Notice of Privacy Practices This notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully. I am required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice describing my legal duties and privacy practices, and to notify you in the event of a breach of your unsecured PHI. Uses and Disclosures of Health Information I may use or disclose your PHI for purposes of treatment, payment, and healthcare operations, including consultation with other professionals when necessary for your care. I will not disclose your information to any other party without your written authorization, except where required by law, such as: • Suspected abuse or neglect of a child, elderly, or dependent adult • Situations involving imminent risk of harm to yourself or others • Court orders or legal proceedings requiring disclosure • Health oversight activities, such as licensing board investigations Your Rights You have the right to: • Request a copy of your health records • Request corrections to your health records • Request restrictions on certain uses or disclosures of your information • Request confidential communication by an alternative method or location • Receive a paper copy of this notice at any time • File a complaint if you believe your privacy rights have been violated, without fear of retaliation Changes to This Notice I reserve the right to change this notice and its terms. Any revised notice will be provided to current clients and made available upon request. Contact If you have questions about this notice or wish to exercise any of the rights described above, please contact me directly at [email/phone]. Effective Date: [date]