Notice of Privacy Practices (HIPPA)
Updated 5/22/26
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.
Our Pledge Regarding Your Health Information
Healthy Mind, Healthy Heart Counseling and Consulting is committed to protecting the privacy of your protected health information (PHI). We are required by federal and state law to maintain the privacy of your PHI, provide you with this notice of our legal duties and privacy practices, and follow the terms of this notice.
How We May Use and Disclose Your Health Information
The following describes the ways we may use and disclose health information about you.
Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare. This includes consultation with other healthcare providers involved in your care, such as your physician or psychiatrist.
Payment: We may use and disclose your PHI to obtain payment for services. This may include sharing information with your insurance provider for billing purposes.
Healthcare Operations: We may use and disclose your PHI for our normal healthcare operations, such as quality assessment, training, and licensing activities.
Required by Law: We may disclose your PHI when required by federal, state, or local law.
Special Situations
Threats to Safety: We may disclose your PHI if we believe it is necessary to prevent serious harm to you or others. This includes:
Threats of suicide or self-harm
Threats of harm to identifiable others
Reports of abuse or neglect of children, elderly persons, or vulnerable adults (mandatory reporting required by Georgia, Florida, and Virginia law)
Court Orders: We may disclose your PHI in response to a court order, subpoena, or other legal process.
Public Health: We may disclose your PHI to public health authorities for purposes such as preventing disease, injury, or disability.
Your Rights Regarding Your Health Information
You have the following rights regarding your PHI:
Right to Inspect and Copy: You may request to inspect and copy your health information. Requests must be made in writing.
Right to Amend: You may request that we amend health information that you believe is incorrect or incomplete.
Right to an Accounting of Disclosures: You may request a list of disclosures we have made of your PHI.
Right to Request Restrictions: You may request restrictions on certain uses and disclosures of your PHI. We are not required to agree to your request.
Right to Request Confidential Communications: You may request that we communicate with you about medical matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice: You may request a paper copy of this notice at any time.
Changes to This Notice
We reserve the right to change this notice. The revised notice will be effective for all health information we maintain. The current notice will be available upon request and posted on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Contact Information
If you have questions about this notice or our privacy practices, contact:
Healthy Mind, Healthy Heart Counseling and Consulting Privacy Officer: Westly Francois, LCSW 3350 Riverwood Parkway SE, Suite 1900 Atlanta, GA 30339 Phone: (470) 748-6600 Email: info@healthymindhealthyheart.com