verification-layer 0.20.0 → 0.22.0

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (180) hide show
  1. package/README.md +251 -615
  2. package/dist/cli.js +542 -0
  3. package/dist/cli.js.map +1 -1
  4. package/dist/marketplace/index.d.ts +8 -0
  5. package/dist/marketplace/index.d.ts.map +1 -0
  6. package/dist/marketplace/index.js +7 -0
  7. package/dist/marketplace/index.js.map +1 -0
  8. package/dist/marketplace/installer.d.ts +62 -0
  9. package/dist/marketplace/installer.d.ts.map +1 -0
  10. package/dist/marketplace/installer.js +254 -0
  11. package/dist/marketplace/installer.js.map +1 -0
  12. package/dist/marketplace/registry.d.ts +52 -0
  13. package/dist/marketplace/registry.d.ts.map +1 -0
  14. package/dist/marketplace/registry.js +759 -0
  15. package/dist/marketplace/registry.js.map +1 -0
  16. package/dist/marketplace/types.d.ts +123 -0
  17. package/dist/marketplace/types.d.ts.map +1 -0
  18. package/dist/marketplace/types.js +6 -0
  19. package/dist/marketplace/types.js.map +1 -0
  20. package/dist/reporters/audit-report.d.ts.map +1 -1
  21. package/dist/reporters/audit-report.js +180 -0
  22. package/dist/reporters/audit-report.js.map +1 -1
  23. package/dist/reporters/index.d.ts.map +1 -1
  24. package/dist/reporters/index.js +2612 -5
  25. package/dist/reporters/index.js.map +1 -1
  26. package/dist/scan.d.ts.map +1 -1
  27. package/dist/scan.js +15 -1
  28. package/dist/scan.js.map +1 -1
  29. package/dist/scanners/api-security/index.d.ts +7 -0
  30. package/dist/scanners/api-security/index.d.ts.map +1 -0
  31. package/dist/scanners/api-security/index.js +139 -0
  32. package/dist/scanners/api-security/index.js.map +1 -0
  33. package/dist/scanners/api-security/index.test.d.ts +5 -0
  34. package/dist/scanners/api-security/index.test.d.ts.map +1 -0
  35. package/dist/scanners/api-security/index.test.js +360 -0
  36. package/dist/scanners/api-security/index.test.js.map +1 -0
  37. package/dist/scanners/api-security/patterns.d.ts +32 -0
  38. package/dist/scanners/api-security/patterns.d.ts.map +1 -0
  39. package/dist/scanners/api-security/patterns.js +159 -0
  40. package/dist/scanners/api-security/patterns.js.map +1 -0
  41. package/dist/scanners/authentication/index.d.ts +7 -0
  42. package/dist/scanners/authentication/index.d.ts.map +1 -0
  43. package/dist/scanners/authentication/index.js +107 -0
  44. package/dist/scanners/authentication/index.js.map +1 -0
  45. package/dist/scanners/authentication/index.test.d.ts +5 -0
  46. package/dist/scanners/authentication/index.test.d.ts.map +1 -0
  47. package/dist/scanners/authentication/index.test.js +379 -0
  48. package/dist/scanners/authentication/index.test.js.map +1 -0
  49. package/dist/scanners/authentication/patterns.d.ts +32 -0
  50. package/dist/scanners/authentication/patterns.d.ts.map +1 -0
  51. package/dist/scanners/authentication/patterns.js +133 -0
  52. package/dist/scanners/authentication/patterns.js.map +1 -0
  53. package/dist/scanners/configuration/index.d.ts +8 -0
  54. package/dist/scanners/configuration/index.d.ts.map +1 -0
  55. package/dist/scanners/configuration/index.js +87 -0
  56. package/dist/scanners/configuration/index.js.map +1 -0
  57. package/dist/scanners/configuration/index.test.d.ts +5 -0
  58. package/dist/scanners/configuration/index.test.d.ts.map +1 -0
  59. package/dist/scanners/configuration/index.test.js +344 -0
  60. package/dist/scanners/configuration/index.test.js.map +1 -0
  61. package/dist/scanners/configuration/patterns.d.ts +32 -0
  62. package/dist/scanners/configuration/patterns.d.ts.map +1 -0
  63. package/dist/scanners/configuration/patterns.js +146 -0
  64. package/dist/scanners/configuration/patterns.js.map +1 -0
