Relationship Counseling
Cancellation Policy
Crosstown Psychology PC protects your health information from inappropriate use and disclosure, and will use and disclose your health information for only the purposes listed below: Uses and Disclosures for Treatment, Payment and Health Care Operations. o Treatment and Care Management. We may use and disclose health information about you to facilitate treatment, and coordinate and manage your care with other providers. o Payment. We may use and disclose health information about you for our own payment purposes and to assist in the payment activities of other health care providers. o Health Care Operations. We may use and disclose health information about you to support health care functions related to treatment and payment. Uses and Disclosures Without Your Consent or Authorization o We may disclose your health information as required by state, federal and local law. o We may disclose your health information to public authorities or other agencies and organizations conducting public health activities, such as preventing or controlling disease, injury or disability, reporting births, deaths, child abuse or neglect, domestic violence, potential problems with products regulated by the Food and Drug Administration or communicable diseases. 1. We may disclose your health information to an appropriate government agency if we believe you are a victim of abuse, neglect, domestic violence and you agree to the disclosure, or the disclosure is required or permitted by law. 2. We may disclose your health information to federal or state health oversight agencies for activities authorized by law such as audits, investigations, inspections and licensing surveys. 3. Judicial and administrative proceedings. We may disclose your health information during any judicial or administrative proceeding in response to an appropriate order of a court or administrative body. 4. We may disclose your health information to a law enforcement agency to respond to a court order, warrant, summons or similar process. 5. We may disclose your health information to a family member, other relative or close friend assisting you in receiving health care services. 6. We may contact you to provide appointment reminders or information about treatment alternatives or other health-related services that may be of interest to you. Crosstown Psychology PC may change the terms of this Notice of Privacy Practices at any time.
Contact Details
500 Terry Francine Street, 6th Floor, San Francisco, CA 94158
+12096501123
info@crosstownbehavioralhealth.com