Privacy Policy

Last updated June 11, 2025

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. 

The terms of this Notice of Privacy Practices (“Notice”) apply to Kids Can Cope LLC, its affiliates, and its employees. Kids Can Cope LLC will share protected health information of patients as necessary to carry out treatment, payment, and health care operations as permitted by law.

Kids Can Cope LLC is required by law to maintain the privacy of my patient's protected health information and to provide patients with notice of my legal duties and privacy practices with respect to protected health information. Kids Can Cope LLC is required to abide by the terms of this Notice for as long as it remains in effect. I reserve the right to change the terms of this Notice as necessary and to make a new notice of privacy practices effective for all protected health information maintained by the Kids Can Cope LLC. Kids Can Cope LLC is required to notify you in the event of a breach of your unsecured protected health information. Kids Can Cope LLC is also required to inform you that there may be a provision of state law that relates to the privacy of your health information that may be more stringent than a standard or requirement under the Federal Health Insurance Portability and Accountability Act (“HIPAA”). A copy of any revised Notice of Privacy Practices or information pertaining to a specific State law may be obtained by mailing a request to the Privacy Officer at the address below.

USES AND DISCLOSURES OF YOUR PROTECTED HEALTH INFORMATION:

Authorization and Consent: Except as outlined below, the Kids Can Cope LLC will not use or disclose your protected health information for any purpose other than treatment, payment, or healthcare operations unless you have signed a form authorizing such use or disclosure. You have the right to revoke such authorization in writing, with such revocation being effective once we actually receive the writing; however, such revocation shall not be effective to the extent that Kids Can Cope LLC has taken any action in reliance on the authorization, or if the authorization was obtained as a condition of obtaining insurance coverage, another law provides the insurer with the right to contest a claim under the policy or the policy itself.

Uses and Disclosures for Treatment: Kids Can Cope LLC will make uses and disclosures of your protected health information as necessary for your treatment. Psychiatrists, doctors, nurses, and other professionals involved in your care will use information in your medical record and information that you provide about your symptoms and reactions to your course of treatment which may include procedures, medications, tests, medical history, etc.

Uses and Disclosures for Payment: Kids Can Cope LLC will make uses and disclosures of your protected health information as necessary for payment purposes. During the normal course of business operations, the Kids Can Cope LLC may forward information regarding your mental health treatments and treatment to your insurance company to arrange payment for the services provided to you. Kids Can Cope LLC may also use your information to prepare a bill to send to you or to the person responsible for your payment.

Uses and Disclosures for Health Care Operations: Kids Can Cope LLC will make uses and disclosures of your protected health information as necessary, and as permitted by law, for my health care operations, which may include clinical improvement, professional peer review, business management, accreditation, and licensing, etc. For instance, the Kids Can Cope LLC may use and disclose your protected health information for purposes of improving clinical treatment and patient care.

Individuals Involved in Your Care: Kids Can Cope LLC may from time to time disclose your protected health information to designated family, friends, and others who are involved in your care or in payment of your care in order to facilitate that person's involvement in caring for you or paying for your care. If you are unavailable, incapacitated, or facing an emergency medical situation and the Kids Can Cope LLC determines that a limited disclosure may be in your best interest, the Kids Can Cope LLC may share limited protected health information with such individuals without your approval. Kids Can Cope LLC may also disclose limited protected health information to a public or private entity that is authorized to assist in disaster relief efforts in order for that entity to locate a family member or other persons that may be involved in some aspect of caring for you.

Business Associates: Certain aspects and components of our services are performed through contracts with outside persons or organizations, such as billing, auditing, accreditation, outcomes data collection, legal services, etc. At times it may be necessary for me to provide your protected health information to one or more of these outside persons or organizations who assist me with my healthcare operations. In all cases, the Kids Can Cope LLC requires these associates to appropriately safeguard the privacy of your information.

Appointments and Services: Kids Can Cope LLC may contact you to provide appointment updates or information about your treatment or other health-related benefits and services that may be of interest to you. You have the right to request, and the Kids Can Cope LLC will accommodate reasonable requests by you to receive communications regarding your protected health information from the Kids Can Cope LLC by alternative means or at alternative locations. For instance, if you wish appointment reminders to not be left on voice mail or sent to a particular address, the Kids Can Cope LLC will accommodate reasonable requests. With such a request, you must provide an appropriate alternative address or method of contact. You also have the right to request that the Kids Can Cope LLC does not send you any future marketing materials and I will use my best efforts to honor such a request. You must make such requests in writing, including your name and address, and send such writing to the Privacy Officer at the address below.

Other Uses and Disclosures: Kids Can Cope LLC is permitted and/or required by law to make certain other uses and disclosures of your protected health information without your consent or authorization for the following:

  • Any purpose required by law;

  • Public health activities as required by law in connection with public health investigations;

  • If the Kids Can Cope LLC suspects child abuse or neglect, Kids Can Cope LLC is mandated to report this to Maryland Child Welfare by law; if the Kids Can Cope LLC suspects you to be a victim of abuse or neglect;

  • To your employer when Kids Can Cope LLC has provided health care to you at the request of your employer;

  • To a government oversight agency conducting audits, investigations, civil or criminal proceedings;

  • A court order or court-ordered subpoena

  • To law enforcement officials as required by law if the Kids Can Cope LLC believes you have been the victim of abuse or neglect. Kids Can Cope LLC will only make this disclosure if you agree or when required or authorized by law;

  • To coroners and/or funeral directors consistent with law;

  • To workers' compensation agencies for workers' compensation benefit determination.

