HIPAA Notice
HIPAA Notice of Privacy Practices
CB Serenity Hub
Effective Date: 2025
THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
1. Our Commitment to Your Privacy
CB Serenity Hub is committed to protecting the privacy and confidentiality of your health information. This Notice describes how we may use and disclose your Protected Health Information (“PHI”) and your rights under the Health Insurance Portability and Accountability Act (HIPAA).
2. What Is Protected Health Information (PHI)?
Protected Health Information (PHI) includes any information about your physical or mental health, treatment, or payment for services that can identify you.
3. How We May Use and Disclose Your Information
We may use or disclose your PHI without your written authorization in the following situations:
a. For Treatment
We may use your information to provide, coordinate, or manage your care.
Example: Sharing relevant information with another healthcare provider involved in your treatment.
b. For Payment
We may use your information to bill and receive payment for services.
Example: Submitting claims to your insurance provider.
c. For Health Care Operations
We may use your information for business and administrative purposes.
Example: Quality improvement, supervision, staff training, and compliance.
4. Other Permitted or Required Uses and Disclosures
We may disclose your PHI without your authorization when required or permitted by law, including:
To prevent a serious threat to your health or safety or that of others
For public health activities
For reporting abuse, neglect, or domestic violence
For health oversight activities
In response to court orders, subpoenas, or legal proceedings
For law enforcement purposes, as permitted by law
For workers’ compensation claims
To comply with federal or state laws
5. Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before:
Sharing psychotherapy notes (with limited exceptions)
Using your information for marketing purposes
Disclosing your information not otherwise covered by this Notice
You may revoke your authorization at any time in writing.
6. Your Rights Regarding Your Information
You have the following rights regarding your PHI:
a. Right to Access
You may request to inspect or receive a copy of your health records.
b. Right to Amend
You may request corrections to your records if you believe they are incorrect or incomplete.
c. Right to Request Restrictions
You may request limits on how we use or disclose your information. We are not required to agree to all requests.
d. Right to Confidential Communications
You may request that we contact you in a specific way (e.g., only by email or at a specific address).
e. Right to an Accounting of Disclosures
You may request a list of certain disclosures of your PHI.
f. Right to a Paper Copy
You have the right to receive a paper copy of this Notice at any time.
7. Our Responsibilities
We are required to:
Maintain the privacy and security of your PHI
Provide you with this Notice of our legal duties and privacy practices
Notify you in the event of a breach of your unsecured PHI
Follow the terms of this Notice currently in effect
8. Telehealth & Electronic Communication
If you participate in telehealth services:
We use secure platforms to protect your information
You are responsible for ensuring your environment is private
Electronic communication carries some inherent risks despite safeguards
9. Changes to This Notice
We reserve the right to change this Notice at any time. Updated versions will be posted on our website with a new effective date.
10. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
CB Serenity Hub
or
U.S. Department of Health & Human Services (HHS)
You will not be penalized or retaliated against for filing a complaint.
11. Contact Information
If you have questions or want to exercise your rights, contact:
CB Serenity Hub
11 Robert Toner Blvd, Suite 275
North Attleboro, MA 02763
Phone: 508-846-3206
Email: info@cbserenityhub.com
12. Acknowledgment of Receipt
You may be asked to sign an acknowledgment confirming that you received this Notice of Privacy Practices.
