Notice of Privacy Practices

Effective Date: August 27, 2025

This notice describes how your health information may be used and disclosed, and how you can access this information. Please review it carefully.

Your Rights

You have the right to:

Get a copy of your therapy records within 15 days of your written request
Request corrections to your records
Receive confidential communications in the manner you prefer
Ask us to limit what we use or share
Get a list of disclosures made outside of treatment, payment, or operations
Choose someone to act on your behalf
File a complaint without fear of retaliation

Our Responsibilities

We are required to:

Maintain the privacy and security of your protected health information (PHI)
Inform you promptly if a breach occurs that may compromise your information
Follow the duties and privacy practices described in this notice
Not use or share your information other than as described here unless you give written permission

Uses and Disclosures

We may use and share your information:

For treatment purposes (e.g., coordination with other providers)
To receive payment for services
For healthcare operations (e.g., quality improvement, supervision)
When required by law (e.g., court orders, mandated reporting)
To prevent serious harm (e.g., threats to self or others)
For public health and safety (e.g., abuse reporting, licensing board inquiries)

Psychotherapy Notes

Psychotherapy notes are kept separate from your general medical record and receive special protection under HIPAA. They are not shared without your explicit written authorization, except in very limited circumstances.

Telehealth and Electronic Communication

While we take every precaution to protect your privacy, electronic communication (email, video sessions, etc.) carries inherent risks. You may opt out of these methods at any time.

California-Specific Protections

This practice complies with the California Confidentiality of Medical Information Act (CMIA) and the Board of Behavioral Sciences (BBS) regulations. You have additional rights under California law, including access to your records and protection against unauthorized disclosures.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: (877) 696-6775
Website: www.hhs.gov/ocr

You may also contact this practice directly.