  65. package/dist/scanners/credentials/index.d.ts +7 -0
  66. package/dist/scanners/credentials/index.d.ts.map +1 -0
  67. package/dist/scanners/credentials/index.js +129 -0
  68. package/dist/scanners/credentials/index.js.map +1 -0
  69. package/dist/scanners/credentials/index.test.d.ts +5 -0
  70. package/dist/scanners/credentials/index.test.d.ts.map +1 -0
  71. package/dist/scanners/credentials/index.test.js +395 -0
  72. package/dist/scanners/credentials/index.test.js.map +1 -0
  73. package/dist/scanners/credentials/patterns.d.ts +32 -0
  74. package/dist/scanners/credentials/patterns.d.ts.map +1 -0
  75. package/dist/scanners/credentials/patterns.js +140 -0
  76. package/dist/scanners/credentials/patterns.js.map +1 -0
  77. package/dist/scanners/errors/index.d.ts +8 -0
  78. package/dist/scanners/errors/index.d.ts.map +1 -0
  79. package/dist/scanners/errors/index.js +78 -0
  80. package/dist/scanners/errors/index.js.map +1 -0
  81. package/dist/scanners/errors/index.test.d.ts +5 -0
  82. package/dist/scanners/errors/index.test.d.ts.map +1 -0
  83. package/dist/scanners/errors/index.test.js +330 -0
  84. package/dist/scanners/errors/index.test.js.map +1 -0
  85. package/dist/scanners/errors/patterns.d.ts +27 -0
  86. package/dist/scanners/errors/patterns.d.ts.map +1 -0
  87. package/dist/scanners/errors/patterns.js +97 -0
  88. package/dist/scanners/errors/patterns.js.map +1 -0
  89. package/dist/scanners/hipaa2026/index.d.ts +8 -0
  90. package/dist/scanners/hipaa2026/index.d.ts.map +1 -0
  91. package/dist/scanners/hipaa2026/index.js +345 -0
  92. package/dist/scanners/hipaa2026/index.js.map +1 -0
  93. package/dist/scanners/hipaa2026/index.test.d.ts +5 -0
  94. package/dist/scanners/hipaa2026/index.test.d.ts.map +1 -0
  95. package/dist/scanners/hipaa2026/index.test.js +332 -0
  96. package/dist/scanners/hipaa2026/index.test.js.map +1 -0
  97. package/dist/scanners/hipaa2026/patterns.d.ts +57 -0
  98. package/dist/scanners/hipaa2026/patterns.d.ts.map +1 -0
  99. package/dist/scanners/hipaa2026/patterns.js +268 -0
  100. package/dist/scanners/hipaa2026/patterns.js.map +1 -0
  101. package/dist/scanners/operational/index.d.ts +7 -0
  102. package/dist/scanners/operational/index.d.ts.map +1 -0
  103. package/dist/scanners/operational/index.js +171 -0
  104. package/dist/scanners/operational/index.js.map +1 -0
  105. package/dist/scanners/operational/index.test.d.ts +5 -0
  106. package/dist/scanners/operational/index.test.d.ts.map +1 -0
  107. package/dist/scanners/operational/index.test.js +406 -0
  108. package/dist/scanners/operational/index.test.js.map +1 -0
  109. package/dist/scanners/operational/patterns.d.ts +33 -0
  110. package/dist/scanners/operational/patterns.d.ts.map +1 -0
  111. package/dist/scanners/operational/patterns.js +151 -0
  112. package/dist/scanners/operational/patterns.js.map +1 -0
  113. package/dist/scanners/rbac/index.d.ts +7 -0
  114. package/dist/scanners/rbac/index.d.ts.map +1 -0
  115. package/dist/scanners/rbac/index.js +145 -0
  116. package/dist/scanners/rbac/index.js.map +1 -0
  117. package/dist/scanners/rbac/index.test.d.ts +5 -0
  118. package/dist/scanners/rbac/index.test.d.ts.map +1 -0
  119. package/dist/scanners/rbac/index.test.js +422 -0
  120. package/dist/scanners/rbac/index.test.js.map +1 -0
  121. package/dist/scanners/rbac/patterns.d.ts +32 -0
  122. package/dist/scanners/rbac/patterns.d.ts.map +1 -0
  123. package/dist/scanners/rbac/patterns.js +124 -0
  124. package/dist/scanners/rbac/patterns.js.map +1 -0
  125. package/dist/scanners/revocation/index.d.ts +8 -0
  126. package/dist/scanners/revocation/index.d.ts.map +1 -0
  127. package/dist/scanners/revocation/index.js +83 -0
