HIPAA Notice of Privacy Practices
HIPAA Notice of Privacy Practices
Effective Date: October 2025
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.
Your Health Information Rights
You have the right to:
Request a copy of your health records
Verify insurance and provide billing support
Request restrictions on certain uses or disclosures
Receive a list of certain disclosures we make of your health information
Request confidential communications
File a complaint if you believe your privacy rights have been violated
Our Responsibilities
We are required by law to maintain the privacy of your protected health information (PHI).
We are required by law to maintain the privacy of your protected health information (PHI).
We will not use or share your information other than as described here unless you authorize us in writing.
How We May Use and Disclose Information
We are required by law to maintain the privacy of your protected health information (PHI).
We are required by law to maintain the privacy of your protected health information (PHI).
We will not use or share your information other than as described here unless you authorize us in writing.
Treatment: To coordinate care with clinicians and healthcare providers.
Treatment: To coordinate care with clinicians and healthcare providers.
Payment: To bill insurance and manage claims.
Healthcare Operations: To improve services, supervise clinicians, and ensure quality care.
Legal Requirements: We may share information when required by law (e.g., court orders, mandatory reporting of abuse, threats of harm).
Examples of Use
A therapist may share information with another clinician for consultation.
We may use your information to contact you about appointment reminders.
Billing staff may use your insurance details to process claims.
Confidentiality of Electronic Communication
Emails, texts, and website forms may not be fully secure. We recommend using secure platforms for PHI.
By providing your contact information, you consent to being reached via phone, email, or text for scheduling and service updates.
Questions & Complaints
If you have questions or believe your privacy rights have been violated, contact us:
[email protected]
You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Take the First Step
With the right support, healing and clarity are possible.
2700 Richards Road
Suite 202
Bellevue, WA 98005
