• Right to Access & Copy — Request a copy of your health records in writing. Allow approximately 2 weeks. A copying fee may apply.
• Right to Amend — Request corrections to information you believe is inaccurate or incomplete. Submit in writing with your reasons. We will respond within 60 days.
• Right to Request Restrictions — Ask us to limit how we use or share your health information. We are not required to agree to all requests, except where required by law.
• Right to Confidential Communications — Request that we contact you at an alternative address or by alternative means.
• Right to an Accounting — Receive a list of certain disclosures we have made outside of treatment, payment, and operations.
• Right to Choose a Representative — A legal guardian or personal representative may exercise your rights on your behalf.
• Right to Terminate Services — You may end services at any time without legal obligation beyond services already provided. Please notify us in session or by phone.
• Right to Release with Written Consent — With your written authorization, any part of your record may be released to any person or agency you designate.
• Right to Ethical Treatment — You are entitled to treatment free from discrimination based on race, ethnicity, gender identity, sexual orientation, religion, disability, age, or any other protected category.
• Right to a Copy of This Notice — Available at the front desk or downloadable above at any time.
• Right to File a Complaint — If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation (see below).

We are required by law to maintain the privacy of your Protected Health Information (PHI) and to notify you following a breach of unsecured PHI. We reserve the right to change the privacy practices described in this notice. If we revise our policies, we will provide you with an updated Notice. Unless you are notified of changes, we are required to abide by the terms currently in effect.