To schedule a consultation or appointment or to inquire about our medical practice, psychological and counseling services, use the contact information below.
Payment / Insurance Options:
We understand that payment concerns and navigating insurance questions can be difficult. We suggest that if you use insurance benefits that you contact your insurance benefits coordinator or speak with an insurance representatitive.
When you call our office, intake materials will be mailed to you. These materials will ask for a brief history, previous treatments, medications tried and your payment/insurance information. If you are requesting a speicific clinician or type of clinician you may indicate that to us. Our intake coordinator will then provide your request to the clinician or clinicians that both best suit your needs and are contracted with your insurance network. Each clinician at Evansville Psychiatric Associates, LLC is individually credentialed and chooses the insurance panels they wish to participate in.
Once approved by the clinician, you will recieve a card asking you to call and schedule an appointment with a specifically named clinician. If we are unable to meet your needs, we will send you a card indicating other agencies we feel may have the resources to serve you. We are not a walk-in or medical emergency clinic.
We do offer some discounted blocks of therapy for those who do not have therapy benefits as part of an insurance package. If you are interested in these, you may request this information with your intake paperwork.
Our office is located on the corner of Spring Street and Maxwell Avenue in front of the local Social Security Office. We are one block North of Morgan Avenue, between Weinbach and Oak Hill Road.
Parking is convenient. Please utilize the Mapquest service provided below for specific directions from your location.
Welcome to our Contact and Privacy Notice page.
This page posts our privacy policy and complaince with HIPAA regulations.
Privacy Statement
By order of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) all insurers, providers and other “covered entities” are required by law to prominently post this NOTICE OF PRIVACY PRACTICES, with specific wording and language, both in the office and on covered entity websites. Copies of this notice are available at our office or you may use your browsers print button to print out this notice.
Evansville Psychiatric Associates Complete Outpatient Mental Health Care 2015 Maxwell Avenue Phone: (812) 422-7974
Evansville, Indiana 47711
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.
Uses and Disclosures
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical (and mental health) conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical (and mental health) records to all health professionals who may provide treatment or who may be consulted by staff members.
Payment. Your health information may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service provided, and the medical condition being treated.
Health care operations. Your health information may be used as necessary to support the day-to-day activities and management of Evansville Psychiatric Associates. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.
Law enforcement. Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government-mandated reporting. State law mandates us to report certain situations such as child abuse and neglect and situations where you or other persons are in imminent danger.
Public health reporting. Your health care information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department.
Other uses and disclosures require your authorization. Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision to revoke your authorization.
Additional uses of information Appointment reminders. Your health information will be used by our staff to send or call you with appointment reminders.
Information about treatments. Your health information may be used to send you information that you may find interesting on the treatment and management of your medical condition. We may also send you information describing other health-related products and services that we believe may interest you. We never sell or release your information to any other company for the purpose of advertising or marketing.
We do not perform fund raising for any organization.
We do not provide or sell protected health information to pharmaceutical companies or any other businesses.
Individual Rights
You have certain rights under the federal privacy standards. These include:
-the right to request restrictions on the use and disclosure of your protected health information
-the right to receive confidential communications concerning your medical condition and treatment.
-the right to inspect and copy your protected health information. [Note: there are exceptions to these rules in regards to mental health and psychotherapy notes. These notes will not be released to the patient or others if there is a concern that information contained within could be harmful to the patient and/or the safety of any other person(s).]
-the right to amend or submit corrections to your protected health information.
-the right to receive an accounting of how and to whom your protected health information has been disclosed. [Note: For your information, the majority of our insurance billing is performed electronically and most requests for records are either hand delivered or sent in a special confidential envelope through first class mail.]
-the right to receive a printed copy of this notice.
Evansville Psychiatric Associates Duties We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices.
We are also required to abide by the privacy policies and practices that are outlined in this notice.
Right to Revise Privacy Practices As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you with the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain.
Requests to Inspect Protected Health Information
You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy health information be submitted in writing. Your may obtain a form to request access to your records by contacting our Administrative Director or our Privacy Officer. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request. [Again: Note that there are many exceptions to these general medical standards when applied to mental health records, psychological testing and psychotherapy notes.]
Complaints If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to:
Cara Neal-Bambenek RN, BSN, CMOM
Privacy Officer @
Evansville Psychiatric Associates
2015 Maxwell Avenue
Evansville, IN 47711
If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address.
You will not be penalized or otherwise retaliated against for filing a complaint.
Contact Person The name and address or the person you may contact for further information concerning our privacy practices is:
Cara Neal-Bambenek RN, BSN, CMOM Privacy Officer
Evansville Psychiatric Associates
2015 Maxwell Avenue
Evansville, IN 47711
Telephone (812) 422-7974
Effective Date This notice is effective on or after April 14, 2003.
