Effective Date: July 15, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
CalmPoint Psychiatry is committed to protecting the privacy and security of your health information. This Notice of Privacy Practices describes how we may use and disclose your protected health information ("PHI"), your rights regarding that information, and our legal responsibilities under applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA).
Our Responsibilities
We are required by law to:
Maintain the privacy of your protected health information.
Provide you with this Notice of Privacy Practices.
Follow the privacy practices described in this notice.
Notify you if a breach occurs that may have compromised the privacy or security of your protected health information.
We reserve the right to revise this notice and make new provisions effective for all protected health information we maintain.
How We May Use and Disclose Your Health Information
Treatment
We may use and disclose your health information to provide, coordinate, and manage your healthcare services.
Examples include:
Evaluating and treating medical or mental health conditions.
Coordinating care with other healthcare providers involved in your treatment.
Prescribing and managing medications.
Payment
We may use and disclose health information to obtain payment for services provided.
Examples include:
Verifying insurance eligibility.
Submitting claims to insurance carriers.
Collecting payment for services rendered.
Healthcare Operations
We may use and disclose health information for activities necessary to operate our practice.
Examples include:
Quality improvement activities.
Staff training and supervision.
Compliance and risk management activities.
Business planning and administration.
Additional Uses and Disclosures Permitted by Law
We may disclose your information when permitted or required by law, including:
Public health activities.
Health oversight activities.
Reporting abuse, neglect, or domestic violence.
Judicial and administrative proceedings.
Law enforcement purposes.
Coroners, medical examiners, and funeral directors.
Organ and tissue donation programs.
Workers' compensation claims.
Specialized government functions.
To prevent or lessen a serious threat to health or safety.
Uses and Disclosures Requiring Authorization
Certain uses and disclosures require your written authorization.
Unless otherwise permitted by law, we will obtain your authorization before:
Sharing psychotherapy notes, when applicable.
Using health information for certain marketing purposes.
Selling protected health information.
You may revoke an authorization at any time in writing, except to the extent action has already been taken in reliance upon it.
Your Rights Regarding Your Health Information
Right to Access Your Records
You have the right to inspect and obtain a copy of your health information, subject to certain legal limitations.
Right to Request Corrections
You may request that we amend information you believe is incorrect or incomplete.
We may deny certain requests as permitted by law, but we will provide a written explanation if we do.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your health information.
While we are not required to agree to all requests, we will comply when required by law.
Right to Request Confidential Communications
You may request that we communicate with you in a specific manner or at a specific location.
We will accommodate reasonable requests whenever possible.
Right to Receive an Accounting of Disclosures
You may request a list of certain disclosures of your health information made by our practice.
Right to Receive a Copy of This Notice
You have the right to receive a paper copy of this Notice of Privacy Practices upon request, even if you previously agreed to receive it electronically.
Communications
We may contact you regarding:
Appointment reminders
Appointment scheduling
Communications related to your appointments and services.
Billing and payment matters
Administrative information related to your care
Where authorized by you, communications may occur by phone, text message, email, patient portal, or mail.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us without fear of retaliation.
To file a complaint, contact:
CalmPoint Psychiatry
3600 Wheeler Ave, Suite 1A
Fort Smith, AR 72901
Phone: (479) 545-2205
Email: [email protected]
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
Additional information is available at:
https://www.hhs.gov/hipaa/filing-a-complaint/index.html
We will not retaliate against you for filing a complaint.
Contact Information
If you have questions regarding this Notice of Privacy Practices or your privacy rights, please contact:
CalmPoint Psychiatry
3600 Wheeler Ave, Suite 1A
Fort Smith, AR 72901
Phone: (479) 545-2205
Email: [email protected]