HIPAA

Notice of Privacy Practices

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.

Effective date:

Key Patient Rights — Summary

The following summarizes selected rights described in the full Notice available below or through the PDF download.

Access to Your Records

You have the right to inspect and receive a copy of your health information. We will furnish requested copies within 10 working days after receipt of a written request, or sooner when applicable law requires, subject to legally permitted limitations and required notices. Contact us at drnicolau@holstonhealthassociates.com or (423) 568-5980 to submit a request.

Appointment Reminders

We may contact you with appointment reminders. Reminders may include your name, your clinician's name, appointment date and time, and a secure visit or portal link. If you would like us to use a different method or address for reminders, please let us know and we will accommodate your preference when reasonably possible.

Mailing Address

Our mailing address is used for correspondence only. Holston Health Associates is a telehealth-only practice; we do not have a walk-in clinic or in-person appointment location.

Substance Use Disorder Records (42 CFR Part 2)

Some of our patients receive treatment for substance use disorders. Records of that diagnosis and treatment are protected by a federal law, 42 CFR Part 2, in addition to HIPAA. We will not use or share these records without your written consent, except as Part 2 allows (for example, medical emergencies, certain audits and research, and reporting suspected child abuse).

You may give one written consent that covers our treatment, payment, and health care operations, and you may revoke it in writing at any time. Your substance use disorder records, or testimony about them, cannot be used against you in any civil, criminal, administrative, or legislative proceeding unless you consent in writing or a court issues an order that meets Part 2 requirements. A Part 2 court order authorizes use or disclosure but does not by itself compel it; a subpoena or similar legal mandate is required to compel use or disclosure. A subpoena alone is not sufficient.

You may ask us to restrict disclosures for treatment, payment, or operations and request a list of disclosures made with your consent. You may file a complaint about a Part 2 violation with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

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