Requesting Your Mental Health Records
We respect your privacy and are committed to protecting your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws in Arizona, Colorado, and Texas. Please review our Privacy Policy.
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Your Right to Access Records
You have the right to request access to your mental health records maintained by our practice. In certain circumstances, some information (such as psychotherapy notes or records that could cause harm if released) may be restricted as permitted by law.
How to Request Your Records
To request copies of your records, please follow the steps below:
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Submit a Written Request
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Submit a written request that includes:
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Your full name and date of birth
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A clear description of the records requested
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The format you prefer (electronic or paper, if available)
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Where the records should be sent
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Your signature and date
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Verify Your Identity
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For your protection, we may require government-issued photo identification before releasing records.
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Submit Your Request
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Send your request via any of the methods below:
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Secure patient portal: https://lucidawakening.clientsecure.me
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Secure email: anthony@lucidawakening.com
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Fax: 520-210-5729
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Mail:
Lucid Awakening
1200 N. El Dorado Place, Ste F640
Tucson, AZ 85715
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Processing Time and Fees
We will respond to record requests within the timeframes required by HIPAA and applicable state law. Reasonable, cost-based fees may apply for copying or mailing records, as permitted by law. You will be notified of any applicable fees before records are released.
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Third-Party Requests
If you would like your records sent to another provider, organization, or individual, your written authorization must specifically identify the recipient.
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Questions or Concerns
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If you have questions about accessing your records or believe your privacy rights have been violated, please contact:
Privacy Officer: Anthony Woellner
Phone: 520-200-1720
Email: anthony@lucidawakening.com
Complaints
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You also have the right to file a complaint with the U.S. Department of Health and Human Services without fear of retaliation.
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For Texas, you can also contact the Texas Behavioral Health Executive Council, or the Attorney General of Texas.
