• Home
  • Home
  • Telehealth Instructions
  • Services
  • Services
  • Links & Resources
  • TMS
  • Neurofeedback
  • Insurance
  • Contact
  • Rates & Insurance
  • Log Out
Dedham Consultation Center
Mental Health Services for Late Teens and Adults
781-407-7770 339 Washington St,
Dedham, Massachusetts 02026-1870
  • Home
  • Home
  • Telehealth Instructions
  • Services
  • Services
  • Links & Resources
  • TMS
  • Neurofeedback
  • Insurance
  • Contact
  • Rates & Insurance
  • Log Out
  • Log In
  • Privacy Policy

    NOTICE OF PRIVACY PRACTICES

    All of your health information is protected under the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other laws. This notice describes how Psychological and Medical information about you may be used and disclosed and how you can get access to this information.  Please review it carefully.

    How we use and disclose your health information

    We may use your health information for the following purposes:

    Treatment: We use your health information for diagnosis, treatment planning, and the treatment itself. As part of that process, we may provide information to other professionals, such as another psychiatrist, your family physician or PCP, and their staff.

    Health Care Operations: We use your information for administrative purposes like contacting you about appointment scheduling.

    Payment: We use your information for billing and collection of payment for the services we provide you. If you wish to use insurance, you will need to sign a consent form which permits us to share any necessary information with our billing service and your insurance provider(s), all of whom are also bound by the terms of HIPAA. This information generally includes a diagnosis code, and may include information about symptoms, functional status, risk behaviors, etc.

    Disclosures Requiring Authorization: We may use or disclose Protected Health Information (PHI) for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only the specific disclosures described above. In those instances when we are asked for information for purposes outside of treatment, payment and health care operations, we will obtain an authorization from you before releasing this information. We will also need to obtain an authorization before releasing your psychotherapy notes. Psychotherapy notes are notes we have made about our conversations during private sessions, which are kept separate from the rest of your medical record. These notes are given a greater degree of protection than PHI. You may revoke all such authorizations (of PHI or psychotherapy notes) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) we have relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

    Uses and Disclosures with Neither Consent nor Authorization We may use or disclose PHI without your consent or authorization in the following circumstances:  

    • Child Abuse: We are mandated reporters of child abuse which means if we have reasonable cause to believe that a minor child is suffering physical or emotional injury resulting from abuse inflicted upon him or her which causes harm or substantial risk of harm to the child’s health or welfare (including sexual abuse), or from neglect, including malnutrition, we must immediately report such condition to the Massachusetts Department of Social Services.
    • Adult and Domestic Abuse: If we have reasonable cause to believe that an elderly person (age 60 or older) is suffering from or has died as a result of abuse, we must immediately make a report to the Massachusetts Department of Elder Affairs.
    • Health Oversight: The Board of Registration of Psychologists has the power, when necessary, to subpoena relevant records should we be the focus of an inquiry.
    • Judicial or Administrative Proceedings: If you are involved in a court proceeding and a request is made for information about your diagnosis and treatment and the records thereof, such information is privileged under state law and we will not release information without written authorization from you or your legally-appointed representative, or a court order. The privilege does not apply when you are being evaluated for a third party or where the evaluation is court-ordered. You will be informed in advance if this is the case.
    • Serious Threat to Health or Safety: If you communicate to us an explicit threat to kill or inflict serious bodily injury upon an identified person and you have the apparent intent and ability to carry out the threat, we must take reasonable precautions. Reasonable precautions may include warning the potential victim, notifying law enforcement, or arranging for your hospitalization. We must also do so if we know you have a history of physical violence and we believe there is a clear and present danger that you will attempt to kill or inflict bodily injury upon an identified person. Furthermore, if you present a clear and present danger to yourself and refuse to accept further appropriate treatment, and we have a reasonable basis to believe that you can be committed to a hospital, we must seek said commitment and may contact members of your family or other individuals if it would assist in protecting you.
    • Worker’s Compensation: If you file a workers’ compensation claim, your records relevant to that claim will not be confidential to entities such as your employer, the insurer and the Division of Worker’s Compensation. 

    Patient Rights and Psychiatrist’s Duties

    Under HIPAA, you have the following rights regarding health information we maintain about you:

    Right to Inspect and Copy: You have the right to inspect and copy your health information, such as medical and billing records. You do not have the right to inspect and copy psychotherapy notes, though we will attempt to accommodate such a request subject to professional judgment. You do not have the right to inspect or copy information compiled by us in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.

    Right to an Accounting of Disclosures: You have the right to a list of the disclosures we have made of clinical information about you for purposes other than treatment, payment, and health care operations.

    Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for it. Although we are not required under HIPAA to agree to all such requests, we are generally able to do so, except in cases where emergency treatment demands otherwise.

    Right to Amend: If you believe that clinical or billing information we have about you is incorrect or incomplete, you can request that we change the information. If we accept the request, we will make reasonable efforts to inform others of the correction, as appropriate. If we deny the request, we will provide you with an explanation, and you may respond with a statement of disagreement that will be added to the information you wanted changed.

    Right to Receive Confidential Communication by Alternative Means and at Alternative Locations: At your request, we can send correspondence, billing, etc to an alternative address or contact you at a phone number or email address specified by you to maintain your privacy.

    Psychiatrists have the following duties under HIPPA:

    • We are required by law to maintain the privacy of PHI and to provide you with a notice of our legal duties and privacy practices with respect to PHI.
    • We reserve the right to change the privacy policies and practices described in this notice, however we are required to notify you of any such changes before these changes become effective.
    • If we revise our policies and procedures we will notify you in writing at our next scheduled appointment and/or by mail.

    Questions and Complaints

    If you have any questions, comments, or concerns about our privacy practices, please speak to us, or contact us by mail, telephone, or email as listed below.

    If you are not satisfied by our response to a complaint, you can contact the Department of Health and Human Services (www.hhs.gov/ocr). Or you may send a written complaint to the Secretary of the U.S. Department of Health and Human Services. The organization listed above can provide you with the appropriate address upon request.

    HIPAA specifically forbids any sort of penalty or repercussion for filing a complaint.

    Helpful Links

    • Services
    • Contact Us
    • Links & Resources
    • Forms
    • Insurance Information

    ADDRESS / CONTACT INFO

    • Dedham Consultation Center LLC
      339 Washington St, Dedham Massachusetts, 02026-1870
    • 781-407-7770

    Copyright ©2019 · Dedham Consultation Center, LLC All Rights Reserved.

    Gabriella Marciante

    Gabriella Marciante is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP). She is a graduate of Boston University and received her Master of Science in Nursing from Boston College. Embracing a holistic approach with the belief that mental health is a multidimensional experience, Gabby strives to promote an active partnership with my clients to manage and decrease symptoms of mental illness.

    Chris Hicks
    Chris is a board-certified psychiatric nurse practitioner specializing in psychiatric medication management and supportive individual psychotherapy for adults and teens. Whether you are looking to establish care for the first time or are seeking treatment for an ongoing condition, Chris will provide a comprehensive assessment and develop a treatment plan to fit your needs. His expertise includes the treatment of major depression, anxiety and panic disorders, bipolar disorder, post-traumatic stress disorder (PTSD), and attention-deficit hyperactivity disorder (ADHD). Chris utilizes a recovery-oriented approach requiring inventive thinking to provide the highest quality of care possible.
    Bernardino Vaccaro

    Bernie Vaccaro MD is a Board Certified Adult Psychiatrist with added Qualifications in Psychosomatic Medicine by the American Board of Medical Subspecialties and is Board Certified in Neuropsychiatry.

    Psychopharmacology
    Starting medications is an important decision. We will work with you closely to understand and find the right medications to help you. Each individual is unique and sometimes the first or choice of medications does not work optimally. When medications are not working we have access to pharmacogenetic testing that may help clarify your individual metabolic profile which may help explain why certain medications are not working and help guide the choice of further medication trials.
    Psychotherapy
    We offer Individual counseling for conditions including (but not limited to):
    • Depression and Anxiety
    • Behavioral Disorders
    • PTSD
    • Grief and Loss
    • Stress Management
    • Addiction & Recovery
    • Mood Disorders
    Neurofeedback
    Neurofeedback is treatment that helps the brain learn to be more efficient. Neurofeedback has been around for several decades and is used in a number of different applications. It has been helpful in treating anxiety disorder, PTSD, substance use disorders, and performance anxiety. Click here for more information about Neurofeedback at Dedham Consultation Center.
    dTMS
    Transcranial Magnetic Stimulation is an FDA approved treatment for Major Depressive Disorders and OCD. TMS has also shown positive results for PTSD and substance abuse. Click here for more information about TMS at Dedham Consultation Center.

    Charlotte Maguire is a board certified Psychiatric Mental Health Nurse Practitioner (PMHNP).  She is a graduate of Bates College and received a Master of Science in Nursing from MGH Institute of Health Professions with specializations in mental health and primary care.  Charlotte worked for many years as an RN at MGH prior to becoming board certified in psychiatry.  Highly compassionate, she has a deep interest in supporting adult patients from a mind-body standpoint.