Notice of Privacy Practices

Effective Date: May 3, 2025
Luna and Sol Counseling PLLC

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

I. Our Pledge Regarding Health Information

We understand that your health information is personal. We are committed to protecting it. We create a record of the care and services you receive to provide you with quality care and to comply with legal requirements. This notice applies to all records generated by Luna and Sol Counseling PLLC.

We are required by law to:

• Keep your Protected Health Information (PHI) private

• Provide this Notice of our legal duties and privacy practices

• Follow the terms of this Notice

• Make updated versions of this Notice available upon request, in our office, and on our website

II. How We May Use and Disclose Health Information About You

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

Treatment, Payment, and Health Care Operations
We may use or disclose your information to provide treatment, obtain payment, or carry out health care operations. For example, we may consult with another provider or refer you for additional care.

Lawsuits and Disputes
If you are involved in a legal proceeding, we may disclose your health information in response to a court or administrative order, subpoena, or other lawful process, as required.

III. Certain Uses and Disclosures Require Your Authorization

We must obtain your written authorization before using or disclosing your PHI for purposes other than those listed above.

Psychotherapy Notes
We maintain psychotherapy notes as defined by HIPAA. These may only be used or disclosed with your authorization unless:

• Used for your treatment

• Used for training or supervision

• Used to defend ourselves in legal proceedings you initiate

• Required for HIPAA compliance investigations

• Required by law or necessary to prevent a serious threat

Marketing Purposes
We will not use or disclose your PHI for marketing without your authorization.

Sale of PHI
We will never sell your PHI.

IV. Certain Uses and Disclosures Do Not Require Your Authorization

We may use or disclose your PHI without your written authorization for the following purposes:

• As required by law

• For public health activities (e.g., suspected abuse reporting)

• For health oversight activities (e.g., audits)

• For legal proceedings

• For law enforcement purposes

• To coroners or medical examiners

• For research (under strict legal safeguards)

• For specialized government functions (e.g., national security)

• For workers’ compensation claims

• For appointment reminders or information about treatment alternatives

V. Disclosures You Have the Opportunity to Object To

We may share your PHI with family, friends, or others involved in your care or payment for your care unless you object. In emergencies, we may do so prior to receiving your objection.

VI. Your Rights Regarding Your PHI

You have the following rights regarding your PHI:

1. Request Restrictions
   You may ask us to limit how we use or disclose your information. While we are not required to agree, we will make reasonable efforts to comply.

2. Restrictions for Out-of-Pocket Payments
   You may restrict disclosure of PHI to a health plan if you paid for services out-of-pocket in full.

3. Confidential Communications
   You may request that we contact you in specific ways (e.g., only by mail or phone).

4. Inspect and Copy Your PHI
   You can request to view or receive a copy of your records. We will respond within 30 days and may charge a reasonable fee.

5. Accounting of Disclosures
   You may request a list of non-routine disclosures of your PHI. We will respond within 60 days.

6. Amend Your PHI
   If you believe your records are incorrect or incomplete, you may request an amendment. We may deny the request but will explain the reason in writing.

7. Receive a Copy of This Notice
   You may request a paper or emailed copy of this Notice at any time.

Acknowledgment of Receipt

By agreeing to this notice, you acknowledge that you have received a copy of our Notice of Privacy Practices. If you have any questions about this notice or your rights, please contact us using the information on our website’s Contact Us page.