Notice of Privacy Practices

Our Responsibilities

We are required by law to:

• Maintain the privacy of your protected health information (PHI)
• Provide you with this notice of our legal duties and privacy practices
• Abide by the terms of this notice

How We May Use and Disclose Your Information

We may use and disclose your PHI without your written authorization for:

• Treatment – Coordinating or managing your mental health care
• Payment – Billing and receiving payment for services
• Healthcare Operations – Administrative tasks, quality improvement, and staff training

Other permitted disclosures include:

• When required by law
• For public health activities
• To report abuse or neglect
• For legal proceedings
• To law enforcement under specific conditions
• To prevent serious threats to health or safety

Any other use or disclosure of your PHI requires your written authorization.

Your Rights

You have the right to:

• Request restrictions on certain uses and disclosures
• Receive confidential communications
• Inspect and obtain a copy of your health record
• Request amendments to your health record
• Receive an accounting of disclosures
• Obtain a paper copy of this notice

📞 Contact Us

If you have questions or wish to exercise your rights, contact:

Crystal Mind Mental Health, LLC

8370 W Flagler St,

Suite 242,

Miami, FL 33144

Phone: 786.321.1600

Email: info@crystalmindsmh.com