Privacy Policy

Effective Date: 11/14/25

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

Your health record contains personal information about you and your health. This includes information that identifies you and relates to your past, present, or future physical or mental health or condition, and related health care services. This information is known as Protected Health Information (PHI).

This Notice of Privacy Practices describes how NeuroHorizon Professional Corporation (“NeuroHorizon,” “we,” or “our”) may use and disclose your PHI in accordance with the Health Insurance Portability and Accountability Act (HIPAA), the HIPAA Privacy and Security Rules, and applicable state law. It also outlines your rights related to your PHI.

We are required by law to maintain the privacy of your PHI and to provide you with this notice of our legal duties and privacy practices. We must abide by the terms of this Notice. We may update this Notice at any time, and any revisions will apply to all PHI that we maintain. Updated versions will be posted on our website or provided to you upon request.

HOW WE MAY USE AND DISCLOSE YOUR PHI

1. For Treatment

We may use or disclose your PHI to provide, coordinate, or manage your mental health treatment and related services. This includes consultations between your provider and other clinical professionals involved in your care.

We will disclose PHI to outside consultants only with your authorization.

2. For Payment

With your authorization, we may use or disclose your PHI for billing and payment activities. Examples include:

  • Determining insurance eligibility or coverage
  • Processing insurance claims
  • Determining medical necessity
  • Conducting utilization review

If collections become necessary, we will disclose only the minimum PHI required.

3. For Health Care Operations

We may use your PHI for activities that support the business operations of NeuroHorizon, including:

  • Quality improvement activities
  • Provider evaluations
  • Credentialing and licensing activities
  • Training and supervision (with authorization)

Important: No personal data, mobile number, or text-message consent will be shared with third parties/affiliates for marketing or promotional purposes. Text messaging opt-in data and consent will never be shared.

4. Required by Law

We must disclose your PHI:

  • To you upon request
  • To the U.S. Department of Health and Human Services for HIPAA compliance investigations

5. Situations That Do NOT Require Authorization

We may disclose your PHI without your authorization in the following limited situations:

A. As Required by Law

Examples include:

  • Mandatory reporting of child, elder, or disabled adult abuse or neglect
  • State agency investigations (licensing board, health department)

B. Court Orders & Legal Proceedings

We may disclose PHI in response to:

  • Court orders
  • Administrative proceedings
  • Law enforcement requests as required by law

C. To Prevent a Serious Threat

If you pose a serious and imminent threat to yourself or others, information may be shared with individuals who can help prevent harm.

D. Emergency Medical Care

We may disclose PHI when necessary to provide emergency care.

E. Civil Commitment or Involuntary Treatment

We may disclose information when required to initiate or continue these processes.

USES AND DISCLOSURES WITH AUTHORIZATION ONLY

We will obtain your written authorization for:

  • Most uses/disclosures of psychotherapy notes
  • Uses/disclosures for marketing purposes
  • Disclosures that constitute a sale of PHI
  • Any other uses not described in this Notice

You may revoke your authorization at any time, except where we have already relied on it.

YOUR RIGHTS REGARDING YOUR PHI

To exercise any of these rights, submit a written request:

Email: info@neurohorizon.health
Phone: +1-331-329-2585
Fax: +1-866-283-0178

1. Right to Access

  • You may inspect and obtain a copy of your PHI contained in your designated record set (medical and billing records).
  • We may deny access only when a licensed professional determines that access is reasonably likely to cause serious harm.
  • Fees may apply for copies. Electronic records may also be provided.
  • You may also request that your PHI be sent directly to another person.

2. Right to Amend

  • If you believe your PHI is incorrect or incomplete, you may request an amendment.
  • We may deny the request, but you may submit a written disagreement that becomes part of your record.

3. Right to an Accounting of Disclosures

  • You may request a list of certain disclosures made without your authorization.
  • A fee may apply if more than one request is made within a 12-month period.

4. Right to Request Restrictions

  • You may request limitations on how we use or disclose your PHI for treatment, payment, or operations.
  • We are required to honor a restriction that involves:
  • Disclosure to a health plan
  • For payment or operations
  • For a service you paid for completely out-of-pocket

5. Right to Confidential Communications

  • You may request communication in a specific way (e.g., email only) or at a specific location.
  • We will accommodate reasonable requests.

6. Breach Notification

We will notify you if your unsecured PHI is involved in a breach as required by law.

7. Right to a Copy of This Notice

You may request a paper or digital copy at any time.

FILE YOUR COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with:

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