I am committed to protecting and respecting your privacy which means that I collect, use and disclose your personal information responsibly and only to the extent necessary for the services I provide. This document describes my policies and procedures as they relate to collecting, using and disclosing your personal information. It also offers information about how you can access your records and request correction of recorded personal information.
Who I Am
Tessa Nagtegaal, sole owner of the private practice Leefdevol, Registration number Chamber of Commerce: 27352551, which delivers coaching and psychological services. I have no staff members.
What is Personal Information?
Personal information is information about an identifiable individual. It includes information that relates to an individual’s personal characteristics (e.g., gender, age, income, home address or phone number, ethnic background, family status); health (e.g., health history, health conditions, health services delivered to them), activities and views (e.g., religion, politics, opinions expressed by an individual, an opinion or evaluation of an individual). Personal information and specifically personal health information is protected by privacy legislation, and is different from business information (e.g., an individual’s business address and telephone number), which is not protected by privacy legislation.
Collection of Your Personal Health Information
The purposes of collecting your personal and health information are to provide you with appropriate and quality psychological services and to contact you for service-related reasons. I will not collect information from you for any other purpose (such as conducting research) without first obtaining your informed consent. If you do not want to provide consent for the collection of this latter kind of information, you are completely free to refuse and there will be no impact on your services.
I will collect personal health information directly from you, except when you have provided consent for me to collect such information from others (such as a spouse, family physician, or mental health professional with whom you have previously worked), or when the law requires me to collect information without your consent (such as emergency situations where the purpose of collecting information is to prevent potential harm).
By law and in accordance with professional standards, I am required to keep a record of my contacts with and services to you. Your record includes information that you have provided to me or have authorized me to receive, such as consent forms, session notes, results of any assessments, billing information, contact records, and correspondence that I have sent to or received relating to your service. The physical records are the property of my practice; however, you have rights regarding access to and disclosure from your record (discussed below), regardless of the form in which the information is recorded. In this office, information is recorded in both written and electronic form.
If you contact me through my website I only retain the personal information you provide and only use that information for the purpose for which you gave it to me (e.g., to respond to your email message).
Use of Your Personal Health Information
Your personal health information is primarily used to provide you with psychological services such as psychological assessment or intervention. The delivery of psychological services includes such tasks as service planning, maintenance of records, monitoring, billing, and collecting unpaid accounts. Other uses of your personal health information include to guide and improve the quality of services provided in my practice. Further, the BATC may conduct external audits of files. The BATC is a professional association for naturopath therapists. Audits involve accessing and inspecting client records, however I do not permit any identifiable client information to be removed from my premises for the purpose of an external audit without your consent. In addition, all individuals involved in such an activity are professionals required by law to maintain the confidentiality of all information that is accessed. Finally, when psychological services are paid for by third parties (such as workplace), those third-party payers often require clients’ consent to collect and disclose to them information that demonstrates their entitlement to this funding or coverage. Discussing what information is shared with third-party payers is an important part of the consent process as well as a topic that can and should be discussed as needed during service delivery, and I encourage you to ask me questions or raise any concerns you may have on this topic.
Disclosure of Your Personal Health Information
With few exceptions, your personal health information will not be disclosed to people outside of this practice without your knowledge and express consent. Written consent is always preferred; however in time-sensitive situations if you provide verbal consent to share information, written consent can be obtained in our next meeting
The law requires that any disclosure of your personal health information is limited to information that is reasonably necessary for the purpose of that disclosure and does not include private information provided by a third party. Professional ethical standards governing my practice also require that I not disclose any information that might cause serious harm to someone, unless the law requires disclosure.
Protection and Retention of Your Personal Health Information
The privacy of your personal information is protected through the use of established procedures in my office. Examples of those procedures include that paper and electronic information is secured in a locked or restricted area at all times, computers are password protected. I need to retain your personal health information for some time in order to ensure that I can answer any questions you might have about the services provided as well as for my own accountability to external regulatory bodies.
Your Access to Your Personal Health Information
With only a few exceptions, you have the right to access any record of your personal health information and to request copies of the information (I reserve the right to charge a nominal fee for record copying). If the record contains personal health information about another individual, that person’s information must be severed before you access the record.
Do You Have Questions or Concerns?
These privacy policies and procedures have been developed in accordance with professional regulations and ethical standards.
I, Tessa Nagtegaal, will speak with you directly to answer any questions you may have regarding this Privacy Statement and to provide you with any further information about privacy practices or limits of confidentiality that are specific to your situation. If you have a concern about my privacy policies and procedures or have a complaint about how your privacy has been handled, please do not hesitate to speak or write to me.
If you have a concern about the professionalism or competence of my services, I would ask you to discuss those concerns with me. However, if I cannot satisfy your concerns, you are entitled to contact BATC:
5710 AD Someren
Telefoon: 0493 – 670612