Notice of Privacy Practices

You have the right to:

• Inspect or obtain an electronic or paper copy of your medical record and other health information maintained by Valiant, usually within 30 days of your request. A reasonable, cost-based fee may apply.
• Ask Valiant to correct health information you believe is incorrect or incomplete. Valiant may deny the request, but will explain why in writing within 60 days.
• Ask to be contacted in a specific way or at a different address. Reasonable requests will be honored.
• Ask Valiant to limit certain uses or disclosures for treatment, payment, or health-care operations. Valiant is not always required to agree. If you pay in full out of pocket, you may ask Valiant not to disclose that item or service to your health plan for payment or operations unless disclosure is required by law.
• Receive an accounting of certain disclosures made during the six years before your request. One accounting in a 12-month period is provided without charge; a reasonable, cost-based fee may apply to additional requests.
• Receive a paper copy of this notice at any time.
• Have an authorized personal representative exercise your rights after Valiant verifies that person’s authority.
• File a complaint without retaliation.

To exercise a right, contact the privacy contact listed above. Valiant may ask you to make certain requests in writing and to provide information needed to verify your identity and process the request.

In some situations, you may tell Valiant how to share information—for example, with family, close friends, or others involved in your care or payment, or during disaster relief. If you cannot communicate your preference, Valiant may share limited information when it is in your best interest or needed to reduce a serious and imminent threat to health or safety, as permitted by law.

Written authorization is generally required for marketing, the sale of health information, and most uses or disclosures of psychotherapy notes. If fundraising communications use protected information when permitted, you may opt out. You may revoke an authorization in writing, except to the extent action has already been taken in reliance on it.

Valiant may use or share protected health information without separate written authorization when federal or state law permits or requires it, including to:

• Treat you and coordinate care with other professionals involved in your treatment.
• Run the practice, manage services, improve care, and contact you when necessary.
• Bill you, submit claims, and obtain payment from health plans or other responsible parties.
• Address public-health and safety activities, including disease prevention, product recalls, adverse-event reporting, suspected abuse or neglect, and serious threats to health or safety.
• Conduct health research when legal requirements are met.
• Comply with federal or state law and health-oversight requirements.
• Respond to organ and tissue donation organizations, coroners, medical examiners, or funeral directors when applicable.
• Address workers’ compensation, certain law-enforcement requests, health oversight, and special government functions.
• Respond to a court or administrative order, subpoena, or other lawful process.

Other uses and disclosures not described in this notice will be made only with your written authorization unless another law permits or requires them.

Valiant is a general outpatient psychiatry practice, not a federally assisted substance-use-disorder treatment program. However, to the extent Valiant receives or maintains records that are protected by 42 CFR Part 2, Valiant will not use or disclose those records in a civil, criminal, administrative, or legislative investigation or proceeding against you without your written consent or a court order and subpoena, as required by law.

If fundraising communications would use information from Part 2 records, Valiant will give you clear notice in advance and a choice about whether to receive those communications.

• Maintain the privacy and security of your protected health information.
• Notify you promptly if a breach may have compromised the privacy or security of your information.
• Follow the duties and privacy practices described in the notice currently in effect and provide you a copy upon request.
• Not use or share your information other than as described here unless you authorize it in writing or the law permits or requires it.

Valiant also follows applicable Utah and federal laws that provide greater privacy protection for particular health information. When a law requires written permission before a use or disclosure, Valiant will obtain it.

If you believe your privacy rights were violated, contact the Privacy Officer above. You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:

• Online at the HHS HIPAA complaint page.
• By mail: U.S. Department of Health and Human Services, 200 Independence Avenue SW, Washington, DC 20201.
• By phone: 1-877-696-6775.

Valiant Psychiatry will not retaliate against you for filing a complaint.

Valiant may change the terms of this notice, and the revised terms may apply to all health information Valiant maintains. The current notice will be available on this website, at the practice, and upon request.