Blue Sky Psychiatry Notices & Privacy Practices
Practice Name: Mindy Werner-Crohn MD INC, DBA Blue Sky Psychiatry
Mailing
Address: 2930 Domingo Ave #218, Berkeley, CA 94705
Phone: 888-877-2282
Email: info@blueskypsychiatry.com
Effective Date: December 25, 2025
Last Updated: December 25, 2025
The following policies apply to services provided by Blue Sky Psychiatry and are available for review at any time.
Notice of Privacy Practices (HIPAA)
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Blue Sky Psychiatry is required by law to maintain the privacy of your protected health information (“PHI”), to provide you with this Notice of Privacy Practices, and to follow the terms of this Notice.
Uses and Disclosures Without Authorization not limited to:
We may use or disclose your PHI without your written authorization for purposes including, but
- Treatment: Providing, coordinating, or managing your mental health care and related services, including communication with other healthcare providers involved in your care.
- Payment: Billing and collecting payment for services provided.
- Health Care Operations: Practice operations such as quality improvement, training, audits, licensing, accreditation, and compliance activities.
- Appointment Reminders and Administrative Communications: Contacting you regarding appointments or administrative matters using the contact information you provide (phone, voicemail, email, or text).
- Required by Law: Disclosures required by federal, state, or local law.
- Public Health and Safety: Preventing or lessening a serious and imminent threat to health or safety.
- Abuse, Neglect, or Domestic Violence: Reporting when required by law.
- Health Oversight Activities: Audits, investigations, inspections, or licensure activities.
- Judicial and Administrative Proceedings: Court orders, subpoenas, or other lawful processes.
- Law Enforcement: As permitted or required by law.
- Coroners and Medical Examiners: Identification of a deceased person or determination of cause of death.
- Workers’ Compensation: As required by workers’ compensation laws.
Psychotherapy Notes
Psychotherapy notes receive special protection under HIPAA and will not be used or disclosed without your written authorization except as permitted by law, including for treatment, training, legal defense, or to prevent a serious threat to health or safety.
Your Rights
You have the right to:
- Inspect and obtain copies of your medical records, with limited exceptions
- Request restrictions on certain uses or disclosures
- Request confidential communications
- Receive an accounting of disclosures
- Receive a paper copy of this Notice
- File a complaint regarding privacy concerns
Complaints
If you believe your privacy rights have been violated, you may contact:
Privacy Officer: Mindy Werner-Crohn, MD
Phone: 888-877-2282
Email: info@blueskypsychiatry.com
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by visiting www.hhs.gov/ocr or calling 1-800-368-1019. You will not be retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change the terms of this Notice of Privacy Practices at any time. Any changes will apply to all protected health information we maintain. An updated notice will be available on our website and upon request.
No Surprises Act & Good Faith Estimate
You have the right to receive a Good Faith Estimate explaining the expected cost of non-emergency services if you are uninsured or choosing not to use insurance.
A Good Faith Estimate shows the services reasonably expected to be provided and is based on information known at the time the estimate is created.
When a Good Faith Estimate Is Provided
- Upon request by an uninsured or self-pay patient
- When services are scheduled at least three business days in advance
Timing Requirements
- Within 1 business day if services are scheduled 3–9 business days in advance
- Within 3 business days if services are scheduled 10 or more business days in advance
- Within 3 business days of request if no appointment is scheduled
Disputing Charges
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill through the U.S. Department of Health and Human Services.
More information is available at https://www.cms.gov/nosurprises
Phone: 1-877-696-6775
This policy applies only to patients who are uninsured or choosing not to use insurance.
Telehealth Information & Technical Requirements
Blue Sky Psychiatry provides telehealth services using doxy.me or another HIPAA-compliant telehealth platform designated by the practice.
Technical Requirements
- Computer, tablet, or smartphone with camera and microphone
- Reliable internet connection
- Updated Google Chrome or Mozilla Firefox browser, or doxy.me mobile application
Before Your Appointment
- Test your device and internet connection in advance
- Use a private, quiet location
- Be prepared to provide your physical location at the time of the session
During Your Appointment
- Telehealth sessions may not occur in public places or while driving
- If the connection is lost, your provider will attempt to contact you by phone
Recording
Recording of telehealth sessions by either party is prohibited without mutual consent.
Limitations
Blue Sky Psychiatry cannot provide technical support for personal devices or internet connections.
Emergency Care
Telehealth services are not intended for emergency situations. If you are experiencing an emergency, call 911 or go to the nearest emergency room.
Medical Records Access & Release Policy
Blue Sky Psychiatry complies with California Health & Safety Code §123110 and HIPAA regarding patient access to medical records.
Access Rights
Patients have the right to inspect or obtain copies of their medical records, with limited exceptions permitted by law.
Mental Health Records
In response to a request for mental health records, the provider may:
- Release the record
- Provide a treatment summary instead of the full record
- Decline release if disclosure would pose a substantial risk of significant harm
Fees
Fees for records are limited to those permitted by California law and may include reasonable clerical costs. Fees will be disclosed in advance.
Process
- Requests must be submitted in writing
- Payment is required before processing
- Records will be provided within the timeframes required by California law
Appeals
Patients may challenge a denial of records access by submitting a written request for review.
Contact
Medical records requests may be submitted to info@blueskypsychiatry.com
This Practice collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. This Practice also collects anonymous demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.
There is also information about your computer hardware and software that is automatically collected by this website. This information can include: your IP address, browser type, domain names, access times and referring Web site addresses. This information is used for the operation of the service, to maintain quality of the service, and to provide general statistics regarding use of this Web site.
Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through public message boards, this information may be collected and used by others.
This Practice encourages you to review the privacy statements of Web sites you choose to link to from the website so that you can understand how those Websites collect, use and share your information. This Practice is not responsible for the privacy statements or other content on any other Websites.