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Notice of Privacy Practices

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Eunoia Psych Services, PLLC

Effective Date: March 2, 2026

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

 

Our Commitment to Your Privacy

Eunoia Psych Services, PLLC is committed to protecting the privacy and confidentiality of your protected health information (PHI). We are required by law to:

  • Maintain the privacy of your health information

  • Provide you with this Notice of our legal duties and privacy practices

  • Follow the terms of this Notice currently in effect

 

This Notice applies to all records of your care created or maintained by this practice.

 

How We May Use and Disclose Your Health Information

We may use or disclose your protected health information for the following purposes:

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1. Treatment

We may use your information to provide, coordinate, or manage your psychiatric care.

 

Examples:

  • Documenting evaluations and follow-up visits

  • Communicating with other healthcare providers (with your consent when required)

  • Adjusting medications or monitoring treatment response

 

2. Payment

We may use your information to collect payment for services rendered.

 

Eunoia Psych Services is a private-pay practice. If you request a superbill for out-of-network reimbursement, relevant information may be included for insurance submission.

 

3. Healthcare Operations

We may use your information to support practice operations, including:

  • Quality improvement

  • Staff training

  • Compliance activities

  • Administrative functions

 

4. Required by Law

We may disclose your health information when required by federal or state law.

 

Examples include:

  • Public health reporting

  • Court orders or subpoenas

  • Government audits

 

5. Situations Involving Risk of Harm

We may disclose health information if we believe it is necessary to:

  • Prevent serious harm to you or others

  • Report suspected abuse or neglect

  • Comply with mandatory reporting laws

 

6. Appointment Reminders

We may contact you via phone, email, text message, or patient portal regarding:

  • Appointment reminders

  • Scheduling

  • Administrative matters

 

You may request communication preferences in writing.

 

Uses and Disclosures Requiring Authorization

We will obtain your written authorization before:

  • Sharing psychotherapy notes (if applicable)

  • Using your information for marketing purposes

  • Releasing information not otherwise permitted by law

 

You may revoke authorization at any time in writing.

 

Your Rights Regarding Your Health Information

You have the right to:

 

1. Access Your Records

You may request access to or copies of your health records.

 

2. Request Amendments

If you believe information in your record is incorrect, you may request a correction.

 

3. Request Restrictions

You may request limits on how your information is used or disclosed. While we will consider requests, we are not always required to agree.

 

4. Request Confidential Communications

You may request that we contact you in a specific way (e.g., email only, specific phone number).

 

5. Receive an Accounting of Disclosures

You may request a list of certain disclosures made outside of treatment, payment, or healthcare operations.

 

6. Receive a Copy of This Notice

You have the right to receive a paper or electronic copy of this Notice at any time.

 

Telehealth & Electronic Communication

Eunoia Psych Services provides care through HIPAA-compliant telehealth platforms.

 

While reasonable safeguards are in place, electronic communication carries inherent risks. You are encouraged to ensure privacy during telehealth sessions.

 

Breach Notification

If a breach of unsecured protected health information occurs, you will be notified in accordance with federal and state law.

 

Changes to This Notice

We reserve the right to modify this Notice at any time. Any updated version will be posted on our website and available upon request.

 

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

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Eunoia Psych Services, PLLC

info@eunoiapsychservices.com

 

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

 

You will not be penalized for filing a complaint.

 

Contact Information

If you have questions about this Notice or your privacy rights, please contact:

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Eunoia Psych Services, PLLC

info@eunoiapsychservices.com

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