The Wellness Initiative Counseling and Consulting, PLLC
1880 S Dairy Ashford Rd Suite 207
Houston, TX 77077
(734) 540-2183
TEXAS NOTICE FORM
Your Information. Your Rights. Our Responsibilities.
This notice outlines how your health information may be used and disclosed, as well as how you can access it. Please review it carefully.
Your Rights
You have the right to:
- Access a copy of your paper or electronic medical record.
- Request corrections to your medical record if it is incomplete or inaccurate.
- Specify your preferred method of communication (e.g., phone or email).
- Request limitations on how your information is used or shared.
- Receive an accounting of disclosures made about your health information.
- Obtain a copy of this privacy notice at any time.
- Designate someone to act on your behalf (e.g., through medical power of attorney).
- File a complaint if you believe your privacy rights have been violated.
Your Choices
For specific types of health information, you may:
- Decide how and with whom we share your information.
- Choose whether to allow the disclosure of information to family or friends involved in your care.
- Authorize or deny the sharing of information for purposes outside of treatment, payment, or operations.
Our Uses and Disclosures
We may use and share your information to:
-
Treat You: Share information with other healthcare providers involved in your care.
Example: Consulting with a specialist to ensure comprehensive care. -
Manage Our Organization: Use data to improve services, contact you, or streamline operations.
Example: Using information to monitor the quality of care provided. -
Process Payments: Share information with insurers to facilitate billing and reimbursement.
Example: Submitting claims to your insurance provider.
Use of AI for Recording and Summarizing Notes
At The Wellness Initiative Counseling and Consulting, PLLC, we utilize secure AI technology to assist in recording and summarizing session notes. This system enhances the accuracy and efficiency of documentation while ensuring the highest level of privacy and security.
Key Points About AI Usage:
- HIPAA Compliance: The AI technology is fully compliant with the Health Insurance Portability and Accountability Act (HIPAA), ensuring the secure handling of your protected health information (PHI).
- Temporary Data Processing: The AI processes audio or written content only during the session for note-taking purposes. Once the notes are finalized, all temporary data is deleted and not stored.
- Confidentiality: The AI system operates in a secure, private environment to safeguard your information.
- No Data Sharing: Your data is not transmitted to external entities or stored outside our secure systems.
If you have any concerns about the use of AI in your care, please contact us for further clarification.
Additional Situations for Disclosure
In accordance with the law, your health information may also be shared for:
- Public Health and Safety: Reporting disease, abuse, neglect, or imminent safety threats.
- Legal Compliance: Responding to court orders or audits.
- Appointment Reminders: Sending notifications for scheduled sessions.
- Workers’ Compensation: Supporting claims as authorized by law.
Our Responsibilities
We are required to:
- Protect the privacy and security of your health information.
- Notify you promptly if a breach affecting your information occurs.
- Follow the terms outlined in this notice.
We will only share your information as permitted by this notice unless you provide written authorization. You may revoke this authorization at any time in writing.
Changes to This Notice
We reserve the right to modify this notice, and any changes will apply to information we currently hold. Updated notices will be made available upon request and published on our website.
- Effective Date: January 22, 2025
- Contact Information:
- Privacy Official
- 1880 S Dairy Ashford Rd Suite 207
- Houston, TX 77077
- United States