Patient Rights and Privacy Summary

At Inner Peace Behavioral Health, we respect your privacy and are committed to protecting your health information. Below is a summary of your rights and how we use your information.

Your Rights

As a patient, you have the right to:

  • Access your medical records
    You can review and obtain copies of your health records.

  • Request corrections
    If you believe information in your record is incorrect or incomplete, you can request a correction.

  • Receive a list of disclosures
    You have the right to know how and when your health information has been shared.

  • Request restrictions
    You have the right to limit certain uses or disclosures of your information.

  • Confidential communication preferences
    You can choose how and where you want to receive private health information (e.g., mailing address, Fax, or postal services).

How We Use Your Information

We use your health information to:

  • Provide treatment and care
    Coordinate your care with other healthcare providers when needed.

  • Process payments
    Bill and receive payment for services provided.

  • Manage healthcare operations
    Improve the quality, safety, and effectiveness of the care we deliver.

We may also share your information with family members or legal guardians, only with your consent, to support your care and well-being.

If you have any questions about your rights or how your information is used, please contact us at:

Email: Lucienne@innerpeacebehavioralhealth.com

Tel: (339)-225-9536

New patient intake form

Patient Information