Notice of Privacy Practices

Effective Date: April 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

My Commitment to Your Privacy

As your therapist, I am committed to protecting the privacy of your protected health information (PHI). This notice explains my legal duties and privacy practices regarding your PHI.

How I May Use and Disclose Your Health Information

I may use or share your health information for the following purposes:

  • Treatment: To provide, coordinate, or manage your care.

  • Payment: To bill for services (e.g., providing a superbill for insurance).

  • Healthcare Operations: For the administrative activities of my practice (e.g., quality reviews).

Special Protections for Your Records

  • Psychotherapy Notes: I will not share my private psychotherapy notes with any third party without your specific, written authorization, except as required by law.

  • Marketing/Sale of Info: I do not sell your information or use it for marketing purposes.

  • Substance Use Records: In accordance with 42 CFR Part 2 (2026 Update), any records regarding substance use treatment are strictly protected and will not be disclosed in legal proceedings without a specific court order or your written consent.

Your Rights Regarding Your PHI

You have the following rights under federal law:

  • Access: You can request to see or get a copy of your clinical record.

  • Amendments: You can ask me to correct information that you think is incorrect or incomplete.

  • Restriction: You can ask me not to use or share certain health information for treatment or payment.

  • Confidential Communications: You can ask me to contact you in a specific way (e.g., home or office phone) or to send mail to a different address.

  • Breach Notification: I will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.

My Duties and Legal Requirements

  • I am required by law to maintain the privacy and security of your protected health information.

  • I will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

  • I must follow the duties and privacy practices described in this notice and give you a copy of it.

How to File a Complaint

If you feel I have violated your privacy rights, you may contact me directly at 505-234-9816. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

I will not retaliate against you for filing a complaint.