Notice of Privacy Practices

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Effective Date: September 1, 2026
Last Updated: September 1, 2026

 

YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES.

 

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.

 

Afepa Behavioral Health & Wellness Services is committed to protecting the privacy and security of your health information.

This Notice of Privacy Practices (“Notice”) describes how we may use and disclose your protected health information (“PHI”), our responsibilities regarding your PHI, and certain rights you have concerning your health information.

This Notice applies to health information maintained by Afepa Behavioral Health & Wellness Services as permitted by applicable federal and state law.

 

Your Health Information Rights

You have certain rights regarding your protected health information, including the right to:

 

Obtain a Copy of Your Health Information

You may request access to your medical records and other health information maintained by us, subject to applicable legal requirements and limitations.

You may request your information in a paper or electronic format where required or permitted by law.

 

Request a Correction

If you believe information in your medical record is incorrect or incomplete, you may request that we correct or amend the information.

We may deny a request when permitted by law, but we will provide an explanation when required.

 

Request Confidential Communications

You may request that we communicate with you about your healthcare in a particular way or at a particular location when permitted by law.

For example, you may ask that we contact you at a specific phone number or communicate with you in another reasonable manner.

 

Request Restrictions

You may ask us to limit how we use or disclose certain health information.

We are not required to agree to every restriction request, except where applicable law requires otherwise.

 

Request an Accounting of Certain Disclosures

You may request a list of certain disclosures of your health information made by us, subject to applicable exceptions and limitations.

 

Receive a Copy of This Notice

You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.

 

Choose Someone to Act on Your Behalf

If you have legally authorized a personal representative, that individual may exercise certain rights and make healthcare decisions on your behalf as permitted by law.

We may require documentation confirming the person’s authority to act for you.

 

File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with Afepa Behavioral Health & Wellness Services and/or the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a privacy complaint.

 

How We May Use and Disclose Your Health Information

HIPAA permits healthcare providers to use or disclose PHI for certain purposes without obtaining your separate written authorization.

 

Treatment

We may use or disclose your health information to provide, coordinate, or manage your healthcare and related services.

For example, information may be shared with other healthcare professionals involved in your treatment when permitted by law.

 

Payment

We may use or disclose your health information to obtain payment for healthcare services or determine insurance coverage and eligibility.

 

Healthcare Operations

We may use or disclose your health information for healthcare operations, such as quality improvement, administrative activities, care coordination, compliance activities, and other activities permitted by law.

 

Other Permitted or Required Uses and Disclosures

We may also use or disclose health information when permitted or required by applicable law, including certain circumstances involving:

  • Public health activities
  • Health oversight activities
  • Legal proceedings
  • Law enforcement
  • Serious threats to health or safety
  • Workers’ compensation
  • Certain organ donation activities
  • Coroners and medical examiners
  • Disaster relief
  • Specialized government functions

 

We will comply with applicable federal and state requirements when making these disclosures.

 

Uses and Disclosures Requiring Your Authorization

Some uses and disclosures of PHI require your written authorization.

Except as permitted or required by law, we will obtain your authorization before using or disclosing your health information for purposes that require authorization.

You may revoke an authorization in writing as permitted by law. Revocation will not affect actions already taken based on your prior authorization.

 

Psychotherapy Notes

Certain psychotherapy notes receive additional protection under HIPAA.

Where applicable, we will obtain the authorization required by law before using or disclosing separately maintained psychotherapy notes, except where an applicable legal exception permits disclosure without authorization.

 

Marketing and Sale of Health Information

Certain uses and disclosures of PHI for marketing purposes require your authorization.

Similarly, certain circumstances involving the sale of PHI require authorization as required by law.

 

Substance Use Disorder Records

Certain records concerning substance use disorder treatment may be subject to additional federal confidentiality protections, including requirements under applicable federal law.

Where applicable, Afepa Behavioral Health & Wellness Services will comply with these requirements.

 

Our Responsibilities

Afepa Behavioral Health & Wellness Services is required to:

  • Maintain the privacy of your protected health information
  • Provide you with this Notice describing our legal duties and privacy practices
  • Follow the terms of the Notice currently in effect
  • Notify affected individuals when a breach of unsecured PHI occurs when notification is required by law
  • Provide individuals with their applicable privacy rights as required by law

We reserve the right to change our privacy practices and this Notice.

If we make a material change to our privacy practices, we will update the Notice and make the revised Notice available as required by law.

 

Privacy Complaints

If you have a question, concern, or complaint about our privacy practices, please contact:

 

Afepa Behavioral Health & Wellness Services

Location: North Wales, PA 19454
Phone: +1 (267) 551-6424
Email: support@afepabehavioralhealth.com
Office Hours: 9:00 AM–6:00 PM

You may also file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights.

Afepa Behavioral Health & Wellness Services will not retaliate against you for filing a complaint.

 

Questions About This Notice

If you have questions about this Notice or your privacy rights, please contact us during our office hours:

 

Afepa Behavioral Health & Wellness Services

North Wales, PA 19454
Phone: +1 (267) 551-6424
Email: support@afepabehavioralhealth.com
Office Hours: 9:00 AM–6:00 PM

We are committed to protecting your privacy while providing compassionate, respectful, and patient-centered behavioral healthcare.