Perspective Counseling & Consulting, PLLC
(Last Updated: 07/17/2019)
Stacey Baughman, LPC, NCC, CSAT, EMDR-II, SEP, ART-I, CPTT-Candidate at Perspective Counseling & Consulting, PLLC is committed to protecting your privacy. For privacy protection, the privacy practices and information is outlined below and information available via this website. Please read carefully:
1. INFORMATION COLLECTION AND USE
I will not sell, share, trade or otherwise use any information you provide unless you expressly provide in writing permission for such use. My site will not ask your for credit card information, except for on your initial paperwork on financial obligation form. Please note, to better safeguard your information, please do not include any credit card information in your electronic communication. Credit Card information will be collected during initial session.
This Site has security measures in place to protect against the loss, misuse or alteration of the information under my control. At times, information about you may be provided to third parties to provide various services on my behalf, such as providers who process credit card payments and insurance. These companies are prohibited from retaining, sharing, buying, selling, storing or using your personally identifiable information for any secondary purposes. I follow generally accepted standards to protect the personal information submitted, both during transmission and once received. No method of transmission over the Internet, or method of electronic storage, is one hundred percent (100%) secure, however. Therefore,it can not be a guarantee of absolute security.
- GOOGLE ANALYTICS AND COOKIES
4. COLLECTION AND USE OF PERSONAL INFORMATION OF CHILDREN UNDER AGE 13
In accordance with the Children’s Online Privacy Protection Act (”COPPA”), I will not knowingly collect any personally identifiable information from children under the age of thirteen (13) without first obtaining parental consent returned (by email or regular mail) to email@example.com or
Stacey Baughman, LPC
18789 N Reems Road Suite 260H
Surprise AZ 85374
The consent form states that the child’s “Parent” or “Legal Guardian,” by his or her signature, consents to the collection and transfer of the child’s personally identifiable information. Consent may be revoked by completing a “Revocation Consent Form” and sending it to the email or physical mailing address above. In compliance with COPPA, It is also the intention to adhere to the Children’s Advertising Review Unit (CARU) Guidelines on Internet advertising with its special sensitivities regarding solicitations to children under thirteen (13). We encourage parents/guardians to supervise and join their children in exploring cyberspace.
5. TRANSFER OF DATA ABROAD
If you are visiting my Site from a country other than the country in which our servers are located, your communications with me may result in the transfer of information across international boundaries. By visiting this Site and communicating electronically with me, you consent to such transfers.
6. COMPLIANCE WITH LAWS AND LAW ENFORCEMENT
I cooperate with government and law enforcement officials and private parties to enforce and comply with the law. I will disclose any information about you to government or law enforcement officials or private parties as, in my sole discretion, believe necessary or appropriate to respond to claims and legal process (including without limitation subpoenas), to protect property and rights or the property and rights of a third party, to protect the safety of the public or any person, or to prevent or stop activity that is considered to be illegal or unethical. I will also share your information to the extent necessary to comply with ICANN’s rules, regulations and policies. To the extent I am legally permitted, I will take reasonable steps to notify you in the event that I am required to provide your personal information to third parties as part of legal process.
7. CHANGES IN OUR PRACTICES
8. MEDICAL PRIVACY NOTICE
This Section describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
A. Who Will Follow This Notice?
Health care practitioners who treat you
B. Your Medical Information
This Section refers to your “medical information”. This means all information that identifies you and relates to your past, present or future physical or mental health or condition including information about payment and billing for the health care services you receive.
C. Our Pledge Regarding Medical Information
I understand that your medical information is personal and am committed to its protection. I create a record of the care and services you receive to ensure that we are providing quality care and to comply with legal requirements. This notice applies to all your medical information that is maintained and created. I am required by law to give you this notice of our legal duties and privacy practices with respect to your medical information, to follow the terms of this Privacy Notice, and to notify you following a breach of the privacy or security of your unsecured medical information.
D. How your medical information may be used for disclosed
For each category of use and disclosure, some examples will be given, although not every use or disclosure in a category will be listed.
i. For treatment. Use of your medical information so that I and other health care providers may provide you with medical treatment or services. Different health professionals may also share your medical information in order to coordinate the different services you need. Your medical information may be disclosed to people outside our offices and/or locations who may be involved in your medical care after you leave our care.
ii. For Payment. I may disclose your medical information so that treatment and services you receive may be billed by us to a third party. For example, your health plan may need to know about treatment you received so they will pay us for the services provided. Your medical insurance information to obtain prior approval from your health plan.
