Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Effective November 11, 2026

Your rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your health record

You can ask to see or get an electronic or paper copy of your health record and other health information we have about you. Ask us how to do this. We'll provide a copy or a summary within the time federal and California law allow, and we may charge a reasonable, cost-based fee. Psychotherapy notes, which federal law treats separately from the rest of your record, are not included in this right.

Ask us to correct your health record

You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this. We may say “no” to your request, but we'll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, by a particular phone number or email address) or to send mail to a different address. We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

If you pay for a service in full out of pocket, you can ask us not to share information about it with your health insurer for payment or our operations. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we've shared information

You can ask for a list (an accounting) of the times we've shared your health information in the six years before the date you ask, who we shared it with, and why. We will include all the disclosures except those about treatment, payment and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free, but may charge a reasonable, cost-based fee if you ask for another within 12 months.

Get a copy of this notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically. We will provide a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the details at the end of this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.

Your choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and the choice to tell us to:

• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

Our uses and disclosures

How do we typically use or share your health information?

Treat you

We can use your health information and share it with other professionals who are treating you. For example, with your agreement, your therapist may speak with your physician about your care.

Run our practice

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Bill for your services

We can use your health information to bill you and receive payment for your services, and to prepare the superbills you ask us for so you can seek reimbursement from your health plan. We don't bill insurers directly.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

• Help with public health and safety issues, such as reporting suspected abuse, neglect or domestic violence, and preventing or reducing a serious threat to anyone's health or safety.
• Do research. We can use or share your information for health research.
• Comply with the law. We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.
• Work with a medical examiner or funeral director when an individual dies, and respond to organ and tissue donation requests.
• Address workers' compensation, law enforcement and other government requests: for workers' compensation claims; for law enforcement purposes or with a law enforcement official; with health oversight agencies for activities authorized by law; and for special government functions such as military, national security and presidential protective services.
• Respond to lawsuits and legal actions, in response to a court or administrative order, or in response to a subpoena.

Where California law, such as the Confidentiality of Medical Information Act, gives your information more protection than federal law, we follow California law.

Our responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

Changes to the terms of this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on request and posted on this page.

This notice covers health information about our clients. How this website handles information about visitors is described in our privacy policy.