HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices

Effective Date: July 28, 2025
This notice describes how medical and mental health information about you may be used and disclosed, and how you can access this information. Please review it carefully.

1. Our Legal Duty

Embodied Soul Psychotherapy is required by law to protect the privacy of your protected health information (PHI), provide this notice of our privacy practices, and abide by the terms of this notice.

2. How We Use and Share Your Health Information

We may use or share your information without your written authorization for the following reasons:

• Treatment – To provide, coordinate, or manage your care (e.g., consultation with another provider).

• Payment – To bill and receive payment from insurance or other payers.

• Health Care Operations – For administrative, quality assurance, or business management purposes.

3. Uses and Disclosures Requiring Your Authorization

We will ask for your written permission before:

• Sharing psychotherapy notes

• Using your information for marketing purposes

• Selling your information
  You may revoke your authorization at any time in writing.

4. Uses and Disclosures Without Your Authorization

We may also disclose your PHI without your consent in the following situations:

• Child, Elder, or Dependent Adult Abuse – Mandated reporting to protective services

• Serious Threat to Health or Safety – If necessary to prevent harm

• Judicial or Administrative Proceedings – If ordered by a court

• Health Oversight Activities – When required by a licensing board

• Worker’s Compensation – As permitted by law

5. Your Rights as a Client

You have the right to:

• Request limits on how we use or share your PHI

• Request confidential communication (e.g., contact you at a specific phone number)

• Access and get a copy of your health records

• Request corrections to your health information

• Get a list of times we've shared your information

• Receive a paper or digital copy of this notice

• Be notified of a breach involving your PHI

6. Additional Protections for California Residents

In addition to HIPAA, California’s CMIA, CCPA, and CPRA laws provide further rights:

• The right to know what medical and personal information is collected

• The right to request deletion of information

• The right to opt out of data sharing or sale (note: we do not sell your data)

• The right to non-discrimination when exercising your privacy rights

To exercise any of these rights, email us at:
📧 info@embodiedsoulpsychotherapy.com
📞 (916) 234-3066