NOTICE OF PRIVACY PRACTICES
I understand that Healing Horizons Therapy is committed to protecting my privacy and confidentiality. The Health Insurance Portability and Accountability Act (HIPAA) permits the use or disclosure of my health information to those involved in my treatment (example: specialist doctor), to obtain payment of services (example: health insurance plan), or when required by law. Any other health information will not be disclosed, unless I give prior written authorization by signing a release of information.
The following include limitations to my rights of confidentiality:
· If a client threatens or attempts to harm him/her/themselves in a manner in which there is a substantial risk of incurring bodily harm
· If a client threatens grave bodily harm or death to another person
· If the therapist has a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or actual victim of physical, emotional or sexual abuse of children under the age of 18
· Suspicions as named above in the case of an elderly or vulnerable adult
· Suspected neglect in those under the age of 18, elderly, or vulnerable adult
· If a court of law issues a legitimate subpoena for information stated on the subpoena
Occasionally your therapist may need to consult with other professionals in their area of expertise in order to provide the best treatment for you. Information about you may be shared in this context without using your name or other identifying information.
If therapist happens to see you in a public setting outside of therapy sessions, she will not acknowledge you unless you initiate the greeting or acknowledgment. This is to respect your confidentiality.
If you are a minor, you have a limited right to privacy in that your parents may have access to your records.