Privacy Practices

White Marsh Psychiatric Associates, llc, will protect and keep confidential your personal health information. Information will be released if you sign a consent authorization. We will obtain your consent to disclose your personal health information to carry out health care operations and treatment, and to obtain payment (that is, verifying your benefits with your insurance carrier.) A separate authorization is required for any use or disclosure of psychotherapy notes. In order to protect your privacy, your prescription may be sent with encrypted technology via the internet to your pharmacy.

Your records can be released without your permission under the following circumstances:

  • Uses and disclosures required by law for legal proceedings, health oversight activities, or to law enforcement agencies; we are required by law to report victims of abuse, neglect, or domestic violence.
  • Uses and disclosures for public health activities
  • Uses and disclosures for research purposes
  • Uses and disclosures about decedents and for organ, eye, or tissue donation purposes; information to medical examiners and coroners or to tissue or organ donation banks
  • Uses and disclosures to avert a serious threat to health or safety
  • Uses and disclosures for specialized government functions
  • Disclosures for workers’ compensation as required by law
Also, our prescribers participate in a health information exchange, the Chesapeake Regional Information System for our Patients (CRISP), to facilitate the secure exchange of certain electronic health information between and among several health care providers or other health care entities, to better coordinate your overall health care. 
   
You can opt out of participation with this health information exchange and disable access to your health information available through the CRISP by calling 1-877-952-7477 or by completing and submitting an Opt Out form to the CRISP by mail, fax, or through their website, www.crisphealth.org. Public health reporting and Controlled Dangerous Substances information, as part of the Maryland Prescription Drug Monitoring Program (PDMP), will still be available to providers. 

You have a right to review your medical record and to receive an accounting of the disclosures made. Disclosures to insurance companies about payment, treatment, or health care operations are not required in this list of disclosures. You will be charged for photocopying, mailing, and preparing summaries, if those are needed.

You can add an addendum to correct your medical record if necessary. This addendum will be written on our Patient Medical Record Addendum form and will be attached to your original record.

If you have reason to believe your personal health information has been disclosed without protecting your rights under the law, you have the right to file a complaint verbally or in writing, without risk of retaliation, to the Practice Manager, White Marsh Psychiatric Associates, llc, 5024 Campbell Blvd., Suite H, Baltimore, MD 21236; 410-931-9280.

Final decisions will be given by the White Marsh Psychiatric Associates Privacy Officer. You may contact the Secretary of the Health and Human Services in Washington DC. We have a right to revise our Notice of Privacy Policies. The revisions will be printed for your review.