Effective Date: April 8, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
1. Our Legal Duty
Prevail Behavioral Health SC is required by law (specifically the Health Insurance Portability and Accountability Act of 1996 - HIPAA) to maintain the privacy of your protected health information (PHI) and to provide you with notice of our legal duties and privacy practices.
2. Uses and Disclosures of Health Information
We use and disclose health information about you for treatment, payment, and healthcare operations. For example:
- Treatment: We may use your health information to provide you with medical treatment or services. We may disclose your information to doctors, nurses, technicians, or other personnel who are involved in your care.
- Payment: We may use and disclose your health information to bill and collect payment for the treatment and services provided to you.
- Healthcare Operations: We may use and disclose your health information to run our practice, improve your care, and contact you when necessary.
3. Your Rights
You have the following rights regarding your health information:
- Right to inspect and copy your health records.
- Right to request an amendment if you believe your information is incorrect.
- Right to request an accounting of disclosures.
- Right to request restrictions on certain uses and disclosures.
- Right to receive confidential communications.
- Right to receive a paper copy of this notice.
4. Complaints
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
5. Contact Information
To exercise your rights or file a complaint, please contact:
Privacy Officer, Prevail Behavioral Health SC
15 Park Place Suite #200, Appleton, WI 54914
Phone: (920) 944-6422
Fax: (920) 882-2154