Notice of Privacy Practices

Your rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your health record

You can ask to see or get an electronic or paper copy of your health record and other health information we have about you. Ask us how to do this. We will provide a copy within 30 days of your request, or sooner if a law that applies to your care requires it. If we need more time and the law allows it, we may extend this once by up to 30 days and will tell you why in writing. If you agree in advance, we can give you a summary or explanation of your health information instead of a full copy, and we will tell you about any fee for the summary before you agree. We may charge a reasonable, cost-based fee.

Ask us to correct your health record

You can ask us to correct health information that you think is incorrect or incomplete. Ask us how to do this. We may say no, but we will tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, by cell phone instead of email) or to send mail to a different address. We will say yes to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment or our operations. We are not required to agree, and we may say no if it would affect your care.

If you pay for a service or health care item out of pocket in full, you can ask us not to share that information with your health insurer for payment or our operations. We will say yes unless a law requires us to share it.

Get a list of those with whom we have shared information

You can ask for a list (accounting) of the times we have shared your health information for six years before the date you ask, who we shared it with and why. We will include all disclosures except those about treatment, payment and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free, but may charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically. We will provide it promptly.

Choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

For children and teens, a parent or guardian usually acts for the minor. State law changes this in some situations:

• Pennsylvania: A minor 14 or older may consent to outpatient mental health treatment, and a parent or guardian may also consent. A minor 14 or older generally controls the release of his or her mental health records. A parent who consented to treatment may receive the information needed to make treatment decisions, such as symptoms, medications, risks and benefits, and may authorize release of records to the minor's current mental health provider and, when appropriate, primary care provider.
• New Jersey: A minor 16 or older may consent to temporary outpatient mental health treatment, but not to medication. A parent or guardian must consent to medication. Care that a minor lawfully consents to on his or her own is kept confidential and shared with a parent only as the law allows.
• Florida: A parent or guardian must give written consent before we provide care or prescribe medication to a minor, unless the law allows otherwise. Parents have the right to access and review their child's medical records unless the law prohibits it.
• Oregon: A minor 14 or older may consent to outpatient mental health and substance use treatment without a parent's consent. We will involve a parent or guardian before treatment ends unless the parent refuses or there are clear clinical reasons not to. Without the minor's consent, we may tell a parent if the minor needs inpatient or residential care, and we must share information and plan for safety with a parent or other trusted adult if the minor is at serious and imminent risk of suicide, unless that would endanger the minor. Children under 14 need a parent's or guardian's consent.

We follow the law of the state that applies to your care.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the information at the end of this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights (details below). We will not retaliate against you for filing a complaint.

Your choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends or others involved in your care
• Share information in a disaster relief situation

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety, as the law allows.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

We do not use or share your health information for fundraising.

How we typically use or share your health information

Each use and disclosure described below is subject to any stricter federal or state confidentiality law that applies to your care, including laws that protect mental health records, substance use disorder treatment records, HIV-related information and genetic information. When a stricter law applies, we may need your written consent or a court order before sharing. See Extra protections under state law and Substance use disorder treatment records.

To treat you

We can use your health information and share it with other professionals who are treating you. For example, we may share information with your primary care provider or therapist to coordinate your care, send prescriptions to your pharmacy, or check a state prescription monitoring program before prescribing certain medications.

To run our practice

We can use and share your health information to run our practice, improve your care and contact you when necessary. For example, we use health information to manage your treatment and services, and we may contact you by phone, text or email about appointments.

To bill for your services

We can use and share your health information to bill and get payment from health plans or other entities. For example, if you use insurance, we give information about you to your health insurance plan, and to the platform that submits claims on our behalf, so the plan will pay for your services.

With our business associates

We work with outside companies that help us provide and manage care, such as electronic health record, telehealth video, e-prescribing, secure messaging, phone and fax, billing and clinical documentation services. When these companies need health information to do their work, they must sign an agreement to protect it.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

• Help with public health and safety issues. For example, preventing disease, reporting adverse reactions to medications, reporting suspected abuse, neglect or domestic violence, and preventing or reducing a serious threat to anyone's health or safety.
• Do research. We can use or share your information for health research, under the conditions the law sets.
• Comply with the law. We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we are complying with federal privacy law.
• Respond to organ and tissue donation requests and work with a medical examiner or funeral director.
• Address workers' compensation, law enforcement and other government requests. We can use or share health information about you for workers' compensation claims, for law enforcement purposes or with a law enforcement official, with health oversight agencies for activities authorized by law, and for special government functions such as military, national security and presidential protective services.
• Respond to lawsuits and legal actions. We can share health information about you in response to a court or administrative order, or in response to a subpoena, as the law allows. Mental health and substance use disorder records have stronger protections; see the sections below.

Extra protections under state law

Some state laws protect certain information more than federal privacy law does. When the law of the state that applies to your care is stricter than federal law, we follow the stricter law. This means we may need your written permission before sharing some information, even in situations described above.

Pennsylvania. HIV-related information is shared only with your specific written consent, except where Pennsylvania law allows otherwise, such as with health care providers treating you. Drug and alcohol information is shared without your consent only in the limited situations Pennsylvania law allows, such as for your diagnosis and treatment, in a medical emergency, or with other health care providers and health plans as federal privacy law permits.

New Jersey. We will not release your mental health information for a court or other legal proceeding based on a subpoena alone; we need your written permission or a court order. HIV/AIDS-related information is shared only with your written consent or as New Jersey law specifically allows, such as with people providing your care, for required public health reporting or by court order. Genetic information is shared only with your written permission or as New Jersey law specifically allows. If you threaten imminent, serious violence against an identifiable person or yourself, New Jersey law may require us to take protective steps, which can include notifying law enforcement.

Florida. Without your written permission, we share your records or discuss your condition only with you, your legal representative and other health care providers involved in your care, except in situations Florida law allows, such as reporting suspected abuse or neglect, starting an emergency mental health evaluation under Florida's Baker Act when someone is in danger of seriously harming themselves or others, investigations by state agencies, or a subpoena issued by a court with proper notice to you. This means some sharing described above, such as with family members or for law enforcement purposes, may require your written permission when Florida law applies to your care. HIV test results and DNA test results are shared only with your specific consent or as Florida law allows.

Oregon. When you receive care while located in Oregon, we share your health information without your written permission only for treatment, payment and health care operations, or as Oregon or federal law permits or requires. Genetic test results, and the fact that you had a genetic test, are shared only with your specific written consent on the form Oregon requires or as Oregon law allows, such as a specific court order. HIV test results are shared only with your permission or as the law allows. In Oregon civil cases, health records are released in response to a subpoena only with your authorization, after you have received notice and time to object, or under a court's protective order. If we believe you have a clear and serious intent to seriously harm someone and pose a danger of doing so, we may share information to protect that person.

Other uses need your written permission

We will not use or share your information other than as described here unless you give us written permission. You may revoke that permission at any time by telling us in writing. Revoking it will not undo any sharing we already did with your permission.

Substance use disorder treatment records

If we receive or keep records that are protected by federal rules for substance use disorder treatment programs (42 U.S.C. 290dd-2 and 42 CFR Part 2), those records have extra protection, and in some situations these rules are stricter than HIPAA.

• If we receive these records under your consent for treatment, payment and health care operations, we may use and share them as HIPAA allows, except in investigations or proceedings against you (see below).
• If we receive them under your consent for another specific purpose, we will use them only for that purpose and will not share them further without your consent unless Part 2 permits it.
• These records, or testimony relaying their content, will not be used or shared in civil, criminal, administrative or legislative investigations or proceedings against you unless you give written consent, or a court issues an order after notice and an opportunity to be heard is provided to you or the holder of the record, as Part 2 requires. A court order must be accompanied by a subpoena or other legal requirement compelling disclosure before the records are used or shared.
• Anyone who receives these records from us may be limited by law in how they can share them again.
• We do not use these records for fundraising. If that ever changed, you would first be given a clear and conspicuous chance to opt out of fundraising communications.

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing.

Changes to the terms of this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request and on this website.

Questions and complaints

To ask a question, use any of the rights described in this notice, or file a complaint with us, contact our Privacy Officer:

You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:

• Online: OCR Complaint Portal (more information at hhs.gov/hipaa/filing-a-complaint)
• By mail: 200 Independence Avenue, S.W., Washington, D.C. 20201
• By phone: 1-877-696-6775

We will not retaliate against you for filing a complaint.

This notice is effective October 3, 2026.