Notice of Privacy Practices

Untapped Therapy, PLLC understands that health information about you and your health care is personal. We are committed to protecting your health information. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements.

This notice applies to all records of your care generated by this mental health care practice. It will tell you about the ways in which we may use and disclose health information about you, describe your rights to that information, and describe certain obligations we have regarding its use and disclosure.

Untapped Therapy, PLLC is required by law to:

• Keep protected health information ("PHI") that identifies you private
• Give you this notice of our legal duties and privacy practices
• Follow the terms of the notice currently in effect

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

For Treatment, Payment, or Health Care Operations: Federal privacy rules allow health care providers with a direct treatment relationship to use or disclose personal health information without written authorization to carry out treatment, payment, or health care operations. For example, if Untapped Therapy, PLLC were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your personal health information to assist in diagnosis and treatment of your mental health condition.

Lawsuits and Disputes: If you are involved in a lawsuit, we may disclose health information in response to a court or administrative order, subpoena, or other lawful process — but only if efforts have been made to notify you about the request or obtain a protective order.

Psychotherapy Notes: Untapped Therapy, PLLC keeps psychotherapy notes as defined under HIPAA, and any use or disclosure of such notes requires your written authorization unless the use or disclosure is required by law or for specific clinical, legal, or safety purposes.

Marketing: We will not use or disclose your PHI for marketing purposes.

Sale of PHI: We will not sell your PHI.

Subject to certain limitations in the law, Untapped Therapy, PLLC may use and disclose your PHI without your authorization for the following reasons:

• When required by state or federal law
• For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing a serious threat to health or safety
• For health oversight activities, including audits and investigations
• For judicial and administrative proceedings
• For law enforcement purposes
• To coroners or medical examiners performing duties authorized by law
• For research purposes
• For workers' compensation purposes
• For appointment reminders and information about health-related services we offer

We may provide your PHI to a family member, friend, or other person involved in your care or payment for your health care, unless you object in whole or in part.

If you have questions about this Notice or your privacy rights, please contact us at:

Untapped Therapy, PLLC
Email: tiffany@untappedtherapy.com

If you believe your privacy rights have been violated, you may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.