HIPAA Notice

Effective Date: May 5, 2025
Freestone Mental Health, PLLC
1627 W Main ST PMB 351Bozeman, MT 59715
PHONE: (657)780-8389 email: freestonementalhealth.com

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

At Freestone Mental Health, PLLC, we understand that your medical and mental health information is personal. We are committed to protecting your privacy and complying with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This notice applies to all records of your care maintained by our practice.

How We May Use and Disclose Your Information

We may use or disclose your health information for the following purposes without your written authorization:

1. Treatment

To provide, coordinate, or manage your care. This may include sharing information with other healthcare providers involved in your treatment.

2. Payment

To bill and collect payment from you, your insurance company, or a third party.

3. Healthcare Operations

For administrative purposes such as quality assessment, licensing, audits, and training.

4. Required by Law

We may disclose your information when required to do so by federal, state, or local law.

5. Public Health and Safety

To prevent or control disease, report abuse or neglect, or notify authorities in cases of serious threats to health or safety.

6. Health Oversight

For audits, investigations, inspections, and licensure conducted by government agencies.

7. Legal Proceedings

In response to a court or administrative order, subpoena, or other lawful process.

8. Law Enforcement

As permitted or required for law enforcement purposes (e.g., reporting of certain injuries or threats).

Other Uses and Disclosures Requiring Authorization

We will not use or share your information for the following purposes unless you give written permission:

• Psychotherapy notes (if applicable)

• Marketing communications

• Sale of your information

You may revoke an authorization at any time in writing.

Your Rights Regarding Your Health Information

You have the right to:

• Access and copy your health record.

• Request a correction if you believe information is inaccurate.

• Request confidential communications (e.g., to a different address or phone number).

• Request restrictions on how we use or share your information (we may not be able to honor all requests).

• Receive a list of disclosures we have made, except those for treatment, payment, or operations.

• Receive a paper or electronic copy of this notice at any time.

Our Duties

We are required to:

• Maintain the privacy of your protected health information (PHI)

• Provide you with this Notice of Privacy Practices

• Notify you of any breach of unsecured PHI

• Abide by the terms of this notice

Changes to This Notice

We reserve the right to change this notice. Any changes will apply to existing and future records. The updated notice will be available at our office and on our website.

Questions or Complaints

If you believe your privacy rights have been violated, you may contact:

Jamie Young, DNP, PMHNP-BC
Phone: (657)780-8389
Email: admin@freestonementalhealth.com

You may also file a complaint with the U.S. Department of Health and Human Services. Filling a complaint will not affect your care or rights in any way.