Notice of Privacy Practices Effective Date: May 2025
A. Introduction
This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully.Your privacy is very important. This notice explains how your protected health information (PHI) is handled, how it may be used or disclosed, and your rights regarding your health information.
B. What is Protected Health Information (PHI)? Protected Health Information (PHI) includes any information related to your health, treatment, or payment for services that can be used to identify you. This may include your name, contact information, diagnosis, progress notes, treatment plans, and billing information.
C. How PHI May Be Used or Disclosed: Your PHI may be used or disclosed in the following ways:
For Treatment: To provide, coordinate, or manage your care and related services.
For Payment: To collect fees and provide superbills upon request. This is a self-pay practice and does not submit claims to insurance.
For Health Care Operations: To ensure quality of care, improve services, and manage business operations.
D. Uses & Disclosures Requiring Authorization: Your written permission is required before any use or disclosure of your PHI for purposes not listed above. You may revoke an authorization or release of information at any time in writing.
E. Uses & Disclosures Not Requiring Authorization :Certain circumstances allow for PHI disclosure without your consent, such as:Reporting child, elder, or dependent adult abuse or neglect, Preventing or responding to a serious threat to health or safety, Legal proceedings and court orders, Compliance with health oversight activities and audits
F. Your Rights Regarding PHI: You have the right to: Request to view or receive a copy of your records (fees may apply), Request an amendment if information is incorrect or incomplete, Request confidential communication methods (e.g., contact only by email), Receive a list (accounting) of certain disclosures of your PHI, File a complaint if you believe your privacy rights have been violated
G. Telehealth Services: All psychotherapy services are provided via secure, HIPAA-compliant telehealth platforms. You will be informed of how to access and use this technology, and the risks and limitations of telehealth will be reviewed with you.
H. Website Privacy and Cookies: This website may collect limited information automatically through the use of cookies and similar technologies. This may include your IP address, browser type, and browsing behavior on the site. Cookies are used to: Analyze website traffic and usage, Enhance website functionality and user experience, Support embedded features (e.g., videos, forms, or social media), You may choose to disable cookies via your browser settings. Disabling cookies may affect how the website functions for you. Note: No Protected Health Information (PHI) is collected or stored through cookies or website tracking tools.
This notice went into effect on May 1, 2025. Acknowledgement of Receipt of Privacy Notice
Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information.