  128. package/dist/scanners/revocation/index.js.map +1 -0
  129. package/dist/scanners/revocation/index.test.d.ts +5 -0
  130. package/dist/scanners/revocation/index.test.d.ts.map +1 -0
  131. package/dist/scanners/revocation/index.test.js +332 -0
  132. package/dist/scanners/revocation/index.test.js.map +1 -0
  133. package/dist/scanners/revocation/patterns.d.ts +27 -0
  134. package/dist/scanners/revocation/patterns.d.ts.map +1 -0
  135. package/dist/scanners/revocation/patterns.js +109 -0
  136. package/dist/scanners/revocation/patterns.js.map +1 -0
  137. package/dist/scanners/sanitization/index.d.ts +8 -0
  138. package/dist/scanners/sanitization/index.d.ts.map +1 -0
  139. package/dist/scanners/sanitization/index.js +98 -0
  140. package/dist/scanners/sanitization/index.js.map +1 -0
  141. package/dist/scanners/sanitization/index.test.d.ts +5 -0
  142. package/dist/scanners/sanitization/index.test.d.ts.map +1 -0
  143. package/dist/scanners/sanitization/index.test.js +370 -0
  144. package/dist/scanners/sanitization/index.test.js.map +1 -0
  145. package/dist/scanners/sanitization/patterns.d.ts +27 -0
  146. package/dist/scanners/sanitization/patterns.d.ts.map +1 -0
  147. package/dist/scanners/sanitization/patterns.js +117 -0
  148. package/dist/scanners/sanitization/patterns.js.map +1 -0
  149. package/dist/training/certificate.d.ts +26 -0
  150. package/dist/training/certificate.d.ts.map +1 -0
  151. package/dist/training/certificate.js +92 -0
  152. package/dist/training/certificate.js.map +1 -0
  153. package/dist/training/index.d.ts +3 -0
  154. package/dist/training/index.d.ts.map +1 -0
  155. package/dist/training/index.js +243 -0
  156. package/dist/training/index.js.map +1 -0
  157. package/dist/training/modules.d.ts +13 -0
  158. package/dist/training/modules.d.ts.map +1 -0
  159. package/dist/training/modules.js +608 -0
  160. package/dist/training/modules.js.map +1 -0
  161. package/dist/training/questions.d.ts +9 -0
  162. package/dist/training/questions.d.ts.map +1 -0
  163. package/dist/training/questions.js +505 -0
  164. package/dist/training/questions.js.map +1 -0
  165. package/dist/types.d.ts +45 -0
  166. package/dist/types.d.ts.map +1 -1
  167. package/dist/utils/npm-audit.d.ts +6 -0
  168. package/dist/utils/npm-audit.d.ts.map +1 -0
  169. package/dist/utils/npm-audit.js +95 -0
  170. package/dist/utils/npm-audit.js.map +1 -0
  171. package/dist/utils/scan-history.d.ts +59 -0
  172. package/dist/utils/scan-history.d.ts.map +1 -0
  173. package/dist/utils/scan-history.js +170 -0
  174. package/dist/utils/scan-history.js.map +1 -0
  175. package/package.json +4 -1
  176. package/templates/baa-verification-letter.md +105 -0
  177. package/templates/irp.md +545 -0
  178. package/templates/notice-of-privacy-practices.md +491 -0
  179. package/templates/physical-safeguards-checklist.md +247 -0
  180. package/templates/security-officer-designation.md +237 -0
@@ -0,0 +1,491 @@
1
+ # NOTICE OF PRIVACY PRACTICES
2
+
3
+ **[COMPANY NAME]**
4
+
5
+ **Effective Date:** [DATE]
6
+
7
+ ---
8
+
9
+ > **⚠️ TEMPLATE INSTRUCTIONS**
10
+ >
11
+ > This template complies with HIPAA §164.520 as of February 2026, including the 2024 NPP modifications. Replace all [BRACKETED] fields with your organization's information. Have this reviewed by a healthcare attorney before publishing.
12
+ >
13
+ > **2024 Updates Included:**
14
+ > - Right to inspect and copy reduced to 15 days (from 30 days)
15
+ > - New right to inspect in person and take photographs
16
+ > - Updated electronic access requirements
17
+ > - Enhanced breach notification language
18
+
19
+ ---
20
+
21
+ ## 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.
