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.
LumenMind Psychiatry, LLC is required by law to protect the privacy of your protected health information (PHI), to give you this Notice of our legal duties and privacy practices, and to follow the terms of the Notice currently in effect. PHI is information about you, including basic demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related healthcare services.
The following describes the ways we may use and disclose your PHI. Not every use or disclosure is listed, but the ways we are permitted to use and disclose information fall within one of the categories below.
For treatment. We may use your PHI to provide, coordinate, and manage your psychiatric care, including consultation between providers and referrals to other clinicians involved in your care, such as a therapist or primary care provider.
For payment. We may use and disclose your PHI to obtain payment for the services we provide, such as verifying insurance coverage, obtaining prior authorization, and submitting claims and supporting documentation to your health plan.
For healthcare operations. We may use and disclose your PHI to support the business activities of the practice, such as quality review, staff training, scheduling, and administrative functions.
Appointment reminders and care communications. We may contact you to remind you of appointments or to provide information about treatment options or other health-related services.
We may use or disclose your PHI without your authorization in certain situations, including: as required by law; for public health activities; to report suspected abuse, neglect, or domestic violence; for health oversight activities; in response to a court order, subpoena, or other lawful process; to law enforcement under specific conditions; to avert a serious and imminent threat to health or safety; for workers’ compensation as authorized by law; and to coroners, medical examiners, or funeral directors as permitted by law.
Some uses and disclosures require your written authorization, and you may revoke that authorization at any time in writing. These include most uses and disclosures of psychotherapy notes, uses and disclosures for marketing purposes, and any sale of your PHI. Other uses and disclosures not described in this Notice will be made only with your written authorization.
You have the following rights regarding the PHI we maintain about you:
To exercise any of these rights, please contact our Privacy Officer using the information below.
We are required by law to maintain the privacy and security of your PHI, to notify you following a breach of unsecured PHI, to follow the terms of the Notice currently in effect, and to provide you this Notice of our duties and privacy practices.
We reserve the right to change this Notice and to make the revised Notice effective for health information we already have as well as information we receive in the future. The current Notice will be posted in our practice and on our website, with its effective date.
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer, or with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be retaliated against in any way for filing a complaint.
U.S. Department of Health and Human Services, Office for Civil Rights: file a complaint online at www.hhs.gov/ocr/privacy/hipaa/complaints, or call 1-877-696-6775.
For questions about this Notice, to exercise your rights, or to file a privacy complaint, contact our Privacy Officer:
Privacy Officer: Alan Kaminsky
LumenMind Psychiatry, LLC Phone: 215-515-4770
Email: [email protected]
Hours: Monday to Saturday, 8:00 AM to 8:00 PM
Effective date: June 20, 2026
