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Notice of Privacy Practices
Little Habits
Bailey Morton, M.A., BCBA
Phone: 470-344-6209
Website: www.littlehabits.org
Effective Date: Upon Implementation
THIS NOTICE DESCRIBES HOW YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.
Please read it carefully.
Little Habits is committed to protecting the privacy and security of your protected health information ("PHI"). This Notice explains how your information may be used and disclosed, your rights regarding your health information, and our legal responsibilities under the Health Insurance Portability and Accountability Act (HIPAA).
OUR RESPONSIBILITIES
Little Habits is required by law to:
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Maintain the privacy and security of your protected health information.
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Provide you with this Notice of Privacy Practices.
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Follow the privacy practices described in this Notice.
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Notify you if a breach occurs that may have compromised the privacy or security of your information.
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Abide by applicable federal and state privacy laws.
HOW WE MAY USE AND DISCLOSE YOUR INFORMATION
For Treatment Services
Information may be used to provide parent training and behavioral consultation services, maintain records, and document services provided.
Because Little Habits does not routinely coordinate care with outside providers, your information generally will not be shared with other professionals unless specifically authorized by you or otherwise permitted or required by law.
For Payment
Little Habits is a private-pay practice.
We do not submit claims directly to insurance companies. However, we may use information necessary to:
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Collect payment for services.
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Generate invoices.
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Produce superbills at your request.
Clients who submit superbills to insurance companies understand that any information disclosed to an insurance company becomes subject to the insurer's privacy practices.
For Health Care Operations
We may use your information to:
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Maintain practice records.
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Improve services.
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Conduct quality assurance activities.
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Comply with legal and regulatory requirements.
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Respond to audits or investigations when required.
OTHER USES AND DISCLOSURES PERMITTED OR REQUIRED BY LAW
We may disclose information without your authorization when required by law, including:
Abuse or Neglect
To report suspected child abuse, elder abuse, or vulnerable adult abuse when required by law.
Serious Threat to Health or Safety
To prevent or lessen a serious threat to your safety or the safety of another person.
Legal Proceedings
In response to a court order, subpoena, or other legal requirement when applicable law permits or requires disclosure.
Law Enforcement
To law enforcement officials when required by law.
Public Health Activities
For public health reporting as required by law.
Government Oversight
For audits, investigations, inspections, and licensure activities conducted by authorized agencies.
USES REQUIRING YOUR WRITTEN AUTHORIZATION
Except as described above, we will not use or disclose your information without your written authorization.
You may revoke an authorization at any time in writing, except to the extent action has already been taken based on your authorization.
TELEHEALTH SERVICES
Little Habits provides services exclusively through telehealth.
Telehealth services are conducted through secure technology platforms, including SimplePractice.
While reasonable safeguards are used to protect privacy and security, no method of electronic communication can guarantee complete security.
Clients are encouraged to:
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Use private locations during sessions.
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Protect passwords and account access.
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Notify the practice of any privacy or security concerns.
EMAIL AND ELECTRONIC COMMUNICATION
Clients may choose to communicate through:
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Email
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Client Portal Messaging
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Telehealth Platform Communications
Electronic communication carries certain risks, including potential unauthorized access despite reasonable security measures.
By choosing to communicate electronically, clients acknowledge and accept these risks.
Little Habits will use reasonable safeguards to protect information transmitted electronically.
YOUR RIGHTS REGARDING YOUR INFORMATION
You have the right to:
Request Access
You may request to inspect or obtain a copy of your records.
Electronic copies may be provided when available.
Request Corrections
If you believe information in your record is incorrect or incomplete, you may request an amendment.
Request Restrictions
You may request restrictions on certain uses or disclosures of your information.
While we will consider all requests, we may not be legally required to agree to every requested restriction.
Request Confidential Communications
You may request that we contact you in a specific manner or at a specific location.
For example:
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Using a particular email address
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Using a designated mailing address
Obtain a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
File a Complaint
You may file a complaint if you believe your privacy rights have been violated.
You will not be retaliated against for filing a complaint.
Complaints may be submitted to:
Privacy Officer:
Bailey Morton, M.A., BCBA
Address:
2190 Sun Valley Dr. SE
Marietta, GA 30067
Phone: 470-344-6209
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
RECORD RETENTION
Little Habits maintains client records in accordance with applicable legal and professional requirements.
Clients may request copies of records, and no fee is charged for electronic copies provided through standard methods.
CHANGES TO THIS NOTICE
Little Habits reserves the right to revise this Notice at any time.
Any revised Notice will apply to all information maintained by the practice and will be made available through our website and upon request.
CONTACT INFORMATION
Little Habits
Bailey Morton, M.A., BCBA
2190 Sun Valley Dr. SE
Marietta, GA 30067
Phone: 470-344-6209
Website: www.littlehabits.org