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Notice of Privacy Practices

HIPAA Privacy Notice

This notice describes how medical information about you may be used and disclosed by The RISE Group Ministries and how you can access this information. Please review it carefully.

Section 01
📋

Overview

What This Notice Covers

This Notice of Privacy Practices describes how The RISE Group Ministries may use and disclose your protected health information (PHI) to carry out treatment, payment, and healthcare operations. We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices with respect to your health information.

Protected health information includes any information we create or receive that relates to your past, present, or future physical or mental health condition, the provision of healthcare to you, or the payment for that healthcare. This notice applies to all records of your care maintained by The RISE Group Ministries.

Section 02
🔓

How We May Use Your Information

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes sharing information with other healthcare providers involved in your care — such as specialists, hospitals, or referral providers — to ensure continuity and coordination of your treatment.

Payment

We may use and disclose your PHI so that the treatment and services you receive at The RISE Group Ministries may be billed to and payment collected from you, an insurance company, or a third party. This includes verifying insurance coverage, obtaining prior authorization for services, and submitting claims to your insurance plan.

Healthcare Operations

We may use and disclose your PHI for healthcare operations, including quality assessment and improvement activities, staff training and supervision, licensing and accreditation, internal administration, and other activities that ensure our clinic operates effectively and safely. These uses are necessary to run the practice and ensure all clients receive quality care.

Section 03
✍️

Uses Requiring Authorization

Written Authorization Required

Any uses or disclosures of your protected health information not described in this notice require your written authorization. If you provide authorization for a use or disclosure that is not described in this notice, you may revoke that authorization at any time in writing, except to the extent that we have already taken action in reliance on it.

Examples of uses that require your written authorization include most uses and disclosures of psychotherapy notes (if we maintain them), uses and disclosures of PHI for marketing purposes, and disclosures that constitute a sale of your PHI.

Section 04
⚖️

Your Rights

Rights Regarding Your Health Information

  • Right to Inspect and Copy: You have the right to inspect and obtain a paper or electronic copy of your medical records and billing records, with limited exceptions.
  • Right to Amend: You may request that we amend your records if you believe they are inaccurate or incomplete. We may deny your request under certain circumstances.
  • Right to Request Restrictions: You may request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or operations. We are not required to agree to your request, with one exception: if you pay for a service out-of-pocket in full, you may request we not share that information with your insurer.
  • Right to Confidential Communications: You may request that we communicate with you about your health information in a certain way or at a certain location — for example, only by mail to a specific address.
  • Right to a Paper Copy of This Notice: You may request a paper copy of this notice at any time, even if you previously agreed to receive it electronically.
  • Right to an Accounting of Disclosures: You may request a list of certain disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations.
Section 05
🛡️

Our Responsibilities

What We Are Required to Do

  • We must maintain the privacy of your protected health information as required by law.
  • We must provide you with this notice of our privacy practices and legal duties.
  • We must notify you following a breach of your unsecured protected health information, in accordance with applicable law.
  • We must follow the terms of the notice that is currently in effect.
  • We reserve the right to change the terms of this notice and make the new notice provisions effective for all PHI we maintain. If we revise this notice, we will provide a copy of the revised notice.
Section 06
📨

Complaints

How to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with The RISE Group Ministries or with the U.S. Department of Health and Human Services Office for Civil Rights. You may file a complaint in writing, and you may do so without fear of retaliation.

To file a complaint with The RISE Group Ministries, contact our Privacy Officer in writing. We will not retaliate against you for filing a complaint, and we will investigate and respond to your concerns in a timely manner.

Effective Date

This notice is effective as of January 1, 2026. For questions about this notice or to contact our Privacy Officer, please reach out to The RISE Group Ministries Privacy Officer through our office.

ℹ️

This notice is provided for informational purposes and does not constitute legal advice. For specific questions about your privacy rights or how your health information is handled, please contact our Privacy Officer.