Notice of Privacy Practices

This notice describes how medical and mental health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our responsibilities

Cogniscribe Psychology is required by law to keep your protected health information (PHI) private, to give you this notice of our legal duties and privacy practices, to follow the notice currently in effect, and to tell you if a breach occurs that may have compromised the privacy or security of your information. This includes information about therapy and psychological testing you receive from Mason Anglin, PsyD.

How we may use and disclose your information

• Treatment. To provide, coordinate, or manage your assessment and care, including consulting with other providers involved in your care.
• Supervision. Mason Anglin, PsyD, is a Registered Psychological Associate (#PSB94029529) and practices under the supervision of Youssef Nakhla, PsyD (PSY 36042). Your information is shared with his supervising psychologist as part of that required supervision.
• Payment. To bill and get paid by you, your health plan, or others for services we provide.
• Health care operations. To run our practice, improve quality, train and supervise registered associates and trainees, and comply with law.
• As required by law. When federal, state, or local law requires it.
• Health and safety. To prevent or lessen a serious threat to the health or safety of you or others, including duties under California law.
• Abuse or neglect. To report suspected child, elder, or dependent adult abuse or neglect as required by law.
• Health oversight and legal proceedings. For audits, licensing, or investigations, and in response to a court order or subpoena as permitted by law.
• Other permitted uses. For workers’ compensation, law enforcement, coroners, and specialized government functions as allowed by law.

Uses that require your written authorization

We will not use or disclose psychotherapy notes, use your information for marketing, or sell your information without your written authorization. Other uses not described in this notice will be made only with your written authorization, which you may revoke in writing at any time (except to the extent we have already relied on it).

Your rights

• Get a copy of your records. You may ask to see or get an electronic or paper copy of your health information. We may charge a reasonable, cost-based fee.
• Ask us to correct your records. You may ask us to amend information you believe is incorrect or incomplete. We may say no, and will tell you why in writing.
• Request confidential communications. You may ask us to contact you in a specific way or at a specific address.
• Ask us to limit what we use or share. We are not required to agree, except that if you pay out of pocket in full for a service, you may ask us not to share that information with your health plan.
• Get a list of disclosures. You may ask for an accounting of certain disclosures made in the six years before your request.
• Get a copy of this notice. You may ask for a paper copy at any time.
• Choose someone to act for you. A personal representative or legal guardian may exercise your rights.
• File a complaint. If you believe your rights were violated, contact us below, or file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.

Changes to this notice

We may change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request, in our office, and on this website.

Contact

See also our Website Privacy Policy, which covers information this website collects.