NOTICE OF PRIVACY PRACTICES

Your privacy matters. This notice explains how your health information may be used and shared, and your rights regarding that information. Please review it carefully.

My Commitment to Your Privacy

I understand that your health information is deeply personal. As your therapist, I am committed to protecting your privacy and keeping your information secure.

I maintain records of the care and services I provide to support quality treatment and to meet legal and ethical requirements. I am required by law to:

  • Keep your protected health information (PHI) private

  • Provide you with this notice of my legal duties and privacy practices

  • Follow the terms of this notice

This notice applies to all records created in this practice. I may update this notice at any time, and the most current version will always be available upon request or on my website.

How Your Information May Be Used and Shared

For Treatment, Payment, and Operations

I may use or share your information to provide therapy, coordinate care, or manage my practice. For example:

  • Consulting with another healthcare provider for your care

  • Processing payments or maintaining records

These uses help ensure you receive thoughtful and effective support.

Legal Requirements and Safety

There are times when I may be required or permitted to share information without your consent, including:

  • If required by law (such as suspected abuse or neglect)

  • If there is a serious risk to your safety or someone else’s

  • In response to a court order or legal process

Whenever possible, I will prioritize your privacy and discuss this with you.

When Your Authorization Is Required

Psychotherapy Notes

I keep separate psychotherapy notes, which are given extra protection. These will not be shared without your written permission, except in specific situations allowed by law (such as for treatment, supervision, or legal requirements).

Marketing and Sale of Information

I will never use your information for marketing or sell your personal health information.

Involvement of Others in Your Care

With your permission, I may share relevant information with a trusted person involved in your care (such as a family member or partner). You have the right to decline or limit this at any time.

Your Rights

You have the right to:

  • Access your records (with the exception of psychotherapy notes)

  • Request corrections to your information

  • Request limits on how your information is used or shared

  • Request confidential communication (such as a specific phone number or address)

  • Receive a list of disclosures made outside of treatment, payment, or operations

  • Receive a copy of this notice at any time

Requests can be made in writing, and I will respond within the timeframes required by law.

Questions or Concerns

If you have questions about this notice or your privacy rights, please feel free to discuss them with me. You also have the right to file a complaint if you believe your privacy rights have been violated.