Privacy Policy

Effective Date: May 31, 2024 

Introduction

This Privacy Policy outlines how Sameem Behavioral Health, LLC, ("Sameem", or "we") uses, discloses, and safeguards personal health information ("PHI") in compliance with the Health Insurance Portability and Accountability Act ("HIPAA").

1) Use and Disclosure of Protected Health Information

Treatment, Payment, and Healthcare Operations:

• Treatment: We may use and disclose PHI to provide, coordinate, or manage your healthcare and related services. For example, we may share PHI with other healthcare providers involved in your care.
• Payment: We may use and disclose PHI to obtain payment for services we provide to you. This may include disclosures to insurance companies or other entities responsible for paying for your healthcare.
• Healthcare Operations: We may use and disclose PHI for our healthcare operations, such as quality assessment, training of staff, and other internal administrative activities.

Other Permitted Uses and Disclosures:

• Required by Law: We may disclose PHI when required by federal, state, or local law.
• Public Health Activities: We may disclose PHI for public health activities, such as reporting disease outbreaks or vital statistics.
• Health Oversight Activities: We may disclose PHI to health oversight agencies for activities authorized by law, such as audits and inspections.
• Judicial and Administrative Proceedings: We may disclose PHI in response to a court order or other lawful process.
• Law Enforcement: We may disclose PHI to law enforcement officials in certain situations, such as to report a crime on our premises.
• Threats to Health or Safety: We may disclose PHI to prevent a serious threat to your health and safety or the health and safety of others.
• Hospitalization: If a client requires hospitalization, we may disclose PHI as necessary to ensure appropriate care and treatment.
  

2) Individual Rights

Access to Records:

• You have the right to inspect and obtain a copy of your PHI. Requests for access must be submitted in writing to our Privacy Officer.

Amendments:

• You have the right to request an amendment to your PHI if you believe it is incorrect or incomplete. Requests for amendments must be submitted in writing and include a reason for the amendment.

Accounting of Disclosures:

• You have the right to receive an accounting of certain disclosures of your PHI made by Sameem Behavioral Health. Requests for an accounting must be submitted in writing.

Restrictions:

• You have the right to request restrictions on the use or disclosure of your PHI. While we are not required to agree to a restriction, we will comply with any agreement we make.

Confidential Communications:

• You have the right to request that we communicate with you in a specific way or at a specific location. We will accommodate reasonable requests.

Complaints:

• If you believe your privacy rights have been violated, you have the right to file a complaint with Sameem Behavioral Health or with the U.S. Department of Health and Human Services. Complaints must be submitted in writing.

3. Our Legal Duties

Privacy of PHI:

• We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices.

Changes to This Notice:

• We reserve the right to change our privacy practices and this notice at any time. The new notice will be effective for all PHI that we maintain and will be available upon request.

4. Contact Information

For further information about our privacy policies, to exercise your rights, or to file a complaint, please contact our Privacy Officer:

Jim Reynolds, Executive Director

Sameem Behavioral Health, LLC

34 Lincoln Street, Newton Highlands, MA 02461

Phone: (617) 213-6887

Email: care@sameembh.com