Privacy Policy


NOTICE OF PRIVACY PRACTICES

Notice of Brand & Kelton-Brand, Ph.D., P.A.’s Policies and Practices to Protect the Privacy of Your Health Information

THIS INFORMATION DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. Uses and Disclosures for Treatment, Payment and Health Care Operations

Your doctor may use or disclose your protected health information (PHI), for treatment, payment, and health care operations purposes with your consent. To help clarify these terms, here are some definitions:

II. Uses and Disclosures Requiring Authorization

Your doctor may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures.

In those instances when your doctor is asked for information for purposes outside of treatment, payment and health care operations, he/she will obtain an authorization before releasing your PHI.

Your doctor will obtain written authorization for PHI in any way that is not described in this notice.

Your doctor also keeps a set of “Psychotherapy Notes”. These notes are given a greater degree of protection than PHI. These Notes are for your doctor’s use and are designed to assist him/her in providing you with the best treatment. While the contents of Psychotherapy Notes vary from client to
client, they can include the contents of conversations, analysis of these conversations, and how they impact on your therapy. They contain particularly sensitive information that you may reveal to your doctor that is
not required to be included in your PHI. They also include information from others provided to your doctor confidentially. These conversations may have taken place during a private, group, joint, or family counseling session. These Psychotherapy Notes are kept separate from your PHI. Your Psychotherapy Notes are not available to you and cannot be sent to anyone else, including insurance companies and attorneys, without your written, signed authorization. Insurance companies cannot require your authorization as a condition of coverage and not penalize you in any way for your refusal to provide it. At your doctor’s discretion this information could only be released with your written, signed Authorization.

Your doctor will obtain written authorization for PHI for marketing purposes (e.g., sending newsletters or communications to you about new services being offered).

You may revoke all such authorizations of PHI (or Psychotherapy Notes) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) your doctor has already acted in reliance on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

Your doctor will provide a typed report for testing evaluations, which is included in the fee. Requests for edited versions of this report, letters, treatment summaries, requests for accommodations, etc. will be provided only at the sole discretion of your doctor and will incur an additional fee. Your doctor reserves the right to decline such requests.

III. Uses and Disclosures with Neither Consent nor Authorization

Your doctor may use or disclose PHI without your consent or authorization in the following circumstances:

IV. Patient’s Rights and Psychologist’s Duties

Patient’s Rights:

Psychologist’s Duties:

V. Complaints

If you are concerned that your doctor has violated your privacy rights, or you disagree with a decision that was made about access to your records, you may contact Arthur H. Brand, Ph.D. or Ana Kelton-Brand, Ph.D. at (561) 883-7304.

You may also send a written complaint to the Secretary of the U.S. Department of Health and Human Services. The doctors listed above can provide you with the appropriate address upon request.

VI. Effective Date

This notice will go into effect on April 14, 2003.
This notice was modified on September 20, 2013.
This notice was modified on September 5, 2019.

Services

  • Individual and Conjoint Psychotherapy for Children, Adolescents and Adults
  • Cognitive-Behavioral Therapy (CBT)
  • Interpersonal and Psychodynamic Therapy
  • Solution-Oriented Therapy
  • Mindfulness Meditation and Mindfulness-Based Cognitive Behavioral Therapy
  • Family Therapy
  • Couples Therapy/Marriage Counseling
  • Parent Counseling
  • Psychological, Psycho-Educational, Neuropsychological Testing (for Learning Disorders, AD/HD, Gifted Placement, 504 Accommodations, IEP's, Emotional Issues)
  • Career Evaluations
  • Organization/Corporate Consultation
  • Lectures/Workshops

Contact Us

Name*

Email*

Phone

Message

Brand & Kelton-Brand, Ph.D., P.A.
Licensed Psychologists

Contact Us

Office:(561) 883-7304
Fax: (561) 883-7309

7900 Glades Road, Suite 420
Boca Raton, Florida 33434

© 2019 Brand & Kelton-Brand, Ph.D., P.A.
All Rights Reserved. This website is designed for general information only. The information presented at this site should not be construed to be formal advice.
Website Design by IWD Marketing