Notice of Privacy Practices (HIPAA)
Effective Date: December 2025
This Notice of Privacy Practices describes how mental health information about you may be used and disclosed and how you can access this information. Please review it carefully.
Our Legal Duty
A Chosen Path Counseling & Consulting Services is required by law to:
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Maintain the privacy of your protected health information (PHI)
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Provide you with this Notice of our legal duties and privacy practices
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Follow the terms of this Notice currently in effect
Uses and Disclosures for Treatment, Payment, and Operations
We may use or disclose your health information without your written authorization for the following purposes:
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Treatment
To provide, coordinate, or manage your mental health care.
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Payment
To obtain payment for services provided, including billing insurance or verifying benefits.
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Healthcare Operations
For administrative, legal, quality improvement, or operational purposes necessary to run the Practice.
Other Uses and Disclosures
We may also use or disclose your information without authorization when required by law, including:
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To prevent serious harm to you or others
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Suspected abuse or neglect
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Court orders or legal proceedings
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Public health and safety reporting
Uses Requiring Written Authorization
Any use or disclosure not described above requires your written authorization. You may revoke authorization at any time in writing, except where action has already been taken.
Your Rights
You have the right to:
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Request access to your records
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Request corrections to your health information
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Receive an accounting of disclosures
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Request restrictions on certain uses or disclosures
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Request confidential communications
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Receive a paper copy of this Notice at any time
Changes to This Notice
We reserve the right to change this Notice and make new provisions effective for all protected health information we maintain. Updated Notices will be available on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
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A Chosen Path Counseling & Consulting Services
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The U.S. Department of Health & Human Services (HHS)
You will not be retaliated against for filing a complaint.
Contact for Privacy Questions or Complaints:
(972) 890-6101