Effective Date: January 19, 2026
This Notice describes how protected health information about you may be used and disclosed and how you can access this information. Please review it carefully.
When you receive services from Mind & Faith Counseling Group, LLC (“we,” “us,” “our,” or “Practice”), we create records regarding your health care and the services we provide. This Notice applies to all records of your health information maintained by this Practice, whether provided by you or created or obtained by us in connection with treatment, payment, or healthcare operations.
We are required by applicable federal and state law, including the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its implementing regulations, to:
Maintain the privacy of your protected health information (“PHI”);
Provide you with this Notice of our legal duties and privacy practices with respect to PHI;
Follow the terms of this Notice currently in effect.
PHI includes information about your past, present, and future physical or mental health condition; the provision of health care to you; and payment for your health care that identifies you or could reasonably identify you.
Under HIPAA, we are permitted or required to use or disclose your PHI for the following purposes without your written authorization:
We may use and disclose your PHI to provide, coordinate, or manage your health care and related services. For example:
Communicating with other health care providers involved in your care,
Referring you to another clinician or specialist,
Coordination of care plans or clinical consultations.
We may use and disclose your PHI so that we or others may bill and receive payment from health plans or other entities for services provided to you, such as:
Submission of claims to insurance companies,
Determining eligibility or coverage,
Health plan payment reviews.
c. Health Care Operations
We may use and disclose your PHI for health care operations, including:
Quality assessment activities,
Practice administration,
Training, licensure, or legal compliance activities,
Audits or business management.
d. Other Permitted or Required Uses
We may use or disclose your PHI without authorization when required or allowed by law, including:
As required by law (e.g., reporting abuse, complying with court orders)
Public health activities (e.g., reporting communicable diseases)
Health oversight activities (e.g., audits, investigations)
To avert a serious threat to health or safety
Law enforcement purposes (under specified conditions)
Workers’ compensation claims
Judicial and administrative proceedings
These permitted uses and disclosures are consistent with HIPAA and other applicable laws and are limited to the minimum necessary to accomplish the intended purpose.
Except for the purposes described above, we will not use or disclose your PHI without your written authorization. For example, we will obtain written authorization for:
Most uses and disclosures of psychotherapy notes,
Marketing communications (unless permitted by HIPAA),
Sale of PHI.
If you authorize us to use or disclose your PHI, you may revoke the authorization in writing at any time, except to the extent we have already taken action in reliance on the authorization.
You have certain rights concerning your PHI under HIPAA. These rights include:
a. Right to Inspect and Copy
You may request access to inspect and obtain a copy of the PHI used to make decisions about your care.
b. Right to Request Restrictions
You may request restrictions on certain uses and disclosures of your PHI. We are not required to agree to a requested restriction, except in certain limited circumstances.
c. Right to Confidential Communications
You may ask that we communicate with you in a specific way (e.g., by mail instead of phone) or at a specific location.
d. Right to Request Amendment
If you believe PHI we maintain is incorrect or incomplete, you may request that we amend it.
e. Right to an Accounting of Disclosures
You have the right to receive an accounting of certain disclosures of your PHI made by us during the six years prior to your request, subject to certain exceptions.
f. Right to a Paper Copy of This Notice
You may request and receive a paper copy of this Notice at any time.
We are required to:
Maintain the privacy of your PHI as required by law,
Provide you with this Notice of our legal duties and privacy practices,
Follow the terms of this Notice as currently in effect, and
Notify you if a breach of unsecured PHI occurs
We reserve the right to change our privacy practices and this Notice at any time, provided such changes are permitted by applicable law. The new Notice will apply to all PHI we maintain. A copy of the revised Notice will be made available to you via this Website and upon request.
If you believe your privacy rights have been violated, you may file a complaint:
With us, at the contact information below without fear of retaliation, or
With the U.S. Department of Health and Human Services (HHS), Office for Civil Rights.