- Real Experiences. Real Progress.
Xolani takes your privacy very seriously and takes every appropriate measure to afford you optimum discretion and confidentiality. The law protects the relationship between a client and a clinician, and information cannot be disclosed without written permission by the client, a parent, or a legal guardian.
Xolani Outpatient Center will maintain sufficient records to justify thorough and appropriate treatment. The information you give us is confidential and release or disclosure of any identifiable information to any individual or agency is prohibited except under the following ethical and legal conditions:
Informed Consent: Client/legal representative has signed a valid authorization for release of information to a third party.
Public Safety: It is determined by a clinical staff member that the client presents a danger to self or others.
Legal Mandate: In response to a court order and/or subpoena.
Medical Emergency: In response to a urgent medical situation.
Mandatory Reporting: State and federal laws require reporting of child abuse, disabled adult abuse, gunshot/knife wounds, and/or communicable diseases.
Program Crimes: Crimes committed at the program, crimes against any employee or client, and any threat to commit such a crime.
Official Threats: In the event of an investigation of an elected official’s being threatened.
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.
The following individuals are required by HIPAA to comply with the privacy rules:
Any staff, employee, and/or subcontractor of Xolani Outpatient Center.
Any administrative assistant or office staff who may have some access to your identifying information.
Any billing agency that handles information about you (limited to administrative and diagnostic data, not actual clinical records).
Right to Inspect and Copy: You may obtain a copy of your clinical record. We recommend viewing this during a professional consultation to clarify any questions.
Note: Psychotherapy notes (specific analysis of conversations) are optional and are not disclosed to third parties or clients; they are for the therapist’s use only.
Right to Amend: You may request a correction or add an addendum if you believe information is inaccurate or incomplete. If the record is determined to be accurate, we will provide a written explanation for any denial.
Right to an Accounting of Disclosures: You have the right to know when and to whom your information has been disclosed for the past six years (excluding treatment, payment, and healthcare operations).
Right to Request Restrictions: You may request restrictions on how your information is used. While we aim to honor all requests, some may be denied. We do not release information for marketing purposes.
Right to Confidential Communications: You can request that we contact you in a specific way (e.g., calling a work number instead of home).
Right to a Copy of This Notice: You may request a physical copy of this policy at any time.
Right to File a Complaint: If you believe your rights have been violated, you may file a written complaint with your clinician, our Clinical Director, or the Secretary of the Department of Health and Human Services.
For Treatment: To assist in continuity of services. Sharing with outside professionals requires a signed consent form.
For Payment: To process billing (restricted to identifiers, diagnostic codes, and service dates).
For Health Care Operations: Basic information shared with office staff for scheduling and internal procedures.
Business Associates: We may contract with billing agencies or attorneys who are legally bound by written contract to maintain HIPAA security standards.
We are required by law to maintain the privacy and security of your protected health information. We will notify you promptly if a breach occurs. We will not use or share your information other than as described here unless you provide written authorization, which you may revoke at any time.
Changes to This Notice: This notice may be revised as laws change. You will be notified of significant updates.
If you have questions or wish to file a complaint, please contact the Xolani Clinical Director at (984) 200-2780.
Xolani Identifying Information: Xolani Outpatient Center 7200 Falls of Neuse Rd # 300 Raleigh, NC 27615, United States (984) 200-2780
Government Contact: United States Secretary of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 (202) 619-0257
