Privacy Policy

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Pleasant Valley Health Services (“PVHS”) is committed to protecting the privacy of your Protected Health Information (PHI). PHI is any information about your health, healthcare, or Payment for healthcare that can identify you. This Notice explains how we may use and disclose your PHI, and your rights concerning your PHI.

We are required by law to:

• Maintain the privacy and security of your PHI.

• Provide you with this Notice of our legal duties and privacy practices.

• Notify you promptly if a breach may have compromised your PHI.

• Follow the terms of this Notice.

HOW WE MAY USE AND DISCLOSE YOUR PHI

We may use and share your PHI in the following ways:

1. For Treatment

We may use your PHI to provide, coordinate, or manage your healthcare and related services. This includes sharing information with other healthcare providers involved in your care.

2. For Payment

We may use and share your PHI to bill and collect Payment from you, your insurance company, or other payors.

3. For Healthcare Operations

We may use and share your PHI to support our daily business activities, such as quality assessment, training, and compliance reviews.

4. As Required by Law

We may disclose PHI when required by federal, state, or local law.

OTHER USES AND DISCLOSURES WITHOUT YOUR AUTHORIZATION

We may also share your PHI without your written permission for:

• Public health activities (disease prevention, reporting adverse events).

• Abuse, neglect, or domestic violence reporting (when required by law).

• Health oversight activities (audits, investigations, licensure).

• Judicial and administrative proceedings (court orders, subpoenas).

• Law enforcement purposes.

• For a medical examiner or a funeral director.

• Organ and tissue donation.

• To avert a serious threat to health or safety.

• Specialized government functions (military, national security).

USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

We will obtain your written permission before sharing your PHI in situations not described in this Notice or as otherwise permitted or required by law.

If you permit us, you may revoke it in writing at any time, except to the extent we have already acted.

YOUR RIGHTS REGARDING YOUR PHI

You have the right to:

1. Access Your Records

Request to see or get a copy of your medical record and other health information. Requests must be made in writing. Reasonable fees may apply.

2. Request an Amendment

Ask us to correct health information you think is wrong or incomplete.

3. Request Confidential Communications

Ask us to contact you in a specific way (e.g., home phone, cell phone, mail).

4. Request Restrictions

Ask us not to use or share certain PHI for treatment, Payment, or operations.

We are not required to agree, except if you pay out of pocket in full for a service and request, we not disclose information to your health plan.

5. Receive an Accounting of Disclosures

Get a list of when we have shared your PHI (excluding disclosures for treatment, Payment, or operations).

6. Receive a Paper Copy of this Notice

You can request a paper copy at any time.

7. File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with:

Send an email to support@pleasantvalleymentalhealth.com

CHANGES TO THIS NOTICE

We reserve the right to change our privacy practices and update this Notice. The updated Notice will be posted in our office and on our website.