top of page

✚ NOW ACCEPTING NEW PATIENTS 100% TELEHEALTH ACROSS CALIFORNIA

HIPAA Notice of Privacy Practices

Green Path Psychiatric Services
Elham Hamzeh, PMHNP-BC
Effective Date: December 29, 2025

​

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.

 

OUR LEGAL DUTY

We are required by law to:

  • Maintain the privacy of your protected health information (PHI)

  • Provide you with this Notice of Privacy Practices

  • Follow the terms of this notice currently in effect

  • Notify you if a breach occurs that may have compromised your information
     

Protected health information includes information that identifies you and relates to your mental health care, treatment, or payment for services.

 

HOW WE MAY USE AND DISCLOSE YOUR INFORMATION

1. For Treatment

We may use or disclose your health information to provide, coordinate, or manage your mental health care.
Example: sharing information with another healthcare provider involved in your care (with appropriate authorization when required).

 

2. For Payment

We may use and disclose your information to obtain payment for services provided to you.
Example: submitting claims to insurance companies or verifying benefits.

 

3. For Healthcare Operations

We may use your information for practice operations such as:

  • Quality assessment

  • Training

  • Licensing and credentialing

  • Administrative functions

 

4. Appointment Reminders & Communication

We may contact you by phone, voicemail, text, email, or patient portal to:

  • Confirm appointments

  • Provide scheduling information

  • Share important administrative or clinical messages
     

You may request restrictions on communication methods at any time.

 

5. As Required by Law

We may disclose your information when required by federal, state, or local law, including:

  • Public health reporting

  • Audits

  • Legal proceedings

  • Health oversight activities

 

6. To Avert a Serious Threat

We may disclose information if necessary to prevent or lessen a serious and imminent threat to your health or safety or that of others, consistent with applicable law and professional judgment.

 

7. Special Situations

We may disclose information:

  • For workers’ compensation claims

  • To coroners or medical examiners

  • For law enforcement purposes as permitted by law
     

 

USES AND DISCLOSURES THAT REQUIRE YOUR WRITTEN AUTHORIZATION

We will not use or disclose your information for the following without your written authorization:

  • Psychotherapy notes (with limited legal exceptions)

  • Marketing purposes

  • Sale of your health information

  • Disclosure to employers
     

You may revoke an authorization in writing at any time.

 

YOUR RIGHTS REGARDING YOUR INFORMATION

You have the right to:

🔹 Access Your Records

Request to inspect or receive a copy of your health records.

​

🔹 Request Corrections

Ask us to amend information you believe is incorrect or incomplete.

​

🔹 Request Restrictions

Ask us to limit how your information is used or disclosed (we are not always required to agree).

​

🔹 Request Confidential Communications

Ask us to communicate with you in a specific way (e.g., no voicemail, email only).

​

🔹 Receive an Accounting of Disclosures

Request a list of certain disclosures made over the past six years.

​

🔹 Receive a Paper Copy

You may request a paper copy of this notice at any time.

 

CALIFORNIA-SPECIFIC PRIVACY RIGHTS

Under California law, you have additional protections regarding:

  • Mental health records

  • Substance use information

  • HIV/AIDS status

  • Reproductive health information
     

Disclosures of this information require specific authorization unless otherwise permitted by law.

 

COMPLAINTS

If you believe your privacy rights have been violated, you may:

  • File a complaint with our office

  • File a complaint with the U.S. Department of Health and Human Services
     

You will not be retaliated against for filing a complaint.

 

CONTACT INFORMATION

Green Path Psychiatric Nursing Practitioner Services

 

CHANGES TO THIS NOTICE

We reserve the right to change this notice. Any changes will apply to all information we maintain. The updated notice will be available on our website and upon request.

bottom of page