HIPAA Notice of Privacy Practices
Your privacy and confidentiality are our highest priorities
Effective Date: January 1, 2025
IMPORTANT NOTICE: 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.
Autumn Behavioral Health Center is committed to protecting your health information. We are required by federal and state law to maintain the privacy and security of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
Our Commitment to You
We Will:
- • Maintain the privacy of your health information
- • Provide you with notice of our privacy practices
- • Follow the terms of this notice
- • Notify you of any breaches of your information
We Will Not:
- • Use or share your information without your permission
- • Sell your health information
- • Use your information for marketing purposes
- • Share information with unauthorized parties
How We Use and Share Your Health Information
Treatment
We use your health information to provide, coordinate, or manage your healthcare and related services.
Payment
We use your information to obtain payment for healthcare services provided to you.
Operations
We use your information to support our business activities and improve quality of care.
Your Rights Regarding Your Health Information
Right to Access
You can request to see or get copies of your health information.
Right to Amend
You can request corrections to your health information.
Right to Restrict
You can request limits on how we use or share your information.
Right to Confidential Communications
You can request to receive communications in a specific way or location.
Questions or Concerns?
If you have questions about this notice or need to exercise your rights, please contact our Privacy Officer:
Privacy Officer
Autumn Behavioral Health Center
123 Wellness Way
Columbus, OH 43215
Contact Information
Phone: 614.219.9394
Email: privacy@autumntreatment.com
File a Complaint
You may file a complaint with us or with the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.