more information about our privacy practices:

• Email: info@bloompsychologynorthaustin.com
• Phone: (512) 270-3779
• Address: Austin, Texas