HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

The following sections describe common circumstances in which Alqimind may use or disclose your PHI without obtaining a separate written authorization.

Treatment

We may use and disclose your PHI to evaluate your condition, provide psychiatric care, prescribe and manage medications, coordinate treatment, and communicate with other professionals involved in your care.

For example, we may communicate with your primary-care provider, therapist, psychiatrist, pharmacy, laboratory, hospital, or another treating professional when appropriate for your care.

Payment

We may use and disclose your PHI to bill and receive payment for services.

This may include:

• Verifying insurance eligibility and benefits
• Submitting claims
• Obtaining authorization for services or medications
• Responding to health-plan inquiries
• Coordinating benefits
• Collecting copayments, deductibles, coinsurance, or other balances
• Communicating with billing and payment-processing services

Healthcare Operations

We may use and disclose your PHI for activities necessary to operate and improve the practice.

These activities may include:

• Quality assessment and improvement
• Clinical supervision and consultation
• Provider credentialing
• Licensing and regulatory compliance
• Auditing and billing review
• Staff training
• Legal, accounting, and administrative services
• Information technology and cybersecurity
• Patient-safety activities
• Business planning and management

Business Associates

Alqimind may share PHI with outside organizations or professionals that perform services on our behalf, such as electronic health-record vendors, billing companies, scheduling services, telehealth providers, secure form services, information-technology vendors, consultants, attorneys, and accountants.

When required by HIPAA, these parties are considered business associates and must contractually safeguard PHI.

Appointment Reminders and Service Communications

We may use your contact information to send:

• Appointment confirmations and reminders
• Scheduling communications
• Registration or form-completion notices
• Billing and payment communications
• Prescription-related administrative notices
• Information about treatment alternatives or health-related services that may be relevant to your care

Messages may contain limited information to protect your privacy. Please notify Alqimind if you require a particular communication method.

Family Members, Caregivers, and Others Involved in Your Care

When permitted by law, we may disclose relevant PHI to a family member, caregiver, personal representative, or another person involved in your care or payment for your care.

When possible, we will ask for your agreement or give you an opportunity to object. If you are unavailable, incapacitated, or experiencing an emergency, we may use professional judgment to determine whether a limited disclosure is in your best interest.

Minors

For patients who are minors, a parent, legal guardian, or other legally authorized representative may generally exercise the minor’s privacy rights and receive information concerning the minor’s care.

Exceptions may apply when a minor may lawfully consent to care, when information is protected from disclosure by law, when disclosure could endanger the minor, or under other legally recognized circumstances.

Required by Law

We may use or disclose PHI when required by federal, state, or local law.

Public Health and Safety

We may disclose PHI for legally authorized public-health activities, including:

• Preventing or controlling disease, injury, or disability
• Reporting certain communicable diseases
• Reporting adverse medication or product events
• Complying with public-health investigations
• Preventing or reducing a serious and imminent threat to health or safety

Abuse, Neglect, or Domestic Violence

We may disclose PHI to an authorized agency when required or permitted by law to report suspected abuse, neglect, exploitation, or domestic violence.

Health Oversight

We may disclose PHI to authorized health-oversight agencies for activities such as audits, inspections, investigations, licensure actions, credentialing reviews, and compliance monitoring.

Legal and Administrative Proceedings

We may disclose PHI in response to a valid court order, subpoena, discovery request, administrative order, or other lawful process, subject to applicable legal protections.

Law Enforcement

We may disclose PHI to law-enforcement officials when permitted or required by law, including in response to certain legal processes, to identify or locate an individual, to report particular injuries or crimes, or to address a serious threat.

Coroners, Medical Examiners, and Funeral Directors

We may disclose PHI to coroners, medical examiners, or funeral directors as authorized by law.

Organ and Tissue Donation

When applicable and permitted by law, PHI may be disclosed to organizations involved in organ, eye, or tissue donation and transplantation.

Workers’ Compensation

We may disclose PHI as authorized or required for workers’ compensation programs or similar programs concerning work-related injuries or illness.

Specialized Government Functions

When permitted by law, we may disclose PHI for certain military, veterans’ affairs, national-security, protective-services, correctional, or government-benefit functions.

Research

PHI may be used or disclosed for research when you authorize it or when an institutional review board, privacy board, or applicable law permits the use without individual authorization.

USES AND DISCLOSURES THAT GENERALLY REQUIRE AUTHORIZATION

Uses or disclosures not otherwise permitted or required by law will generally require your written authorization.

