HIPAA NOTICE OF PRIVACY PRACTICES
Effective Date: April 20, 2026
This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can access this information.
Please review it carefully.
Our Commitment to Your Privacy
At Restoration Behavioral Health, we understand that your health information is personal. We are committed to protecting your medical information and complying with all applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA).
How We May Use and Disclose Your Information
We may use and share your protected health information (PHI) in the following ways:
For Treatment
We may use your information to provide, coordinate, or manage your healthcare and related services.
For Payment
We may use your information to bill and receive payment from health plans or other entities.
For Healthcare Operations
We may use your information to support business activities such as quality assessment, staff training, and administrative functions.
Other Uses and Disclosures
We may also use or disclose your information:
As required by law
To protect your health and safety or the safety of others
For public health activities
To comply with legal proceedings or law enforcement requests
For health oversight activities
Uses Requiring Your Authorization
We will obtain your written authorization for uses and disclosures not described in this Notice, including:
Most uses of psychotherapy notes
Marketing purposes
Any sale of your information
You may revoke your authorization at any time in writing.
Your Rights Regarding Your Information
You have the right to:
Access Your Records
Request a copy of your health information.
Request Corrections
Ask us to correct inaccurate or incomplete information.
Request Restrictions
Request limits on how your information is used or disclosed.
Request Confidential Communications
Ask us to contact you in a specific way (e.g., phone or email).
Receive an Accounting of Disclosures
Request a list of certain disclosures we have made of your information.
Receive a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
Our Responsibilities
We are required to:
Maintain the privacy and security of your information
Provide you with this Notice
Notify you in the event of a breach of your information
Follow the terms of this Notice currently in effect
Changes to This Notice
We reserve the right to change this Notice at any time.
Any updates will apply to all information we maintain and will be posted on our website with a revised effective date.
Contact Information
If you have questions about this Notice or wish to exercise your rights, please contact:
Restoration Behavioral Health
365 S Hartmann Dr, Suite 104
Lebanon, TN 37087
(615) 470-8124
info@restorationbehavioralhealthtn.com
Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. Filing a complaint will not affect the quality of care you receive.