Privacy Policy

Centennial Counseling Center is committed to treating and using protected health information (PHI) responsibly. This notice describes the procedures we use to protect your information, and the circumstances under which your personal health information may be disclosed. It also describes your rights as they related to this information. The rules for confidentiality of mental health records are records in the Illinois Mental Health and Developmental Disabilities Confidentiality Act and in the privacy rules of the Health Insurance Portability and Accountability Act (HIPPA).

Every effort is made to keep your personal health information private

You are entitled to a copy and review of your mental health records

The following individuals can access a mental health record without written authorization

In the following circumstances, we may release your records without your permission

Additional Rights

You have the right to request restrictions on certain uses and disclosure of PHI. However, CCC is not required to agree to a requested restriction, and in some situations, is prohibited by law from agreeing to a requested restriction. You have the right to request and receive an accounting of disclosures that we make to other individuals.

CCC reserves the right to change the terms of its Privacy Policy and to make the new Policy provisions effective for all PHI that is maintains. You will be notified of any changes to the Policy.

If you believe your privacy has been violated, first bring the matter to the Office Director for the office where you are receiving services. If you have a dispute which cannot be resolved, please contact the Privacy Officer, Dr. Timothy Buhrt or his designee, at 630/377-6613. You may also file a complaint with the Office for Civil Rights, U.S. Department of Health & Human Services, 200 Independence Avenue; S.W., Room 509F, HHH Building, Washington, DC 20201. There can be no retaliation for filing a complaint.