UpLift Logo
Find CareFor TherapistsAbout UsSign In
FIND A THERAPIST
Find CareFor TherapistsAbout UsSign In
apply now
  • Consent to Treatment Form
  • Notice of Privacy Practices
  • Patient Financial Responsibility Agreement

Notice of Privacy Practices

1. POLICY

The Company disseminates and maintains a Notice of Privacy Practices (“Privacy Notice” or “Notice”) that clearly states the manner in which it may use and disclose an individual’s protected health information (“PHI”), and provides adequate notice of an individual’s rights and Company’s legal duties with respect to PHI. Individuals have a right to request and receive a paper copy of the Privacy Notice at any time.

2. PROCEDURE

Privacy Notice

Responsibility

  • The Privacy Officer is responsible for developing, reviewing, revising, updating and disseminating the Company’s Privacy Notice to ensure that it conforms to these Policies and Procedures.

Notice Requirements

  • ‍The Privacy Notice will be in plain language and include the content requirements set forth in 45 C.F.R. § 164.520.

DISSEMINATION OF NOTICE

Time to Notify Individuals

  • Notification. The Company must distribute the “Notice of Privacy Practices” to an individual prior to the individual’s first receipt of health care services or, in emergency situations, as soon as reasonably practicable.
  • Availability of Privacy Notice
  • Electronic Notice. The Company may provide Notice to an individual by e-mail if the individual agrees to such Notice. If the Company becomes aware that e-mail transmission has failed, a paper copy of the Notice must be provided to the individual. An individual receiving e-mail Notice always maintains the right to obtain a paper copy of Notice from the Company upon request.
  • Paper Copy of Notice. Individuals have a right to a paper copy of the Privacy Notice, even if they have previously agreed to receive the Privacy Notice electronically. Individuals may receive a copy of the Privacy Notice by: Email Request. An individual can submit a request for Notice to: info@joinuplift.co‍
  • Availability on Website. To the extent the Company maintains a website, the Privacy Notice must be placed and maintained on the Company’s web site and be available electronically through the website.

3. ACKNOWLEDGEMENT OF RECEIPT

Acknowledgement of Paper Copy of Notice

Each paper copy of the Privacy Notice given to an individual shall have attached to it a cover page entitled Patient Acknowledgement of Receipt of Notice of Privacy Practices, which the individual will be asked to date and sign at the time the individual is given the Privacy Notice. If the individual is unable or unwilling to date and sign the acknowledgement form, Company employees should document in writing on the face of the acknowledgement form the reason for the inability or refusal of the individual to sign. Such reason could simply be, e.g., that the individual refused to sign after being requested to do so. Company’s duty under the law is only to make a good faith effort to obtain the acknowledgement of receipt. If the individual does not want to sign the acknowledgement form, he or she is not required to do so.

Acknowledgement of Electronic Notice

If an individual wishes to receive the Notice electronically, the system should request the patient to acknowledge receipt electronically.

4. DOCUMENTATION

‍The Company will retain copies of the Privacy Notices issued by it for six (6) years following their last effective date, in accordance with Company’s record retention policy.

Clicking “I Agree” constitutes a legal signature and acknowledgment of this notice and verifies that I have read all of the information contained in this Notice of Privacy Practices.

‍

UpLift Logo
  • Find Care
  • For Therapists
  • About Us
  • info@joinuplift.co
  • © 2022 UpLift, Inc.
  • Terms of ServicePrivacy Policy
If you are considering suicide or if you or any other person may be in danger, please call or text 988 (24-hour suicide and crisis lifeline) or call 911.