NOTICE OF PRIVACY PRACTICES

A federal law called HIPPA requires that I take specific steps to keep you informed about how I may use information that is gathered in order to provide health services to you. As part of this process, I am required to provide you with the attached Notice of Privacy Practices and to request that you sign the written acknowledgement that you have received a copy of this notice.

The Notice describes how I may use and disclose your protected health information for
purposes of treatment, payment, and other purposes that are required or permitted by law.

This Notice also explains your rights regarding your protected health information that I keep in my clinical records and describes how you may execute these rights. Please ask me any questions you may have regarding this Notice. There are links on my website to forms to assist you in executing these rights.

Although I take every reasonable step to ensure the safety of your electronic information, there are risks associated with it, and texting is inherently insecure. If you choose to communicate with me in these ways, understand there is no way to guarantee your privacy.

Please read and sign the HIPPA Right to Privacy statement form.

More information and other links to forms may be found on the HIPPA – HHS.gov website