Notice of Privacy Practices

Last updated: June 2026

This notice is pending owner/legal review and may be updated.

Our Commitment to Your Privacy

We understand that your health information is personal and private. This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, or healthcare operations, and for other purposes permitted or required by law. It also describes your rights to access and control your health information.

Uses and Disclosures Without Your Authorization

We may use and disclose your protected health information without your written authorization for the following purposes:

Treatment

We may use and disclose your information to provide, coordinate, or manage your care and any related services. This includes sharing information with other healthcare providers involved in your care.

Payment

We may use and disclose your information to obtain payment for services provided to you. This may include sharing information with your health plan or other payers to verify coverage, obtain prior authorization, or process claims.

Healthcare Operations

We may use and disclose your information for our internal operations, such as quality assessment, improvement activities, training, licensing, accreditation, and business management.

Disclosures Requiring Your Authorization

Most uses and disclosures of psychotherapy notes and most uses and disclosures of protected health information for marketing purposes require your written authorization. We will obtain your written authorization before using or disclosing your information for any purpose not described in this notice, except where required by law.

Your Rights

You have the following rights regarding your protected health information:

• Right to access: You may request to inspect and obtain a copy of your health records.
• Right to amendment: You may request that we correct or amend your health information if you believe it is inaccurate or incomplete.
• Right to an accounting: You may request a list of certain disclosures we have made of your health information.
• Right to request restrictions: You may request that we restrict how we use or disclose your information for treatment, payment, or healthcare operations. We are not required to agree to all restrictions.
• Right to confidential communications: You may request that we communicate with you about your health information in a certain way or at a certain location.
• Right to a copy of this notice: You may obtain a paper copy of this notice at any time.

Our Duties

We are required by law to maintain the privacy of your protected health information, provide you with this notice of our legal duties and privacy practices, and abide by the terms of this notice. We reserve the right to change the terms of this notice and will inform you of any changes.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights (HHS OCR). We will not retaliate against you for filing a complaint.

To file a complaint with HHS OCR, visit hhs.gov/hipaa or call 1-800-368-1019.

Effective Date

This notice is effective as of June 2026.

Contact

For questions about this Notice of Privacy Practices or to exercise your rights, contact us at info@puremindtherapynj.com.