Notice of Privacy Practices
Bassi Mental Health PA d/b/a TelepsychHealth
Effective Date: March 17, 2026
This notice describes how TelepsychHealth may use and disclose your medical information and explains how you can access this information.
Patient Rights
You have the right to:
- Obtain a copy of your paper or electronic medical record
- File a complaint if privacy rights are violated
- Receive a list of those with whom information has been shared
- Request confidential communication methods only
- Correct inaccuracies in your medical record
- Ask us to limit information sharing about you
- Get a copy of this Notice of Privacy Practices
- Designate someone to act on your behalf
Patient Choices
You have choices regarding:
- Whether family or friends learn about your conditions
- Whether your information is sold
- Disaster relief service participation
- Marketing of our services
Our Uses and Disclosures of Your Information
We may use your information for:
- Public health and safety issues
- Legal compliance
- Workers' compensation requests
- Lawsuits and legal actions
- Privacy reviews and audits
- Treatment purposes
- Billing for services
- Research
- Organ and tissue donation requests
- Law enforcement or government requests
Detailed Patient Rights
Right to Access Your Medical Record
You may request electronic or paper copies of your medical record. Under most circumstances, we will provide you with a copy or a summary of your health information within 30 days, with possible reasonable fees.
Right to Request Corrections
You may ask us to correct believed inaccuracies. We must respond with a written explanation within 60 days if denied.
Right to Request Confidential Communications
You may specify contact methods or mailing addresses. Reasonable requests will be honored.
Right to Request Limits on Use or Sharing
You may request limitations on information use or sharing, though we may decline if it affects your care. Out-of-pocket services can be withheld from insurance sharing requests.
Right to an Accounting of Disclosures
You may request a list of information shared over the prior six years. One accounting annually is free; additional requests incur reasonable fees.
Right to a Paper Copy of This Notice
Paper copies are available upon request anytime.
Right to Choose a Personal Representative
Medical power of attorney holders or legal guardians may exercise your rights. We verify authority before acting.
Right to File a Complaint
Contact our Privacy Officer or file with:
U.S. Department of Health and Human Services Office for Civil Rights 200 Independence Avenue, S.W. Washington, D.C. 20201
Call (877) 696-6775 or visit www.hhs.gov. No retaliation occurs for complaints.
Detailed Patient Choices
You may instruct us on:
- Sharing information with family or caregivers
- Disaster relief information sharing
If you cannot communicate preferences, we may share information as we believe is in your best interest or when necessary for serious health threats.
We require written permission for:
- Marketing use of your information
- Selling your information
- Sharing psychotherapy notes or HIV-related information
Detailed Uses and Disclosures by Our Practice
Common uses:
- Treatment provision and sharing with other treating professionals
- Operating our practice, improving care, and contacting you
- Billing and payment from health plans
Less common uses:
- Reporting suspected abuse, neglect, or domestic violence
- Reporting adverse medication reactions
- Assisting public health and safety
- Preventing serious health or safety threats
- Research activities
- Disease prevention
- Supporting government functions
- Contributing to public health initiatives
- Legal compliance
- Workers' compensation claims
- Health oversight activities
- Product recalls
- Demonstrating federal privacy law compliance
- Law enforcement responses
- Responding to court orders or subpoenas
- Addressing lawsuits and legal actions
Detailed Practice Responsibilities
We maintain privacy and security of your protected health information. We will alert you promptly if a breach occurs that may have compromised the privacy or security of your information.
We will not use or share information beyond what's described here without express written permission. Authorizations may be revoked in writing.
SMS Privacy Policy
Information collected through SMS or text messaging—including phone numbers, consent, and opt-in data—is used solely for delivering requested messaging services. No data is shared, sold, rented, or disclosed to third parties except as required for service delivery or legal compliance.
About This Notice
This notice is effective March 17, 2026, and replaces all prior versions.
Chief Privacy Officer: Bruce Bassi, MD
Contact: inquiry@telepsychhealth.com • www.telepsychhealth.com
We may change notice terms, with changes applying to all your information. Updated notices will be available upon request and on our website.