Notice of Privacy Practices
Effective Date: Aug 1, 2025
Practice Name: Trillium Mental Health Staffing LLC
This Notice describes how your health information may be used and disclosed and how you can access this information. Please review it carefully.
Our Legal Duty
We are required by law to:
Maintain the privacy and security of your protected health information (PHI).
Provide you with this Notice of Privacy Practices.
Notify you if a breach occurs that compromises the privacy or security of your PHI.
Follow the terms of this Notice.
How We May Use and Disclose Your Health Information
We may use or share your PHI for the following purposes:
1. Treatment
To provide, coordinate, and manage your care. For example, we may share information with your therapist, primary care provider, or pharmacy.
2. Payment
To bill and collect payment for the services we provide. For example, we may disclose PHI to your health plan to obtain prior authorization for treatment or reimbursement.
3. Healthcare Operations
For administrative, quality improvement, and practice management activities. For example, we may use PHI to monitor the quality of services or train staff.
Other Permitted Uses and Disclosures
We may also use or disclose your PHI without your written authorization in the following circumstances:
As Required by Law (e.g., to comply with court orders or mandatory reporting laws).
Public Health and Safety (e.g., to report child abuse, prevent serious threats to health or safety).
Health Oversight Activities (e.g., audits, licensing, inspections).
Law Enforcement (e.g., reporting certain injuries or as required by subpoena).
Coroners, Medical Examiners, Funeral Directors (to carry out their duties).
Workers’ Compensation (as required to comply with workers’ compensation laws).
Uses and Disclosures Requiring Your Authorization
We will not use or disclose your PHI for purposes outside of treatment, payment, or healthcare operations unless you give written authorization. Examples include:
Marketing communications.
Sale of your health information.
Most sharing of psychotherapy notes.
You may revoke an authorization at any time, in writing.
Your Rights Regarding Your Health Information
You have the right to:
Access Your Records: Request a copy of your health information.
Request an Amendment: Ask us to correct information you believe is inaccurate.
Request Confidential Communications: Ask us to contact you in a specific way (e.g., at work instead of home).
Request Restrictions: Limit how we use or disclose your PHI (though we are not always required to agree).
Get a List of Disclosures: Receive a record of certain disclosures of your PHI made in the past six years.
Receive a Paper Copy of This Notice: Even if you agreed to receive it electronically.
File a Complaint: If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services (HHS). We will not retaliate against you for filing a complaint.
Our Responsibilities
We are required by law to maintain the privacy and security of your PHI.
We must notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this Notice.
Contact Information
For questions, requests, or complaints regarding this Notice, please contact:
Trillium Mental Health Staffing LLC
info@trilliummentalhealth.com
(734) 215-7399
You may also contact:
U.S. Department of Health and Human Services – Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr/privacy/hipaa/complaints