This includes most:

• Uses or disclosures of psychotherapy notes, when applicable
• Uses of PHI for marketing
• Disclosures involving the sale of PHI
• Disclosures to an employer for employment purposes
• Disclosures requested by attorneys, schools, employers, licensing boards, or other third parties when no other legal permission applies

Alqimind does not sell PHI.

If you authorize Alqimind to use or disclose PHI, you may revoke that authorization in writing at any time. Revocation will not affect information already used or disclosed in reliance on the authorization.

Some information, including certain substance-use-disorder, HIV-related, genetic, reproductive-health, and mental-health records, may receive additional protection under federal or Florida law. Alqimind will follow the more protective law when it applies.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the following rights, subject to certain legal limitations.

Right to Inspect and Obtain Copies

You may request access to or copies of PHI maintained in your designated record set.

When records are maintained electronically, you may request an electronic copy if it is readily producible in the requested format. Alqimind may charge a reasonable, cost-based fee as permitted by law.

A request may be denied in limited circumstances. When applicable, you may have the right to request a review of that denial.

Right to Request an Amendment

If you believe information in your record is incorrect or incomplete, you may request an amendment.

Alqimind may deny the request under circumstances permitted by law, such as when the information is accurate and complete or was not created by Alqimind. If the request is denied, you may submit a written statement of disagreement.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made during the legally applicable period.

The accounting does not include every disclosure. For example, it generally does not include disclosures for treatment, payment, healthcare operations, disclosures authorized by you, or certain other legally excluded disclosures.

Right to Request Restrictions

You may request limits on how Alqimind uses or discloses PHI for treatment, payment, healthcare operations, or communications with individuals involved in your care.

Alqimind is generally not required to agree to every requested restriction.

However, if you pay Alqimind in full out of pocket for a specific service and request that information about that service not be disclosed to your health plan for payment or healthcare operations, Alqimind must generally honor the request unless disclosure is required by law.

Right to Request Confidential Communications

You may request that Alqimind contact you in a particular way or at a particular location.

For example, you may ask that we contact you only through a specified telephone number, email address, mailing address, or secure portal. Reasonable requests will be accommodated.

Right to a Paper or Electronic Copy of This Notice

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

An electronic copy is available through the Alqimind website.

Right to Choose a Personal Representative

If you have given someone medical power of attorney or that person is otherwise legally authorized to act for you, that representative may exercise your privacy rights as permitted by law.

Alqimind may request documentation verifying the person’s authority.

Right to Receive Breach Notification

You have the right to receive notification if Alqimind or a business associate discovers a breach of your unsecured PHI that requires notification under applicable law.

Right to File a Complaint

You may submit a privacy complaint directly to Alqimind if you believe your privacy rights have been violated.

You may also submit a complaint to the Office for Civil Rights of the United States Department of Health and Human Services.

Alqimind will not retaliate against you, deny treatment, or otherwise penalize you for submitting a good-faith privacy complaint.

ALQIMIND’S RESPONSIBILITIES

Alqimind is required to:

• Maintain the privacy and security of your PHI
• Follow the duties and privacy practices described in the current Notice
• Provide you with this Notice describing our legal duties and privacy practices
• Notify affected individuals following a breach when required by law
• Limit uses, disclosures, and requests for PHI to the minimum necessary when the minimum-necessary standard applies
• Accommodate rights and requests as required by applicable law

CHANGES TO THIS NOTICE

Alqimind reserves the right to change this Notice and its privacy practices.

A revised Notice may apply to PHI already maintained by Alqimind as well as information received after the revision. When the Notice is materially changed, the revised version will be posted on the Alqimind website and made available upon request.

COMPLAINTS AND PRIVACY QUESTIONS

To ask a privacy question, exercise a privacy right, request a copy of this Notice, or submit a complaint, contact:

Privacy Officer
Albert Garcia, MSN, APRN, PMHNP-BC
Alqimind LLC 

3626 NW 7th Street  Miami, Florida 33125

Phone: (305) 942-5246

Fax: (305) 845-5673

Email: contact@alqimind.com

Please do not send sensitive medical information through ordinary email.

You may also file a complaint with:

U.S. Department of Health and Human Services
Office for Civil Rights

Information about filing a complaint is available at:
https://www.hhs.gov/ocr/complaints/

Alqimind will not retaliate against you for filing a complaint.

EMERGENCIES

The Privacy Officer’s contact information and the Alqimind website are not emergency-response services and are not monitored continuously.

If you are experiencing a medical or psychiatric emergency, call 911, go to the nearest emergency department, or call or text 988 for immediate crisis support.