HIPAA Notice of Privacy Practices
Effective Date: February 2025
1. Introduction
This Notice describes how your protected health information (PHI) may be used and disclosed and how you can access your information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Please review this notice carefully.
2. Your Rights
You have the right to:
Request access to your medical and therapy records.
Request corrections to your records if you believe they are inaccurate.
Receive a copy of this notice upon request.
Request restrictions on how we use or share your information (though we may not always be able to accommodate these requests).
Request confidential communications (e.g., specifying how we contact you).
File a complaint if you believe your privacy rights have been violated.
3. How We May Use and Share Your Information
We may use and share your PHI in the following ways:
For Treatment – To provide you with therapy services.
For Payment – To bill you or your insurance provider for services rendered.
For Healthcare Operations – To improve quality of care and manage our practice.
As Required by Law – To comply with legal obligations, such as reporting abuse or responding to court orders.
With Your Authorization – Any other disclosures will require your written consent.
4. Our Responsibilities
We are required by law to:
Maintain the privacy and security of your PHI.
Notify you in case of a breach affecting your information.
Follow the terms of this notice and update it as necessary.
5. Contact Information
If you have questions about this notice or your rights, please contact: Sibila Jahangiri, sibila@therapywithsibila.com
6. Updates to This Notice
We may update this Notice of Privacy Practices at any time. The revised version will be posted on our Website and available upon request.