Our Commitment to Your Privacy
Mobile Psych, PLLC (“Mobile Psych,” “we,” “our,” or “us”) is required by federal law (HIPAA) and applicable Texas law to maintain the privacy of your Protected Health Information (PHI), to provide you with this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How We May Use and Disclose Your Health Information
For Treatment
We may use your PHI to provide medical treatment or services. We may also share your PHI with other healthcare providers involved in your care.
For Payment
Mobile Psych is a cash-pay practice and does not bill insurance. PHI may still be used to document services rendered, process payments, and provide receipts for personal records or out-of-network reimbursement requests you submit yourself.
For Healthcare Operations
We may use and disclose PHI for activities necessary to operate our practice, such as quality assessment, staff training, and business management.
Other Uses and Disclosures Permitted or Required by Law
- Required by law: When a use or disclosure is required by federal, state, or local law
- Public health activities: To public health authorities for disease prevention or control
- Health oversight activities: To agencies that oversee the healthcare system
- Judicial and administrative proceedings: In response to a court order, subpoena, or other lawful process
- Law enforcement: To law enforcement officials for limited purposes permitted by law
- To avert serious threat: When necessary to prevent serious harm to a person or the public
- Workers’ compensation: As authorized by workers’ compensation laws
- Coroners, medical examiners, funeral directors: As permitted by law
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your PHI — including most uses for marketing purposes, sales of PHI, and disclosure of psychotherapy notes — will be made only with your written authorization. You may revoke an authorization at any time, in writing, except to the extent we have already acted in reliance on it.
Your Rights Regarding Your Health Information
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your PHI in our designated record set, with limited exceptions.
Right to Request Amendment
If you believe PHI we hold about you is incorrect or incomplete, you may request that we amend it.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we made of your PHI.
Right to Request Restrictions
You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree, except in limited circumstances.
Right to Request Confidential Communications
You may request that we communicate with you in a specific way (e.g., only by phone, only at a certain address). We will accommodate reasonable requests.
Right to a Paper Copy of This Notice
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Right to be Notified of a Breach
You have the right to be notified following a breach of your unsecured PHI.
Our Duties
- We are required by law to maintain the privacy of your PHI
- We are required to provide you with this Notice and abide by its terms
- We may change this Notice at any time, and the new Notice will apply to all PHI we maintain
- The current Notice will be posted on this Website and at our practice locations
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Contact Information
For questions about this Notice or to file a complaint:
Mobile Psych, PLLC
Privacy Officer
7800 Interstate 10, Suite 624
San Antonio, TX 78230
Email: rubayes@rubayemd.com
Phone: (210) 900-2080