Northstone Psychiatry PLLC
Effective Date: 01/27/2026
Address: Charlotte, NC 28203
Email: [email protected]
Website: northstonepsychiatry.com
We are committed to protecting the privacy of your health information. This Notice applies to all records of your care created or received by Northstone Psychiatry, whether created by your clinician or another provider, including electronic information.
“Protected Health Information” (PHI) is information that identifies you and relates to your past, present, or future health, treatment, or payment for health care.
We may use and disclose PHI for the following purposes:
We may use and disclose PHI to provide, coordinate, or manage your mental health care and related services.
We may disclose PHI so that treatment and services you receive may be billed and payment collected. For example, to verify your insurance eligibility, submit claims, or obtain payment from your insurer.
We may use PHI for internal operations such as quality assessment, training, auditing, legal, accounting, and business planning.
For telehealth services, we may use electronic systems that transmit your health information; applicable privacy and security safeguards are in place.
We may disclose PHI when required by federal, state, or local law.
We may use or disclose PHI in the following situations without your authorization:
Public health activities
Law enforcement purposes
Reporting abuse, neglect, or domestic violence
Health oversight agencies for purposes such as examinations, investigations, audits, inspections, and licensures
Threats to the health or safety of you, others or the general public
Workers’ compensation claims
Judicial and administrative proceedings
Legal proceedings – In the course of any legal proceeding in response to an order of a court or administrative agency and, in certain cases, in response to a subpoena, discovery request, or other lawful process
Except for the purposes listed above, we will not use or disclose your PHI without your written authorization. You may revoke an authorization in writing at any time.
You have the right to:
Inspect and copy your PHI
Request amendment of your PHI
Request an accounting of disclosures
Request restrictions on certain uses and disclosures
Receive confidential communications
A paper copy of this Notice
To exercise these rights, contact Northstone Psychiatry.
We reserve the right to change our privacy practices and this Notice. The revised Notice will apply to all PHI we maintain. The current Notice will be posted on our website and available on request.
If you believe your privacy rights have been violated, you may file a complaint with Northstone Psychiatry or the U.S. Department of Health and Human Services, Office for Civil Rights:
Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue SW
Washington, D.C. 20201
https://www.hhs.gov/hipaa/
There will be no retaliation for filing a complaint.
Northstone Psychiatry PLLC
Email: [email protected]
Address: Charlotte, NC 28203
