PRIVACY

Privacy Practices at Rose Psychotherapy, PLLC

Rose Psychotherapy, PLLC is committed to safeguarding your privacy. We follow both federal and state privacy laws, outlined below, to ensure the confidentiality of your treatment.

Confidentiality in Therapy

Confidentiality is vital to the therapeutic relationship. You can trust that what you discuss in therapy will remain private. A written Confidential Disclosure Agreement, known as "Informed Consent," will be provided. We cannot share your information without your written consent, unless:

• Child or adult abuse: We are required by law to report.

• Threat of harm: If you threaten harm to others or yourself, we may need to notify authorities to ensure safety.

Federal Privacy Law (HIPAA)

We are legally required to maintain your Protected Health Information (PHI) confidential. PHI refers to information that identifies or could identify you, and this notice outlines how we use and disclose it.

• Uses and disclosures: PHI may be used for treatment, payment, and healthcare operations, such as billing or consultations with other providers.

• Limitations: We will use the minimum necessary amount of PHI to fulfill our responsibilities.

• Right to update: You can request access to your PHI, request amendments, and request restrictions on disclosures.

Your Rights Regarding PHI

• Access: You can request to see or obtain copies of your PHI.

• Corrections: You can request corrections to any inaccuracies in your PHI.

• Privacy Preferences: You can request how we send your PHI to you or a third party.

• Disclosures: You can request a list of disclosures made of your PHI.

Disclosure without Consent

We may disclose PHI without your consent in specific situations:

• Legal requirements: For government requests or to comply with legal obligations.

• Health and safety: To prevent harm or in emergencies.

• Abuse or neglect: If there is suspicion of child or elder abuse.

• Health oversight: If required by oversight agencies.

Your Right to File a Complaint

If you believe your privacy rights have been violated, you can file a complaint with us directly or with the Department of Health and Human Services (HHS). No retaliatory actions will be taken.

Breaches of PHI

In the case of a breach involving unsecured PHI, Rose Psychotherapy, PLLC will notify affected individuals and relevant authorities as required by law.

State-Specific Privacy Laws

• Arizona: Complies with HIPAA and the Arizona Medical Records Privacy Act.

• New York: Follows HIPAA and the New York State Mental Hygiene Law.

• Texas: Complies with HIPAA and the Texas Medical Records Privacy Act.

Effective Date

This notice is effective as of June 1, 2023.