HIPAA Notice of Privacy Practices | Lucid Behavioral Health

This is a template modeled on the federal Notice of Privacy Practices requirements. It must be reviewed and finalized by your privacy officer or legal counsel — and tailored to Arizona and 42 CFR Part 2 requirements for substance use records — before use. Replace every highlighted item.

Our commitment to your privacy

Lucid Behavioral Health is required by law to maintain the privacy of your protected health information (PHI), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.

How we may use and disclose your health information

For treatment — to provide, coordinate, and manage your care among the clinicians and staff involved in your treatment.
For payment — to bill and obtain payment for the care we provide, including verifying insurance coverage.
For health care operations — to support quality, training, licensing, and administrative functions.
As required or permitted by law — for example, public health activities, abuse reporting, health oversight, or court orders.

Certain disclosures — such as most uses of psychotherapy notes and any sale or marketing use of your information — require your written authorization. Substance use disorder records may receive additional protection under federal law (42 CFR Part 2). [Confirm Part 2 handling with counsel.]

Your rights

Inspect and request a copy of your health and billing records
Request a correction to your records
Request confidential communications (for example, by a specific phone number)
Request restrictions on certain uses and disclosures
Receive a list of certain disclosures we have made (an accounting)
Receive a paper copy of this notice on request
File a complaint if you believe your privacy rights have been violated

Our responsibilities

We are required to protect the privacy of your health information, notify you if a breach affects your information, and follow the duties and privacy practices described in this notice. We will not use or share your information other than as described here unless you tell us we may in writing. You may change your mind at any time by notifying us in writing.

Changes to this notice

We may change the terms of this notice, and the changes will apply to all information we have about you. The revised notice will be available on request and posted on this website.

Complaints and contact

To exercise your rights, or to file a complaint, contact our Privacy Officer at [Privacy Officer name / phone / email], or write to 7515 W Odeum Ln, Phoenix, AZ 85043. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.