  • To first responders in the event of a medical or life-threatening emergency.

DISCLOSURES REQUIRING AUTHORIZATION:

Psychotherapy Notes: Kids Can Cope LLC must obtain your specific written authorization prior to disclosing any psychotherapy notes unless otherwise permitted by law. However, there are certain purposes for which I may disclose psychotherapy notes, without obtaining your written authorization, including the following: (1) to carry out certain treatment, payment, or healthcare operations (e.g., use for the purposes of your treatment, for my own training, and to defend myself in a legal action or other proceeding brought by you), (2) to the Secretary of the Department of Health and Human Services to determine my compliance with the law, (3) as required by law, (4) for health oversight activities authorized by law, (5) to medical examiners or coroners as permitted by state law, or (6) for the purposes of preventing or lessening a serious or imminent threat to the health or safety of a person or the public.

Marketing: Kids Can Cope LLC must obtain your authorization for any use or disclosure of your protected health information for marketing

Sale of Protected Information: Kids Can Cope LLC must obtain your authorization prior to receiving direct or indirect remuneration in exchange for your health information; however, such authorization is not required where the purpose of the exchange is for:

  •  Public health activities;

  • Treatment and payment purposes;

  • Healthcare operations involving the sale, transfer, merger, or consolidation of all or part of my business and for related due diligence;

  • Payment Kids Can Cope LLC provides to a business associate for activities involving the exchange of protected health information that the business associate undertakes on my behalf (or the subcontractor undertakes on behalf of a business associate) and the only remuneration provided is for the performance of such activities;

  • Providing you with a copy of your health information or an accounting of disclosures;

  • Disclosures required by law;

  • Disclosures of your health information for any other purpose permitted by and in accordance with the Privacy Rule of HIPAA, as long as the only remuneration Kids Can Cope LLC receive is a reasonable, cost-based fee to cover the cost to prepare and transmit your health information for such purpose or is a fee otherwise expressly permitted by other law; or

  • Any other exceptions are allowed by the Department of Health and Human Services

RIGHTS THAT YOU HAVE REGARDING YOUR PROTECTED HEALTH INFORMATION:

Access to Your Protected Health Information: You have the right to copy and/or inspect much of the protected health information that the Kids Can Cope LLC retains on your behalf. For protected health information that the Kids Can Cope LLC maintains in any electronic designated record set, you may request a copy of such health information in a reasonable electronic format, if readily producible. Requests for access must be made in writing and signed by you or your legal representative. You may obtain a "Patient Access to Health Information Form" from the Kids Can Cope LLC. You will be charged a reasonable copying fee and actual postage and supply costs for your protected health information. If you request additional copies you will be charged a fee for copying and postage.

Amendments to Your Protected Health Information: You have the right to request in writing that the protected health information that the Kids Can Cope LLC maintains about you be amended or corrected. Kids Can Cope LLC is not obligated to make requested amendments, but Kids Can Cope LLC will give each request careful consideration. All amendment requests must be in writing, signed by you or a legal representative, and must state the reasons for the amendment/correction request. If an amendment or correction request is made, the Kids Can Cope LLC may notify others who work with the Kids Can Cope LLC if there is the belief that such notification is necessary. You may obtain an "Amendment Request Form" from the Kids Can Cope LLC.

Accounting for Disclosures of Your Protected Health Information: You have the right to receive an accounting of certain disclosures made by the Kids Can Cope LLC of your protected health information after April 14, 2003. Requests must be made in writing and signed by you or your legal representative. "Accounting Request Forms" are available from the Kids Can Cope LLC. The first accounting in any 12-month period is free; you will be charged a fee for each subsequent accounting you request within the same 12-month period. You will be notified of the fee at the time of your request.

Restrictions on Use and Disclosure of Your Protected Health Information: You have the right to request restrictions on the uses and disclosures of your protected health information for treatment, payment, or health care operations. Kids Can Cope LLC is not required to agree to most restriction requests but will attempt to accommodate reasonable requests when appropriate. You do, however, have the right to restrict disclosure of your protected health information to a health plan if the disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law, and the protected health information pertains solely to a health care item or service for which you, or someone other than the health plan on your behalf, has paid Kids Can Cope LLC in full. If the Kids Can Cope LLC agrees to any discretionary restrictions, the Kids Can Cope LLC reserves the right to remove such restrictions as the Kids Can Cope LLC finds appropriate. Kids Can Cope LLC will notify you if Kids Can Cope LLC removes a restriction imposed in accordance with this paragraph. You also have the right to withdraw, in writing or orally, any restriction by communicating your desire to do so to the individual responsible for medical records.

Right to Notice of Breach: Kids Can Cope LLC takes very seriously the confidentiality of our patient's information, and the Kids Can Cope LLC is required by law to protect the privacy and security of your protected health information through appropriate safeguards. Kids Can Cope LLC will notify you in the event a breach occurs involving or potentially involving your unsecured health information and inform you of what steps you may need to take to protect yourself.

Paper Copy of this Notice: You have a right, even if you have agreed to receive notices electronically, to obtain a paper copy of this Notice. To do so, please submit a request to me.

For Further Information: If you have questions, need further assistance regarding or would like to submit a request pursuant to this Notice, you may contact Kids Can Cope LLC by phone at (443) 702-8116 or at the following address: 5412 Klee Mill Road Sykesville, MD 21784