Legal
Notice of Privacy Practices
Effective Date: January 1, 2024
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.
Our Commitment to Your Privacy
Whole Wellness Counseling, PLLC is committed to protecting the privacy of your health information. This Notice of Privacy Practices describes your rights and our legal duties and privacy practices with respect to your protected health information (PHI).
We are required by law to maintain the privacy of your health information, to provide you with this notice of our legal duties and privacy practices, and to notify you following a breach of unsecured protected health information.
We are required to abide by the terms of this notice currently in effect. We reserve the right to change the terms of this notice and to make the new notice provisions effective for all protected health information we maintain.
How We May Use and Disclose Your Health Information
Treatment: We may use and disclose your health information to provide, coordinate, or manage your mental health treatment and any related services. For example, we may share information with other healthcare providers involved in your care, with your written authorization.
Payment: We may use and disclose your health information to obtain payment for services. Because Whole Wellness Counseling is a private-pay practice and does not bill insurance directly, this use is limited. If you request a superbill for out-of-network reimbursement, we will provide documentation that may include diagnosis codes, dates of service, and fees paid.
Healthcare Operations: We may use and disclose your health information for our internal operations, including quality assessment, training, licensing, and legal compliance.
As Required by Law: We will disclose your health information when required to do so by federal, state, or local law, including mandatory reporting obligations.
To Avert a Serious Threat to Health or Safety: We may use and disclose health information about you when necessary to prevent a serious and imminent threat to your health or safety or the health or safety of the public or another person.
Abuse or Neglect: We are required by Texas law to report suspected abuse or neglect of a child, elderly person, or person with a disability to the appropriate authorities.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your health information not described in this notice will be made only with your written authorization. This includes most disclosures of psychotherapy notes, disclosures for marketing purposes, and the sale of your health information.
You may revoke an authorization at any time in writing, except to the extent that we have already taken action in reliance on the authorization.
Your Rights Regarding Your Health Information
Right to Inspect and Copy: You have the right to inspect and obtain a copy of your health information that may be used to make decisions about your care, subject to limited exceptions. We may charge a reasonable fee for copies.
Right to Amend: If you believe that health information we have about you is incorrect or incomplete, you may ask us to amend the information. We may deny your request under certain circumstances.
Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures we have made of your health information during the six years prior to your request.
Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations. We are not required to agree to your request.
Right to Request Confidential Communications: You have the right to request that we communicate with you about health matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice: You have the right to a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Whole Wellness Counseling, PLLC or with the Secretary of the U.S. Department of Health and Human Services. To file a complaint with us, contact us through the consultation portal on our Contact page.
You will not be penalized or retaliated against for filing a complaint.
Contact Information
Whole Wellness Counseling, PLLC
Georgetown, Texas
For questions about this notice or to exercise your rights, please contact us through the consultation portal on our Contact page.