22
+
23
+ ---
24
+
25
+ ## 1. OUR DUTY TO PROTECT YOUR HEALTH INFORMATION
26
+
27
+ We are required by law to:
28
+
29
+ - **Maintain the privacy** of your Protected Health Information (PHI)
30
+ - **Provide you with this Notice** of our legal duties and privacy practices with respect to PHI
31
+ - **Follow the terms** of the Notice currently in effect
32
+ - **Notify you** following a breach of unsecured PHI
33
+
34
+ We understand that medical information about you and your health is personal. We are committed to protecting your health information and will not use or disclose your health information without your authorization, except as described in this Notice or as otherwise permitted by law.
35
+
36
+ **What is Protected Health Information (PHI)?**
37
+
38
+ PHI is information about you, including demographic information, that may identify you and that relates to:
39
+ - Your past, present, or future physical or mental health or condition
40
+ - The provision of healthcare to you
41
+ - Your past, present, or future payment for healthcare
42
+
43
+ ---
44
+
45
+ ## 2. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
46
+
47
+ We may use and disclose your health information for the following purposes:
48
+
49
+ ### A. Uses and Disclosures That Do Not Require Your Authorization
50
+
51
+ #### Treatment
52
+
53
+ We may use and disclose your health information to provide, coordinate, or manage your healthcare and related services. This includes consultation and coordination of your care with other healthcare providers.
54
+
55
+ **Examples:**
56
+ - Sharing your medical history with specialists who are treating you
57
+ - Coordinating care between your doctor, therapist, and case manager
58
+ - Sending your prescription information to your pharmacy
59
+ - Communicating test results to you and your healthcare team
60
+ - For ABA (Applied Behavior Analysis) services: sharing behavioral assessments, treatment plans, and progress notes with members of your care team (BCBAs, RBTs, therapists, educators)
61
+
62
+ #### Payment
63
+
64
+ We may use and disclose your health information to bill and collect payment for the treatment and services we provide to you. This includes determinations of eligibility and coverage, and other utilization review activities.
65
+
66
+ **Examples:**
67
+ - Submitting claims to your health insurance company
68
+ - Verifying your insurance benefits and coverage
69
+ - Collecting copayments, deductibles, or other amounts you may owe
70
+ - Responding to requests from your insurance company for medical necessity reviews
71
+ - Providing documentation to your insurance company for pre-authorization of services
72
+
73
+ #### Healthcare Operations
74
+
75
+ We may use and disclose your health information for our healthcare operations. These uses and disclosures are necessary to run our practice and ensure that our patients receive quality care.
76
+
77
+ **Examples:**
78
+ - Quality assessment and improvement activities
79
+ - Training students, interns, and healthcare professionals
80
+ - Conducting or arranging for medical review, legal services, and audits
81
+ - Business planning and development
82
+ - Credentialing and peer review activities
83
+ - Compliance programs and internal investigations
84
+ - Patient safety activities and risk management
85
+ - Customer service, including responding to inquiries and complaints
86
+
87
+ ### B. Uses and Disclosures Required by Law
88
+
89
+ We will disclose your health information when required to do so by federal, state, or local law. This includes:
90
+
91
+ **Public Health Activities**
92
+ - Reporting diseases, injuries, vital events (births, deaths), and public health surveillance
93
+ - Reporting to the Food and Drug Administration (FDA) regarding adverse events or product defects
94
+ - Notifying persons who may have been exposed to a disease or are at risk of contracting or spreading a disease
95
+ - Reporting suspected abuse, neglect, or domestic violence to appropriate authorities when authorized or required by law
96
+
97
+ **Health Oversight Activities**
98
+ - Audits, investigations, inspections, and licensure actions by government agencies that oversee the healthcare system
99
+ - Civil, administrative, or criminal proceedings or actions
100
+ - Government monitoring of healthcare programs and compliance with civil rights laws
101
+
102
+ **Judicial and Administrative Proceedings**
103
+ - In response to a court order, subpoena, discovery request, or other lawful process
104
+ - To defend ourselves in a lawsuit or other legal proceeding
105
+
106
+ **Law Enforcement**
107
+ - When required by law or in response to a valid court order or subpoena
108
+ - To identify or locate a suspect, fugitive, material witness, or missing person
109
+ - About a crime victim if the victim agrees or in emergency circumstances
110
+ - About a death we believe may be the result of criminal conduct
111
+ - About criminal conduct at our facility
112
+ - In emergency circumstances to report a crime
113
+
114
+ **Coroners, Medical Examiners, and Funeral Directors**
115
+ - To coroners or medical examiners for identification purposes, determining cause of death, or other duties as authorized by law
116
+ - To funeral directors to carry out their duties
117
+
118
+ **Organ and Tissue Donation**
119
+ - If you are an organ donor, we may release health information to organizations that handle organ procurement, transplantation, or tissue banking
120
+
121
+ **Research**
122
+ - For research purposes when the research has been approved by an Institutional Review Board (IRB) or Privacy Board that has reviewed the research proposal and established protocols to ensure the privacy of your health information
123
+
124
+ **To Avert a Serious Threat to Health or Safety**
125
+ - When necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person
126
+ - Disclosures would only be made to someone able to help prevent the threat
127
+
128
+ **Specialized Government Functions**
129
+ - Military and veterans: if you are a member of the armed forces, we may release health information as required by military command authorities
130
+ - National security and intelligence activities: to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law
131
+ - Protective services for the President and others: to authorized federal officials for protection of the President, other authorized persons, or foreign heads of state
132
+ - Correctional institutions: if you are an inmate or under custody of law enforcement, we may release health information to the correctional institution or law enforcement official for certain purposes
133
+
134
+ **Workers' Compensation**
135
+ - We may disclose your health information as authorized by and to comply with laws relating to workers' compensation or similar programs
136
+
137
+ **Abuse or Neglect**
138
+ - We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence
139
+ - This is particularly important for minors receiving ABA therapy or other behavioral health services
140
+ - We will only disclose this information to the extent required by law, if you agree to the disclosure, or if the disclosure is allowed by law and we believe it is necessary to prevent serious harm
141
+
142
+ ### C. Uses and Disclosures That Require Your Written Authorization
143
+
144
+ The following uses and disclosures will be made only with your written authorization:
145
+
146
+ **Marketing Communications**
147
+ - We will not use or disclose your health information for marketing purposes without your written authorization
148
+ - Exception: We may communicate with you about products or services related to your treatment, case management, or care coordination without authorization
149
+
150
+ **Sale of Health Information**
151
+ - We will not sell your health information without your written authorization
152
+
153
+ **Psychotherapy Notes**
154
+ - We will not use or disclose psychotherapy notes without your written authorization, except for limited treatment, payment, or healthcare operations purposes as permitted by law
155
+
156
+ **Other Uses**
157
+ - Other uses and disclosures not described in this Notice will be made only with your written authorization
158
+ - You may revoke your authorization in writing at any time, except to the extent that we have already taken action in reliance on your authorization
159
+
160
+ ---
161
+
162
+ ## 3. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
163
+
164
+ You have the following rights regarding your health information:
165
+
166
+ ### Right to Inspect and Copy
167
+
168
+ You have the right to inspect and obtain a copy of your health information that may be used to make decisions about your care.
169
+
170
+ **How to Exercise This Right:**
171
+ - Submit a written request to our Privacy Officer (contact information at the end of this Notice)
172
+ - We will respond to your request within **15 days** (updated from 30 days in 2024)
173
+ - We may extend the response time by an additional 15 days if we notify you in writing of the delay
174
+
175
+ **What You Can Access:**
176
+ - Medical and billing records
177
+ - Treatment plans and progress notes
178
+ - Test results and diagnostic reports
179
+ - Medication lists and immunization records
180
+
181
+ **Fees:**
182
+ We may charge a reasonable, cost-based fee for:
183
+ - Copying (per page or per file)
184
+ - Postage (if you request mailing)
185
+ - Preparing a summary (if you request a summary instead of full copy and agree to the fee)
186
+
187
+ **Denials:**
188
+ - In certain limited circumstances, we may deny your request to inspect and copy
189
+ - If we deny your request, we will provide you with a written explanation
190
+ - You may request a review of the denial by another licensed healthcare professional chosen by us
191
+
192
+ ### Right to Inspect in Person and Take Photographs (NEW 2024)
193
+
194
+ You have the right to inspect your health information **in person** at our facility and to take photographs of your records using your own device (smartphone, camera, etc.).
195
+
196
+ **How to Exercise This Right:**
197
+ - Submit a written request to our Privacy Officer to schedule an appointment
198
+ - We will respond within **15 days** and schedule a convenient time for you to review your records
199
+ - You may bring a smartphone or camera to photograph pages of your record
200
+ - We may have a staff member present during your inspection
201
+
202
+ **Limitations:**
203
+ - You must inspect records during normal business hours
204
+ - You may not remove original records from the facility
205
+ - We may deny photography if it would interfere with operations or violate another person's privacy
206
+
207
+ ### Right to Request Electronic Copy
208
+
209
+ You have the right to request an electronic copy of your health information in an electronic format.
210
+
211
+ **How to Exercise This Right:**
212
+ - Submit a written request specifying the electronic format you prefer (PDF, XML, HL7, etc.)
213
+ - If we cannot produce the record in your requested format, we will work with you to agree on a readable electronic format
214
+ - We will respond within **15 days**
215
+
216
+ **Direct Transmission:**
217
+ - You may request that we transmit your electronic health information directly to another person or entity you designate
218
+ - Your request must be in writing, signed by you, and clearly identify the designated recipient
219
+
220
+ ### Right to Amend
221
+
222
+ If you believe that your health information is incorrect or incomplete, you have the right to request that we amend the information.
223
+
224
+ **How to Exercise This Right:**
225
+ - Submit a written request to our Privacy Officer
226
+ - Provide a reason supporting your request for amendment
227
+ - We will respond within **60 days** (may extend by 30 days with written notice)
228
+
229
+ **If We Accept Your Request:**
230
+ - We will make the amendment and inform you
231
+ - We will notify others who need to know about the amendment
232
+
233
+ **If We Deny Your Request:**
234
+ - We will provide a written explanation
235
+ - You may submit a written statement of disagreement
236
+ - We may prepare a written rebuttal, and you will receive a copy
237
+ - Reasons for denial may include:
238
+ - The information was not created by us
239
+ - The information is not part of the records we maintain
240
+ - You would not be permitted to inspect or copy the information
241
+ - The information is accurate and complete
242
+
243
+ ### Right to Accounting of Disclosures
244
+
245
+ You have the right to request an "accounting of disclosures" — a list of certain disclosures we have made of your health information.
246
+
247
+ **What's Included:**
248
+ - Disclosures for purposes other than treatment, payment, or healthcare operations
249
+ - Disclosures not made pursuant to your authorization
250
+ - Timeframe: Up to 6 years prior to your request (but not before April 14, 2003)
251
+
252
+ **What's NOT Included:**
253
+ - Disclosures to you
254
+ - Disclosures pursuant to your authorization
255
+ - Disclosures for treatment, payment, or healthcare operations
256
+ - Disclosures for national security or intelligence purposes
257
+ - Disclosures to correctional institutions or law enforcement officials
258
+
259
+ **How to Exercise This Right:**
260
+ - Submit a written request to our Privacy Officer
261
+ - Specify the time period for the accounting (up to 6 years)
262
+ - We will respond within **60 days** (may extend by 30 days with written notice)
263
+
264
+ **Fees:**
265
+ - The first accounting in a 12-month period is **free**
266
+ - We may charge a reasonable fee for additional requests within the same 12-month period
267
+
268
+ ### Right to Request Restrictions
269
+
270
+ You have the right to request restrictions on how we use or disclose your health information for treatment, payment, or healthcare operations. You also have the right to request that we restrict disclosures to family members, friends, or others involved in your care.
271
+
272
+ **How to Exercise This Right:**
273
+ - Submit a written request to our Privacy Officer
274
+ - Specify what information you want to limit
275
+ - Specify how you want to limit our use or disclosure
276
+
277
+ **Our Response:**
278
+ - We are **not required** to agree to your request, except in the following circumstance:
279
+ - **Required Restriction:** If you pay **out-of-pocket in full** for a healthcare item or service and request that we not disclose information about that item or service to your health plan for payment or healthcare operations purposes, we **MUST** agree to your request (unless disclosure is required by law)
280
+
281
+ **If We Agree:**
282
+ - We will comply with your request unless the information is needed to provide emergency treatment to you
283
+ - We may terminate the restriction if you agree or if we notify you of the termination
284
+
285
+ ### Right to Request Confidential Communications
286
+
287
+ You have the right to request that we communicate with you about your health information in a certain way or at a certain location.
288
+
289
+ **Examples:**
290
+ - Request that we call you at work instead of home
291
+ - Request that we mail information to a P.O. Box instead of your home address
292
+ - Request that we use email instead of phone calls
293
+ - Request that we not leave voicemail messages
294
+
295
+ **How to Exercise This Right:**
296
+ - Submit a written request to our Privacy Officer
297
+ - You do not need to provide a reason for your request
298
+ - We will accommodate all reasonable requests
299
+
300
+ **Your Request Must Specify:**
301
+ - How or where you wish to be contacted
302
+ - Alternative contact information if applicable
303
+
304
+ ### Right to Be Notified of a Breach
305
+
306
+ You have the right to be notified if there is a breach of your **unsecured** health information.
307
+
308
+ **What is a Breach?**
309
+ - A breach is the unauthorized acquisition, access, use, or disclosure of your health information that compromises the security or privacy of your information
310
+
311
+ **When We Will Notify You:**
312
+ - We will notify you **without unreasonable delay**, no later than **60 days** after we discover the breach
313
+ - Notification will include:
314
+ - A description of what happened
315
+ - The types of information involved
316
+ - Steps you should take to protect yourself
317
+ - What we are doing in response
318
+ - Contact information for questions
319
+
320
+ **How We Will Notify You:**
321
+ - Written notification by **first-class mail** to your last known address
322
+ - **Email** if you have agreed to receive communications electronically
323
+ - If we have insufficient contact information for 10 or more individuals, we will post a notice on our website or in major media outlets
324
+
325
+ ### Right to a Paper Copy of This Notice
326
+
327
+ You have the right to receive a **paper copy** of this Notice at any time, even if you have previously agreed to receive it electronically.
328
+
329
+ **How to Obtain:**
330
+ - Request a copy from our Privacy Officer
331
+ - Download from our website: [WEBSITE URL]
332
+ - Pick up a copy at our reception desk
333
+
334
+ ---
335
+
336
+ ## 4. CHANGES TO THIS NOTICE
337
+
338
+ We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all PHI we maintain, including information created or received before the changes were made.
339
+
340
+ **If We Make Material Changes:**
341
+ - We will post the revised Notice in our facility
342
+ - We will make copies available at our reception desk
343
+ - We will post the revised Notice on our website (if applicable): [WEBSITE URL]
344
+ - The effective date will be listed at the top of the Notice
345
+
346
+ **You can request a copy of our current Notice at any time.**
347
+
348
+ ---
349
+
350
+ ## 5. COMPLAINTS
351
+
352
+ If you believe your privacy rights have been violated, you have the right to file a complaint.
353
+
354
+ ### File a Complaint with Us
355
+
356
+ **Privacy Officer:** [PRIVACY OFFICER NAME]
357
+ **Address:** [ADDRESS]
358
+ **Phone:** [PHONE]
359
+ **Email:** [EMAIL]
360
+
361
+ **How to File:**
362
+ - Submit a written complaint describing the violation
363
+ - You may also call or email to discuss your concerns
364
+
365
+ ### File a Complaint with the Federal Government
366
+
367
+ **U.S. Department of Health and Human Services**
368
+ **Office for Civil Rights (OCR)**
369
+
370
+ **Website:** https://www.hhs.gov/ocr/privacy/hipaa/complaints/
371
+ **Phone:** 1-800-368-1019
372
+ **TTY:** 1-800-537-7697
373
+ **Email:** OCRComplaint@hhs.gov
374
+
375
+ **Mail:**
376
+ Office for Civil Rights
377
+ U.S. Department of Health and Human Services
378
+ 200 Independence Avenue, S.W.
379
+ Room 509F, HHH Building
380
+ Washington, D.C. 20201
381
+
382
+ **Online Complaint Portal:** https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf
383
+
384
+ ### Important Information
385
+
386
+ - **You will NOT be penalized or retaliated against** for filing a complaint
387
+ - **No action will be taken against you** for exercising your rights or filing a complaint
388
+ - We support your right to protect your privacy
389
+
390
+ ---
391
+
392
+ ## 6. CONTACT INFORMATION
393
+
394
+ If you have questions about this Notice or would like to exercise any of your rights, please contact:
395
+
396
+ **Privacy Officer:** [PRIVACY OFFICER NAME]
397
+ **Address:** [FULL MAILING ADDRESS]
398
+ **Phone:** [PHONE NUMBER]
399
+ **Email:** [EMAIL ADDRESS]
400
+ **Office Hours:** [BUSINESS HOURS]
401
+ **Website:** [WEBSITE URL]
402
+
403
+ ---
404
+
405
+ ## ACKNOWLEDGMENT OF RECEIPT
406
+
407
+ **I acknowledge that I have received a copy of the Notice of Privacy Practices.**
408
+
409
+ **Patient/Individual Name (Print):** _________________________________
410
+
411
+ **Signature:** _________________________________ **Date:** _________
412
+
413
+ **Relationship to Patient (if not the patient):** _________________________________
414
+
415
+ ---
416
+
417
+ **For Office Use Only:**
418
+
419
+ ☐ Patient received copy of Notice
420
+ ☐ Patient refused to sign acknowledgment (document reason): _______________
421
+ ☐ Unable to obtain acknowledgment (document reason): _______________
422
+
423
+ **Staff Signature:** _________________________________ **Date:** _________
424
+
425
+ ---
426
+
427
+ ## ADDITIONAL INFORMATION
428
+
429
+ ### For Parents/Guardians of Minors
430
+
431
+ If you are the parent or legal guardian of a minor, you generally have the right to access your child's health information. However, there may be circumstances under state law where a minor has the right to consent to treatment and control access to their own health information.
432
+
433
+ **Exceptions may include:**
434
+ - Certain mental health services
435
+ - Substance abuse treatment
436
+ - Reproductive health services
437
+ - Services where the minor is considered a "mature minor" under state law
438
+
439
+ We will comply with applicable state and federal laws regarding access to minors' health information.
440
+
441
+ ### For Personal Representatives
442
+
443
+ If you have appointed a **personal representative** (such as through a power of attorney for healthcare, legal guardian, or executor of your estate), that person may exercise your rights and make decisions about your health information on your behalf.
444
+
445
+ **We may require documentation** of the personal representative's authority before allowing access to your health information.
446
+
447
+ ### For Deceased Individuals
448
+
449
+ The privacy protections described in this Notice continue for **50 years** after an individual's date of death. Personal representatives of deceased individuals may exercise the rights described in this Notice.
450
+
451
+ ### State Privacy Laws
452
+
453
+ Some states have privacy laws that provide additional protections beyond HIPAA. Where applicable state law provides greater privacy protections or rights, we will comply with state law. If you have questions about state-specific privacy laws, please contact our Privacy Officer.
454
+
455
+ ### Minors Receiving ABA or Behavioral Health Services
456
+
457
+ For families with children receiving Applied Behavior Analysis (ABA) or other behavioral health services:
458
+
459
+ - We may share information with educators, case managers, and other care team members as necessary for coordinated treatment
460
+ - Parents/guardians generally have full access to their child's treatment records
461
+ - We are required by law to report suspected abuse or neglect to appropriate authorities
462
+ - We will maintain the confidentiality of your child's information as required by HIPAA and state law
463
+
464
+ ---
465
+
466
+ ## EFFECTIVE DATE AND COMPLIANCE
467
+
468
+ **This Notice is effective as of:** [EFFECTIVE DATE]
469
+
470
+ **HIPAA Compliance:** This Notice complies with the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Parts 160 and 164) and incorporates updates through February 2026.
471
+
472
+ **Document Retention:** This Notice must be retained for a minimum of **six (6) years** from the date of its creation or the date when it last was in effect, whichever is later (45 CFR §164.316(b)(2)).
473
+
474
+ **Version:** [VERSION NUMBER, e.g., 2.0]
475
+ **Last Revised:** [LAST REVISION DATE]
476
+ **Next Review Date:** [NEXT REVIEW DATE - typically annual]
477
+
478
+ ---
479
+
480
+ **Additional Resources:**
481
+
482
+ - **HIPAA Privacy Rule:** https://www.hhs.gov/hipaa/for-professionals/privacy/index.html
483
+ - **Patient Rights:** https://www.hhs.gov/hipaa/for-individuals/index.html
484
+ - **OCR Guidance:** https://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html
485
+
486
+ ---
487
+
488
+ *This Notice of Privacy Practices template was generated using vlayer - HIPAA Compliance Scanner*
489
+ *https://github.com/Francosimon53/verification-layer*
490
+
491
+ *Template complies with 45 CFR §164.520 and includes 2024 regulatory updates*