HIPAA Notice of Privacy Practices
Effective Date: March 2026
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.
Our Commitment to Your Privacy
Lennox Fields Clinical Mental Health Services is committed to protecting the privacy of your health information. This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your Protected Health Information (PHI) and your rights regarding that information, as required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
What is Protected Health Information?
Protected Health Information (PHI) includes any individually identifiable health information that we create, receive, maintain, or transmit in the course of providing you with mental health services. This includes your clinical records, treatment plans, session notes, billing information, and any other information related to your care.
How We May Use and Disclose Your PHI
For Treatment
We may use your PHI to provide, coordinate, and manage your treatment. For example, we may share information with another healthcare provider involved in your care with your written authorization.
For Payment
We may use and disclose your PHI to obtain payment for services. For example, we may provide information to your insurance company for reimbursement purposes, but only with your written authorization.
For Healthcare Operations
We may use your PHI for activities necessary to run our practice, including quality assessment, training, and compliance activities.
As Required by Law
We may disclose PHI when required by federal, state, or local law. Kentucky law requires or permits disclosure in certain circumstances, including:
- When there is a serious threat to your health or safety or that of others
- Reports of suspected child abuse or neglect
- Reports of suspected elder abuse
- Court orders or subpoenas
- Public health reporting requirements
Your Rights Regarding Your PHI
Right to Access
You have the right to inspect and obtain a copy of your PHI maintained in your clinical record.
Right to Amend
You may request amendments to your PHI if you believe it is incorrect or incomplete.
Right to Restrict
You may request restrictions on certain uses and disclosures of your PHI.
Right to Accounting
You have the right to receive an accounting of disclosures of your PHI made by us.
Right to a Copy of This Notice
You have the right to obtain a paper copy of this Notice upon request.
Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.
Psychotherapy Notes
Psychotherapy notes receive special protection under HIPAA. We will not use or disclose psychotherapy notes without your written authorization except in limited circumstances as permitted by law (such as to defend against a legal action or if required to prevent a serious threat).
Website-Specific Information
The self-assessment screening tools on our website (PHQ-9, GAD-7, PCL-5, etc.) process all data locally in your web browser. No PHI is transmitted to or stored on our servers through these tools. Your screening results are not part of any clinical record unless you bring them to a session and we include them in your treatment file.
Changes to This Notice
We reserve the right to change this Notice and make the new provisions effective for all PHI we maintain. A current copy of this Notice will always be available on our website and upon request.
Contact Information
For questions about this Notice or to exercise your rights, contact:
Tamara Walls, LPCA
Lennox Fields Clinical Mental Health Services
Email: tamara@lennoxfields.org
Phone: (502) 627-0781