The counselors at PSP Professional Services Inc. are committed to helping you and your family with issues that may become too difficult to handle alone. We provide counseling services to children, adolescents and adults. Our counselors provide services in individual, group or family settings. All of our counselors are licensed by the state of Texas. Please visit our Counselors and Office Staff Section to learn more about which of our counselors can best help you.
We would welcome the opportunity to earn your trust and deliver you the best service possible.
Our counselors are on most major insurance plans & EAP's including:
Aetna, Aetna EAP, Aetna Medicaid
Alliance Work Partners
Blue Cross & Blue Shield
Cigna, Cigna EAP
Cook Children's Health Plan: Star and Chips
Crime Victim's Compensation
Cura Linc EAP
EFA Employee & Family Resources
FEI Behavioral Health
Health Resource EAP
Homewood Employee Health
Military One Source
New Directions EAP
Please be sure you contact our office if you do not see your plan listed.
NOTICE OF PRIVACY PRACTICES
DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
YOU CAN GET ACCESS TO THIS INFORMATION.
THIS NOTICE CAREFULLY.
Your health record contains personal information
about you and your health. This
information, which may identify you and relates to your past, present or future
physical or mental health or condition and related health care services, is
referred to as Protected Health Information (“PHI”). This Notice of Privacy Practices describes
how we may use and disclose your PHI in accordance with applicable law. It also describes your rights regarding how
you may gain access to and control your PHI.
We are required by law to maintain the privacy of
PHI and to provide you with notice of our legal duties and privacy practices
with respect to PHI. We are required to
abide by the terms of this Notice of Privacy Practices. We reserve the right to change the terms of
our Notice of Privacy Practices at any time.
Any new Notice of Privacy Practices will be effective for all PHI that
we maintain at that time. We will
provide you with a copy of the revised Notice of Privacy Practices by posting a
copy on our website, sending a copy to you in the mail upon request, or
providing one to you at your next appointment.
WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU:
For Treatment. Your PHI may be used and disclosed by those
who are involved in your care for the purpose of providing, coordinating, or
managing your health care treatment and related services. This includes consultation with clinical
supervisors or other treatment team members.
We may disclose PHI to any other consultant only with your
Payment. We may use or disclose PHI so that we can
receive payment for the treatment services provided to you. This will only be done with your
authorization. Examples of payment-related
activities are: making a determination of eligibility or coverage for insurance
benefits, processing claims with your insurance company, reviewing services
provided to you to determine medical necessity, or undertaking utilization
review activities. If it becomes
necessary to use collection processes due to lack of payment for services, we
will only disclose the minimum amount of PHI necessary for purposes of
For Health Care Operations. We may use or
disclose, as needed, your PHI in order to support our business activities
including, but not limited to, quality assessment activities, employee review
activities, reminding you of appointments, to provide information about
treatment alternatives or other health related benefits and services, licensing,
and conducting or arranging for other business activities. For example, we may share your PHI with third
parties that perform various business activities (e.g., billing or typing
services) provided we have a written contract with the business that requires
it to safeguard the privacy of
your PHI. For training or teaching
purposes PHI will be disclosed only with your authorization.
Required by Law. Under the law, we must make disclosures of
your PHI to you upon your request. In
addition, we must make disclosures to the Secretary of the Department of Health
and Human Services for the purpose of investigating or determining our
compliance with the requirements of the Privacy Rule.
Following is a
list of the categories of uses and disclosures permitted by HIPAA without an
and Neglect Judicial and Administrative
Emergencies Law Enforcement
National Security Public
Safety (Duty to Warn)
Without Authorization. Applicable law and
ethical standards permit us to disclose information about you without your
authorization only in a limited number of other situations. The types of uses and disclosures that may be
made without your authorization are those that are:
Required by law,
such as the mandatory reporting of child abuse or neglect or mandatory
government agency audits or investigations (such as the social work licensing
board or health department)
Required by Court
prevent or lessen a serious and imminent threat to the health or safety of a
person or the public. If information is
disclosed to prevent or lessen a serious threat, it will be disclosed to a
person or persons reasonably able to prevent or lessen the threat, including
the target of the threat.
Verbal Permission. We may use or
disclose your information to family members that are directly involved in your
treatment with your verbal permission.
With Authorization. Uses and
disclosures not specifically permitted by applicable law will be made only with
your written authorization, which may be revoked.
YOUR RIGHTS REGARDING YOUR PHI
You have the following rights regarding your
personal PHI maintained by our
office. To exercise any of these rights,
please submit your request in writing to our Privacy Officer, Gabriela Garcia, LPC,
at PSP Professional Services, Inc., P.O. Box 4772, Fort Worth, TX 76164.
- Right of Access to Inspect and
Copy. You have the right, which may be
restricted only in exceptional circumstances, to inspect and copy PHI that
may be used to make decisions about your care. Your right to inspect and copy PHI will
be restricted only in those situations where there is compelling evidence
that access would cause serious harm to you. We may charge a reasonable, cost-based
fee for copies.
- Right to Amend. If you feel that the PHI we have about
you is incorrect or incomplete, you may ask us to amend the information,
although we are not required to agree to the amendment.
- Right to an Accounting of
Disclosures. You have the right to request an
accounting of certain of the disclosures that we make of your PHI. We may charge you a reasonable fee if
you request more than one accounting in any 12-month period.
- Right to Request Restrictions. You have the right to request a
restriction or limitation on the use or disclosure of your PHI for
treatment, payment, or health care operations. We are not required to agree to your
- Right to Request Confidential
Communication. You have the right to request that we
communicate with you about medical matters in a certain way or at a
- Right to a
Copy of this Notice. You
have the right to a copy of this Notice.
If you believe we have violated your privacy rights,
you have the right to file a complaint in writing with Gabriela Garcia, LPC,
our Privacy Officer, at PSP Professional Services, Inc., or with the Secretary of Health and Human
Services at 200 Independence
Avenue, S.W., Washington, D.C. 20201,
or by calling (202) 619-0257. We
will not retaliate against you for filing a complaint.