HIPAA NOTICE OF PRIVACY PRACTICES (NPP)
For therapy clients only — compliant with HIPAA rules, written in plain language
Effective Date: November 15, 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 an electronic or paper copy of your medical record
Request corrections to your record
Request confidential communications
Ask us to restrict certain uses or disclosures
Get a list of disclosures we have made
Choose a personal representative
File a complaint if you believe your rights have been violated
We will not retaliate against you for filing a complaint.
Your Choices
You can request that we:
Communicate with you only by certain methods or locations
Limit what information we share with others involved in your care
We will accommodate reasonable requests.
Our Uses and Disclosures
We may use or disclose your information to:
Provide treatment
Obtain payment
Conduct health care operations
Comply with law enforcement or public health requirements
Prevent harm when necessary
Respond to legal requests such as court orders
Engage in mandated reporting (abuse, threats, etc.)
We will never share your information without your written consent for:
Marketing purposes
Sale of health information
Most uses of psychotherapy notes
Our Responsibilities
We are required to:
Maintain the privacy of your protected health information
Provide you with this Notice
Follow HIPAA laws and comply with the terms of this Notice
Notify you if a breach compromises your information
We may revise this Notice at any time. The current version will always be available upon request.
Contact
For questions or to exercise your rights, contact:
[Insert contact information]
To file a HIPAA complaint, contact:
U.S. Department of Health and Human Services
Office for Civil Rights
ocrportal.hhs.gov