Notice of Privacy Practices

This notice describes how medical and therapy-related information about you may be used and disclosed and how you can access this information. Please review it carefully.

This notice applies when the practice is acting as a covered healthcare provider or is otherwise required to provide privacy rights related to protected health information.

When it comes to your health information, you may have certain rights. These rights may include the ability to:

• Request an electronic or paper copy of your health record where applicable.
• Ask the practice to correct or amend information you believe is incomplete or inaccurate.
• Request confidential communications, such as contact at a specific phone number or address.
• Ask the practice to limit certain uses or disclosures, understanding that not every restriction request must be accepted.
• Request a list of certain disclosures of your health information.
• Receive a paper copy of this notice upon request.
• File a privacy complaint without retaliation.

For certain information sharing, you may be able to tell the practice your preferences, including whether information may be shared with family members, loved ones, or others involved in your care or payment for care. Written authorization is generally required for uses such as marketing, sale of protected health information, or most uses and disclosures of psychotherapy notes.

The practice may use or disclose protected health information when permitted or required by law, including for:

• Treatment, such as coordinating care or documenting therapy services.
• Payment, such as billing, superbills, or payment-related administration.
• Healthcare operations, such as quality improvement, scheduling, recordkeeping, business management, and professional consultation.
• Public health and safety, abuse or neglect reporting, court orders, law enforcement requests, workers' compensation, or other legal requirements when applicable.
• Reducing a serious and imminent threat to health or safety.

• The practice is required to maintain the privacy and security of protected health information as required by applicable law.
• The practice will notify affected individuals if a breach occurs that may compromise privacy or security as required by law.
• The practice must follow the duties and privacy practices described in this notice while it is in effect.
• The practice will not use or share information other than as described here unless you provide written authorization or another legal basis applies.

You may contact the privacy contact listed below with privacy questions or complaints. You may also have the right to file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. The practice will not retaliate against you for filing a complaint.

The practice may change the terms of this notice. Changes may apply to information already held by the practice as well as information received in the future. The updated notice will be posted on this website and available upon request.