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 authorization.

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For 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 collection.

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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.

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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.

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Following is a list of the categories of uses and disclosures permitted by HIPAA without an authorization.

Abuse and Neglect                                         Emergencies Law Enforcement       National Security

Judicial and Administrative Proceedings      Law Enforcement                             Public Safety (Duty to Warn)

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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 Order

       · Necessary to 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.

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Verbal Permission. We may use or disclose your information to family members that are directly involved in your treatment with your verbal permission.

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With Authorization. Uses and disclosures not specifically permitted by applicable law will be made only with your written authorization, which may be revoked.