Question 1

SECTION 1 — Privacy Policy

Accepted Answer

Introduction
 This Privacy Policy explains how the Practice collects, uses, and protects your personal information in compliance with Texas law and HIPAA.
Information Collected
 • Personal information (name, DOB, contact details)
 • Health information (clinical notes, diagnoses, treatment plans)
 • Administrative information (billing, insurance, payments)
 • Website data (IP address, browser type, pages visited)
How Information Is Used
 • Providing therapy services
 • Scheduling and reminders
 • Billing and payment
 • Practice operations
 • Legal or regulatory compliance
Protection of Information
 The Practice uses administrative, technical, and physical safeguards to protect your information.
Sharing of Information
 Information is shared only when:
 • You authorize it in writing
 • Required by law
 • Needed to prevent serious harm
 • Required for billing or healthcare operations
 • Permitted under HIPAA
 The Practice does not sell or share information for marketing.
Your Rights
 You may request to access, amend, or restrict your records, request confidential communication, or obtain a copy of this policy.

Question 2

SECTION 2 — Terms & Conditions

Accepted Answer

Acceptance of Terms
 By scheduling or attending services or using this website, you agree to these Terms & Conditions.
Nature of Services
 The Practice provides marriage, family, and individual therapy services within the scope of Texas law.
No Emergency Services
 If you are in crisis or immediate danger, call 911 or go to the nearest emergency room.
Scheduling & Cancellations
 • Cancel or reschedule at least 24 hours in advance
 • Late cancellations or no‑shows incur the full session fee
Fees & Payments
 Payment is due at the time of service. Fees may change with notice.
Telehealth Services
 Clients must be physically located in Texas during telehealth sessions unless otherwise permitted by law.
Website Use
 Website content is informational only and not a substitute for therapy.
Limitation of Liability
 The Practice is not liable for damages arising from website use, telehealth platforms, or services except as required by law.

Question 3

SECTION 3 — Disclaimer

Accepted Answer

• Therapy services do not guarantee specific outcomes
 • Website content, blog posts, videos, and educational materials are not medical, legal, or financial advice
 • Online information does not create a therapist‑client relationship until intake paperwork is completed
 • Results vary based on individual circumstances and therapeutic engagement
 • The Practice may refer clients to a higher level of care when appropriate

Question 4

SECTION 4 — HIPAA Notice of Privacy Practices

Accepted Answer

Your Protected Health Information (PHI)
 PHI includes any information that identifies you and relates to your health, treatment, or payment.
Permitted Uses & Disclosures Without Authorization
 • Treatment
 • Payment
 • Healthcare operations
 • Legal requirements
 • Safety concerns
 • Public health activities
Uses Requiring Written Authorization
 • Most disclosures of psychotherapy notes
 • Marketing communications
 • Sale of PHI
 • Any use not described in this notice
 You may revoke authorization at any time in writing.
Your HIPAA Rights
 You may request:
 • Restrictions on certain uses/disclosures
 • Confidential communication
 • Access to your records
 • Amendments
 • An accounting of disclosures
 • A paper or digital copy of this notice
Practice Responsibilities
 The Practice must:
 • Maintain the privacy of your PHI
 • Provide this Notice
 • Notify you of any breach of unsecured PHI
 • Follow the terms of this notice
Complaints
You may file a complaint with the Practice or the U.S. Department of Health & Human Services. You will not be penalized.

Texas Behavioral Health Executive Council
333 Guadalupe St., Ste. 3-900 | Austin, Texas 78701
Main Line: (512) 305-7700 | Complaint Hotline: 1-800-821-3205
Website: www.bhec.texas.gov

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