NEW SEASON PSYCHIATRY
Notice of Privacy Practices
Effective Date: [INSERT EFFECTIVE DATE]
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.
Your Rights
You have important rights regarding your protected health information, including:
- Accessing or requesting copies of your records
- Requesting corrections to your records
- Requesting confidential communications
- Asking us to limit certain disclosures
- Requesting an accounting of certain disclosures
- Obtaining a paper copy of this notice
- Designating an authorized representative
- Filing a privacy complaint without retaliation
How We Use Your Information
We may use or disclose your health information as permitted by law to:
- Provide and coordinate your treatment
- Bill insurance and process payments
- Operate and manage our practice
- Meet applicable legal obligations
- Address certain public health and safety needs
- Respond to other legally permitted requests
Your Choices & Consent
You may have choices about sharing information with family members or others involved in your care. Certain uses and disclosures, including most disclosures of psychotherapy notes, marketing, and sale of health information, require written authorization.
Additional Confidentiality Protections
Certain mental health and substance use disorder records may receive additional protection under federal or Massachusetts law.
Where 42 CFR Part 2 applies, protected substance use disorder records generally cannot be used or disclosed in legal proceedings against you without the required consent or qualifying court order and subpoena.
Our Responsibilities
New Season Psychiatry is committed to maintaining the privacy and security of your protected health information. We follow applicable privacy laws, provide notice of our practices, and notify affected individuals of reportable breaches.
We may revise this notice as permitted by law. Updated notices will be available through our office and website.
Questions or Complaints
If you have questions or concerns about your privacy rights, please contact:
Privacy Contact: [INSERT NAME OR TITLE]
1740 Mass Ave, Building B
Boxborough, MA
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.
Learn how to file a HIPAA complaint →For the complete federal model notice, including detailed explanations of rights, limitations, and permitted disclosures, please visit:
HHS Model Notice of Privacy Practices →