Privacy Policy
1. Uses and Disclosures of Protected Health Information
We may use and disclose your PHI in the following ways:
- Treatment – We may use your health information to provide and coordinate your care, including sharing information with other healthcare providers involved in your treatment.
- Payment – We may use and disclose your PHI to obtain payment for services provided, including billing insurance companies or other responsible parties.
- Healthcare Operations – We may use PHI for administrative purposes, such as quality improvement, staff training, accreditation, and compliance activities.
- Legal Requirements – We may disclose PHI if required by law, including reporting certain conditions to public health authorities, responding to legal proceedings, or cooperating with law enforcement.
- Other Uses with Authorization – Any use or disclosure of your PHI outside of the above purposes requires your written authorization. You may revoke this authorization at any time in writing.
2. Your Rights Regarding Your Protected Health Information
You have the following rights regarding your PHI:
- Right to Access – You have the right to review and obtain a copy of your health records.
- Right to Request Amendments – If you believe your health information is incorrect or incomplete, you may request an amendment.
- Right to Request Restrictions – You may request limitations on how we use or disclose your PHI. While we will consider your request, we are not always able to grant it.
- Right to Confidential Communications – You can request that we communicate with you in a specific way (e.g., using an alternative address or phone number).
- Right to an Accounting of Disclosures – You may request a list of disclosures we have made of your PHI, excluding those made for treatment, payment, and healthcare operations.
- Right to a Paper Copy of This Notice – You may request a physical copy of this Privacy Policy at any time.
3. Our Legal Duties
Capitol Ketamine and Wellness is required by law to:
- Maintain the privacy and security of your PHI.
- Provide you with this Privacy Policy explaining our legal responsibilities and privacy practices.
- Notify you if a breach occurs that compromises the security of your PHI.
- Follow the terms of this Privacy Policy and update it as necessary.
4. How to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights. We will not retaliate against you for filing a complaint.
To file a complaint with us, contact:
Capitol Ketamine and Wellness
3301 New Mexico Ave, NW, Suite 228,
Washington, DC 20016
Phone: 202-481-0947
Email: admin@capitolketamineandwellness.com
To file a complaint with HHS:
Visit: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
