HIPAA Notice of Privacy Practices

Effective Date: [Effective Date]

The Dailey Institute is the business name (DBA) of Thrive Hive ABA LLC. Clinical services are provided by Thrive Hive ABA LLC.

This Notice of Privacy Practices describes how medical information about you or your child may be used and disclosed and how you can obtain access to that information.

Please review this notice carefully.

YOUR RIGHTS

You have certain rights regarding protected health information (PHI), including:

Right to Inspect and Receive a Copy

You may request access to your protected health information and may request a copy of certain records, subject to applicable law.

Right to Request an Amendment

If you believe information in your records is incorrect or incomplete, you may request that we amend the information.

Right to an Accounting of Disclosures

You may request information about certain disclosures of your protected health information, subject to applicable legal limitations.

Right to Request Restrictions

You may request restrictions on certain uses or disclosures of your protected health information. We are not always required to agree to a requested restriction.

Right to Request Confidential Communications

You may request that we communicate with you in a particular way or at a particular location.

Right to Receive a Copy of This Notice

You may request a paper or electronic copy of this Notice of Privacy Practices.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

We may use or disclose protected health information for purposes permitted by HIPAA, including:

Treatment

We may use or disclose health information to provide, coordinate, or manage healthcare services.

Payment

We may use or disclose information as necessary to obtain payment for services.

Healthcare Operations

We may use or disclose information for healthcare operations, including activities necessary to operate, manage, evaluate, and improve our services.

When Required by Law

We may disclose information when required by federal, state, or other applicable law.

Public Health and Safety

We may disclose information in circumstances permitted by law to address public health activities, safety concerns, suspected abuse or neglect, or other legally authorized purposes.

Business Associates

We may share protected health information with vendors and service providers who perform services on our behalf and who are required to appropriately safeguard the information.

OTHER USES AND DISCLOSURES

Certain uses and disclosures of protected health information may require your written authorization.

For example, an authorization may be required for certain uses of psychotherapy notes, marketing activities, or other uses and disclosures when required by HIPAA.

If you provide an authorization, you may generally revoke it in writing, subject to actions already taken based on the authorization.

OUR RESPONSIBILITIES

We are required by law to:

• Maintain the privacy of protected health information.

• Provide you with this Notice describing our legal duties and privacy practices.

• Follow the terms of the Notice currently in effect.

• Notify affected individuals as required by law following a breach of unsecured protected health information.

QUESTIONS OR COMPLAINTS

If you believe your privacy rights have been violated, you may submit a complaint to us.

You may also submit a complaint to the U.S. Department of Health and Human Services, Office for Civil Rights.

We will not retaliate against you for filing a privacy complaint.

Privacy Contact:
The Dailey Institute / Thrive Hive ABA LLC
North Carolina
Phone: (910) 226-1443
Email: [Privacy Contact Email]

CHANGES TO THIS NOTICE

We reserve the right to change this Notice of Privacy Practices. Any revised notice will apply to protected health information we maintain at that time.

The current version of this notice will be made available upon request and through our website.