PRIVACY POLICY

WEB COPY OF MINDFUL GLIMMER COUNSELING PRIVACY POLICIES

The purpose of this notice and consent form is to describe how health information may be used and disclosed by Mindful Glimmer Counseling, and how you, the client, or parent/legal guardian of the client, can get access to this information. Please review it carefully and ask me any questions you may have.

PLEDGE REGARDING HEALTH INFORMATION:

Mindful Glimmer Counseling understands that health information about you and your healthcare is personal, and is committed to protecting health information you share with Mindful Glimmer Counseling. Mariah Jonhs Garcia creates a record of the care and services you receive from Mindful Glimmer Counseling. SimplePractice, a HIPAA compliant software, is used to create and manage electronic medical records. These files contain a copy of this intake paperwork, insurance/billing information, a medical record documenting your session(s), medical records received by other providers, and any medical releases you have signed. Ask if you have any questions about how your file is kept secure.This record is needed to provide you with quality care and to comply with certain legal and ethical requirements. This notice applies to all of the records of your care generated by Krista Doubleday Counseling. This notice will tell you about the ways in which Mindful Glimmer Counseling may use and disclose health information about you, your rights to the health information, and certain obligations regarding the use and disclosure of your health information. Krista Doubleday, LCPC at Krista Doubleday Counseling is required by law to: • Make sure that protected health information (“PHI”) that identifies you is kept private. • Give you this notice of my legal duties and privacy practices with respect to health information. • Follow the terms of the notice that is currently in effect. • Krista Doubleday Counseling can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request in the office and in your patient portal. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: *** This is a copy of Krista Doubleday Counseling’s Privacy Policies for web use only per HIPAA regulations. It is not an official agreement between the viewer and Krista Doubleday Counseling. Signed copies of this are available for current and past clients via their SimplePractice client portal***