CAMHP
Center for Advanced Mental Health Practice
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Patient Rights & Privacy

Notice of Privacy Practices

Effective date: August 12, 2026

Your information. Your rights. Our responsibilities.
This notice describes how medical information about you may be used and disclosed, how CAMHP protects that information, and how you can obtain access to it. Please review it carefully.

Who this notice covers

This notice applies to the Center for Advanced Mental Health Practice (“CAMHP”), its Mississippi and Ohio locations, CAMHP telehealth services, and CAMHP workforce members and health care professionals who are permitted to use this notice. These individuals and locations may share health information with one another for treatment, payment, and health care operations as permitted by law.

Your rights

Get a copy of your record

You may ask to inspect or receive an electronic or paper copy of your medical record and other health information we maintain about you. We will provide access within the time required by law and may charge a reasonable, cost-based fee where permitted.

Ask us to correct your record

You may ask us to correct information you believe is inaccurate or incomplete. We may deny the request in some circumstances, but we will explain the reason in writing.

Request confidential communications

You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests.

Ask us to limit what we use or share

You may request restrictions on certain uses or disclosures. We are not always required to agree. If you pay in full out of pocket for a service, you may ask us not to share information about that service with your health plan for payment or operations, unless disclosure is required by law.

Get a list of disclosures

You may request an accounting of certain disclosures made during the six years before your request. The list will not include every disclosure, such as most disclosures for treatment, payment, and health care operations.

Get this notice and choose a representative

You may request a paper or electronic copy of this notice at any time. A person with legal authority to act for you may exercise your rights after CAMHP verifies that authority.

File a complaint without retaliation

You may complain to CAMHP or to the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. CAMHP will not retaliate against you for filing a complaint.

Your choices

For certain health information, you may tell us your preferences about what we share. Tell us if you have a clear preference about sharing information with family members, close friends, or others involved in your care; sharing information during disaster relief; or contacting you about fundraising. If you cannot tell us your preference, we may share information when we believe it is in your best interest or is needed to lessen a serious and imminent threat to health or safety, as permitted by law.

We will obtain your written authorization before using or disclosing your information for most marketing purposes, selling your information, or using or disclosing psychotherapy notes when authorization is required. You may revoke an authorization in writing, except to the extent we have already relied on it.

How we may use and share your information

Treatment

We may use and share your information with health professionals who are treating you, coordinating your care, prescribing medication, ordering tests, or making referrals.

Payment

We may use and share your information to bill and receive payment from you, a health plan, or another responsible party, and to obtain prior authorization or determine coverage.

Health care operations

We may use and share your information to operate CAMHP, improve quality, train and supervise staff, review clinician performance, conduct compliance activities, and contact you when necessary.

Other uses and disclosures allowed or required by law

Subject to legal conditions and limits, we may use or share health information for public health and safety activities; reporting suspected abuse, neglect, or domestic violence; health oversight; research; workers’ compensation; organ and tissue donation; certain law-enforcement purposes; judicial or administrative proceedings; coroners, medical examiners, and funeral directors; averting a serious threat to health or safety; and other purposes required by law.

Substance use disorder records

To the extent CAMHP creates, maintains, or receives substance use disorder patient records protected by 42 CFR Part 2, those records receive additional confidentiality protections. CAMHP will obtain consent for uses and disclosures when Part 2 requires it. Part 2 records may not be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against you unless you provide written consent or the disclosure is authorized by a qualifying court order and subpoena as required by law.

Our responsibilities

Questions, requests, or complaints

CAMHP Privacy Officer
Center for Advanced Mental Health Practice
Mississippi: 122 Holly Street, Bude, MS 39630 — 380-291-2120
Ohio: 2633 E Overlook Road, Cleveland Heights, OH 44106 — (216) 501-1730
Email: camhp@camhp.us

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/privacy/hipaa/complaints, by calling 1-877-696-6775, or by writing to 200 Independence Avenue SW, Washington, DC 20201.

Please do not send sensitive medical information through ordinary email. Contact CAMHP to request a secure communication method.