Notice of Privacy Policy

Inspirit Therapy Associates

3852 Creamery Road, De Pere, WI 54115

Phone: (920) 338-9670

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Privacy Commitment

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires health care providers to protect the privacy of your health information. Inspirit Therapy Associates is required by law to maintain the confidentiality of your protected health information (PHI) and to provide you with this Notice of Privacy Practices. We reserve the right to change our privacy practices and will provide a revised notice if changes occur.

Uses and Disclosures of Health Information

Your protected health information may be used or disclosed for the following purposes:

  • Treatment: We may use or disclose your information to therapists, clinicians, supervisors, or other health care providers involved in your care.
  • Payment: We may use your information to bill and collect payment from insurance companies or other responsible parties. Upon your written request, we will not disclose information to your health plan regarding services you paid for entirely out-of-pocket.
  • Health Care Operations: We may use your information for practice operations such as quality assurance, training, licensing, and administrative activities.
  • Appointment Reminders: We may contact you via phone, voicemail, text, email, or mail to remind you of appointments or provide information related to your care.
  • Business Associates: We may disclose information to third-party service providers (such as billing services, electronic health record providers, or accountants) who are required by law to safeguard your information.
  • Family and Others Involved in Your Care: With your consent, or when permitted by law, we may share relevant information with family members or others involved in your care.
  • Legal and Public Health Requirements: We may disclose information when required by law, including public health reporting, suspected abuse or neglect, health oversight activities, judicial proceedings, or workers’ compensation claims.
  • Breach Notification: We will notify you if a breach occurs that compromises the security or privacy of your protected health information.

Sensitive Records

  • Mental Health & Substance Use Records: Certain records, including substance use disorder treatment records, are protected under federal law (42 CFR Part 2) and generally require your written authorization for disclosure, except as permitted by law.
  • Reproductive Health Care: We will not disclose protected health information for the purpose of investigating or imposing liability related to the lawful provision of reproductive health care.

Your Patient Rights

  • Access: You have the right to inspect or obtain a copy of your health records with a written request. Reasonable fees may apply.
  • Accounting of Disclosures: You may request a list of certain disclosures made over the past six years.
  • Restrictions: You may request restrictions on how your information is used or disclosed. While we are not required to agree, we will honor any restriction we accept.
  • Alternative Communication: You may request confidential communications by alternative means or locations.
  • Amendment: You may request that we amend your health information if you believe it is incorrect or incomplete.

Questions and Complaints

If you have questions about this Notice or believe your privacy rights have been violated, please contact our HIPAA Privacy Officer. You may also file a complaint with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint.