Notice of Privacy Practices (HIPAA)

Neurocognitive Specialty Group (NSG)

Effective Date: 4/7/2026

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

1. Our Commitment to Your Privacy

Neurocognitive Specialty Group is required by law to maintain the privacy of your protected health information (“PHI”) and to provide you with this Notice of Privacy Practices.

We will follow the terms of this notice currently in effect.

2. How We May Use and Disclose Your Information

We may use and disclose your PHI for the following purposes:

Treatment

To provide, coordinate, or manage your care and related services.

Payment

To bill and collect payment from you, your insurance company, or third-party payers.

Healthcare Operations

For business operations such as:

Quality assessment
Staff training
Licensing and accreditation
Administrative functions

3. Additional Uses and Disclosures

We may also disclose your information:

As required by law
For public health and safety purposes
For health oversight activities
In response to court orders or legal proceedings
For law enforcement purposes (as permitted by law)

4. Uses Requiring Your Authorization

We will obtain your written authorization for:

Marketing communications (where required)
Release of psychotherapy notes (if applicable)
Any use not otherwise described in this notice

You may revoke authorization at any time in writing.

5. Your Rights Regarding Your Information

You have the right to:

Access Your Records

Request copies of your medical records.

Request Amendments

Request corrections to your health information.

Request Restrictions

Ask us to limit how your information is used or disclosed.

Confidential Communications

Request that we contact you in a specific way (e.g., phone, email).

Accounting of Disclosures

Request a list of certain disclosures we have made.

Receive a Copy of This Notice

You may request a paper or electronic copy at any time.

6. Telehealth and Electronic Communications

If you participate in telehealth services:

Your information may be transmitted electronically
We use reasonable safeguards to protect your information
No system is completely secure, and there are inherent risks in electronic communication

7. Our Responsibilities

We are required to:

Maintain the privacy of your PHI
Provide you with this notice
Notify you in the event of a breach of unsecured PHI
Follow the terms of this notice

8. Changes to This Notice

We reserve the right to update this Notice of Privacy Practices. Updated versions will be posted on our website and available upon request.

9. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Neurocognitive Specialty Group

Phone: (888) 606-0086

Email: [email protected]

You may also file a complaint with the U.S. Department of Health and Human Services:

Office for Civil Rights (OCR)

https://www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized for filing a complaint.

10. Contact Information

For questions about this notice: