This Notice of Privacy Practices describes how medical and personal information about you and your child may be used and disclosed, and how you can access this information. Please review it carefully.

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Our Responsibilities

Capable Kids, LLC is required by law to:

• Maintain the privacy and security of protected health information (PHI)

• Provide you with this Notice of Privacy Practices

• Follow the terms of this notice

• Notify you if a breach occurs that may have compromised the privacy or security of information

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How We May Use and Disclose Information

Capable Kids may use and disclose protected health information for the following purposes:

Treatment, Services, and Operations

• To provide and coordinate services

• To communicate with parents or legal guardians regarding services

• To document services provided

• For internal administrative purposes

Payment

• To obtain payment for services provided

• To communicate with billing services or payment processors as needed

Required by Law

• When required to do so by federal, state, or local law

• To report abuse, neglect, or threats to safety as required

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Health and Safety

• To prevent or lessen a serious threat to the health or safety of a child or others

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Other Uses and Disclosures

Any use or disclosure of protected health information not described in this Notice will be made only with your written authorization, unless otherwise permitted or required by law.

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You may revoke an authorization at any time in writing, except to the extent that action has already been taken.

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Your Rights

You have the right to:

Access Your Information

Request a copy of protected health information maintained by Capable Kids.

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Request Corrections

Ask for corrections to information you believe is incorrect or incomplete.

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Request Restrictions

Ask us to limit how information is used or disclosed. We are not required to agree, but will consider all requests.

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Request Confidential Communications

Ask us to contact you in a specific way or at a specific location (for example, only by email or phone).

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Receive an Accounting of Disclosures

Request a list of certain disclosures of protected health information.

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Receive a Paper Copy of This Notice

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

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Complaints

If you believe your privacy rights have been violated, you may file a complaint with:
 

Capable Kids, LLC
Megan Bartlett
megan@capablekidsatl.com

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You may also file a complaint with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

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Changes to This Notice

Capable Kids reserves the right to change this Notice of Privacy Practices. Any changes will apply to all information we maintain and will be posted on our website with an updated effective date.

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Contact Information

If you have questions about this Notice or how your information is handled, please contact:

Capable Kids, LLC
megan@capablekidsatl.com
Atlanta, Georgia