Notice of Privacy Practices
BL3ND TELEPSYCH
Effective Date: April 10, 2026
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
BL3ND TELEPSYCH is committed to protecting the privacy of your protected health information (PHI). We are required by law to maintain the privacy of your PHI, provide you with this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect.
How We May Use and Disclose Your PHI
We may use and disclose your PHI for the following purposes without your written authorization:
Treatment
We may use your PHI to provide, coordinate, and manage your psychiatric care, including sharing information with other healthcare providers involved in your treatment.
Payment
We may use and disclose your PHI to obtain payment for services, including submitting claims to your insurance carrier or processing billing transactions.
Healthcare Operations
We may use and disclose your PHI for operational purposes such as quality improvement, staff training, compliance activities, and business management.
As Required by Law
We may disclose your PHI when required to do so by federal, state, or local law, including for public health activities, abuse or neglect reporting, law enforcement purposes, and judicial or administrative proceedings.
Uses and Disclosures Requiring Your Authorization
We will not use or disclose your PHI for the following without your written authorization:
• Marketing purposes
• Sale of your PHI
• Most uses of psychotherapy notes
• Any other use or disclosure not described in this notice
You may revoke your authorization in writing at any time, except where action has already been taken in reliance on it.
Your Rights Regarding Your PHI
Right to Access
You have the right to inspect and obtain a copy of your PHI. Requests must be submitted in writing. We may charge a reasonable fee for copies.
Right to Amend
You may request that we amend PHI you believe is inaccurate or incomplete.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your PHI made by us outside of treatment, payment, and operations.
Right to Restrict
You may request restrictions on how we use or disclose your PHI. We are not required to agree unless the restriction involves a disclosure to a health plan for payment or operations and you have paid in full out of pocket.
Right to Confidential Communications
You may request that we communicate with you in a specific way or at a specific location.
Right to a Paper Copy
You have the right to receive a paper copy of this notice at any time upon request.
Changes to This Notice
We reserve the right to change this notice at any time. The revised notice will apply to all PHI we maintain.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.
Contact Us
BL3ND TELEPSYCH
Phone: 833-519-1327