iii. For Healthcare Operations Purposes. I may use and disclose your medical information for internal operations, such as business management, and administrative activities, legal and auditing functions, and insurance-related activities. I may use medical information to make sure that all of our patients receive quality care, such as reviewing our processes or to evaluate the performance of those caring for you. I may also disclose information to doctors, nurses, technicians, and other personnel for review and learning purposes. Removal of information that identifies you from this set of information so others may use it to study healthcare and healthcare delivery without learning a specific patient’s identity. Under certain circumstances, I may disclose your medical information for the health care operations of other health care providers.
iv. Health Information Exchange. I may participate in platforms which arranges for the electronic exchange of health information among health care providers in the state where we are located.
v. Individuals Involved In Your Care or Payment of Your Care. I may release your medical information to a friend or family member who is involved in your medical care, or to someone who helps pay for your care with a release form.
vi. Notification. I may release your medical information to notify a family member, personal representative or another person responsible for your care of your location, general condition, or death. I also may release your medical information for certain disaster relief purposes.
vii. Contacts. I may contact you to provide appointment reminders, information about treatment alternatives, or other health related benefits and services that may be of interest to you.
viii. Worker’s Compensation. I may release medical information about you for worker’s compensation or similar programs, which provide benefits for work related injuries or illnesses with a release of information form.
ix. Mental Health Information. State laws create specific requirements for the release of mental health records by obtaining your specific authorization to release mental medical information when required by these laws.
x. Drug & Alcohol Treatment Records. Specific rules apply to the release of certain drug and alcohol program records, and I will obtain your specific authorization to release those records as required by Federal regulations 42 CFR, Part 2.
xi. Miscellaneous. I may use or disclose your medical information without your prior authorization for several other reasons. Subject to certain requirements, I may give out your medical information without prior authorization for public health purposes, abuse or neglect reporting, health oversight audits or inspections, research studies, funeral arrangements, Coroner’s investigations, organ donation, and emergencies. I also may disclose medical information when required by law in response to a request from law enforcement in specific circumstances, for specialized government functions including correctional, military or national security purposes, in response to valid judicial or administrative orders or to avoid a serious health threat. Additional specific rules may apply to mental health records.
xii. Other Disclosures. Other uses and disclosures not described above will be made only with your written authorization..
E. Your Rights Regarding Medical Information About You
i. Right to Inspect and Copy. In most cases you have the right to inspect or receive a copy of your medical information (or have a copy provided to an individual whom you designate) with a written request. If your medical record is maintained electronically in a designated record set, you have the right to request a copy of the information in an electronic form and format. I may deny your request in certain circumstances. If you are denied access to your medical information, you may appeal.
ii.Right to Amend. If you believe the information in your record is incorrect or incomplete, you have the right to request an addendum be added to your record by submitting a written request giving your reason. I may deny your request under certain circumstances. If it is denied, I may advise you in writing of the reason or explain your rights to submit a statement of explanation.
iii. Right to an Accounting of Disclosure. You have the right to a list of those instances where we have disclosed your medical information other than for treatment, payment, healthcare operations, or where a disclosure was specifically authorized., To request an accounting of disclosures, you must submit a written request to me
iv. Right to a Paper Copy of this Notice. If this notice was sent to you electronically you have a right to a paper copy of this notice. This request must be made in writing to the person listed below. I am required to accommodate only reasonable requests. Please specify in your correspondence exactly how you want me to communicate with you.
v. Right to Request Restrictions. You may request in writing that I not use or disclose your medical information except when specifically authorized by you, when required by law, or in an emergency. Except in the case of certain requests related to disclosures to health plans, we are not required by law to agree to your request, but I will consider the request. I will inform you of the decision.
vi. Right to Request Restrictions on Disclosures to Health Plans. You may request in writing that I restrict disclosures of your medical information to a health plan for purposes of carrying out payment or healthcare operations if the disclosure is not required by law and the medical information pertains solely to a health care item or service for which you (or a person other than the health plan who is acting on your behalf) have paid us out of pocket and in full at the time of service. We must agree to a request that meets these requirements.
F. Changes to this Notice
I reserve the right to change this Section at any time. Changes will apply to medical information we already hold, as well as new information after the change occurs. I will post a copy of our current notice within our facilities and we will post it on our website at
G. Complaints and Requests
If you have questions about this notice or want to talk about a problem without filing a formal complaint, please contact Stacey Baughman LPC at firstname.lastname@example.org.
H. Transfer of Business Assets
As part of our business strategy, I might acquire, buy or merge with other businesses or assets. In such transactions, customer information generally is one of the transferred business assets. Also, in the event that I or substantially all of our assets are acquired, both personally identifiable and non-personally identifiable information will be one of the transferred assets.
Stacey Baughman LPC,
18789 N Reems Road Suite 260H
Surprise AZ 85374