Pros And Cons Of Front Range Counseling Center

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[pic] Welcome! The counselors of Front Range Counseling Center are honored to have the opportunity to work with you. This packet contains information and forms that your counselor will need to have on file for the first meeting. Please review and complete the following documents: 1. Disclosure Statement — to be reviewed and signed. 2. Client Information Form — to be completed and returned to counselor. 3. Colorado Notice Form of HIPAA Legislation — to be reviewed and signed. **All signed forms are to be returned to Front Range Counseling Center, Inc. Please retain a copy of this information for your records. Front Range Counseling Center |…show more content…
Examples are if your counselor discloses your PHI to your health insurer for reimbursement for health care. – Health Care Operations are activities that relate to the performance and operation of your counselor’s practice. Examples of health care operations are quality assessment and improvement activities, business related matters such as audits, administrative services, case management, and care coordination. “Use” applies only to activities within your counselor’s [office, clinic, practice group, etc.] such as sharing, employing, applying, utilizing, examining, and analyzing information that identifies you. “Disclosure” applies to activities outside of your counselor’s [office, clinic, practice group, etc.] such as releasing, transferring, or providing access to information about you to other parties. II. Uses and Disclosures Requiring…show more content…
IV. Patient’s Rights and Psychotherapist’s Duties Patient’s Rights: Right to Request Restrictions – You have the right to request restrictions on certain uses and disclosures of protected health information regarding you. However, your counselor is not required to agree to a restriction you request. Right to Receive Confidential Communications by Alternative Means and at Alternative Locations – You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing your counselor. On your request, your counselor will send your bills to another address.) Initials ____ / _____ COLORADO NOTICE FORM OF HIPAA

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