Notice of Privacy Practices

For Current Clients:

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

RoseBloom Therapy is required by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of Privacy Practices, and follow the privacy practices described in this notice. Protected Health Information (PHI) includes information created or received during the course of your treatment that identifies you and relates to your past, present, or future physical or mental health, the provision of healthcare, or payment for healthcare services.

How Your Information May Be Used and Disclosed

Federal law allows your Protected Health Information to be used or disclosed without your written authorization in certain circumstances.

For Treatment

Your information may be used to provide, coordinate, or manage your treatment. This may include consultation with other healthcare professionals involved in your care when appropriate and permitted by law.

For Payment

Your information may be used to obtain payment for services, including billing insurance companies, processing payments, or collecting outstanding balances.

For Healthcare Operations

Your information may be used for activities necessary to operate the practice, including quality improvement, licensing, accreditation, training, business management, and other administrative functions.

RoseBloom Therapy may use HIPAA-compliant technology vendors, electronic health record systems, secure communication platforms, and payment processors that function as HIPAA Business Associates to assist with these operations.

Uses and Disclosures Required or Permitted by Law

Your information may also be disclosed without your authorization when required or permitted by law, including:

  • reporting suspected child abuse or neglect;

  • reporting abuse, neglect, or exploitation of elders or dependent adults;

  • preventing or reducing a serious and imminent threat to health or safety;

  • complying with court orders or other lawful legal processes;

  • responding to certain law enforcement requests;

  • public health reporting;

  • health oversight activities;

  • workers' compensation claims;

  • coroner or medical examiner investigations; and

  • other situations required by federal or state law.

Whenever possible, only the minimum necessary information will be disclosed.

Uses Requiring Your Written Authorization

Most disclosures outside those described above require your written authorization.

Examples include:

  • communicating with family members or other individuals not otherwise involved in your care;

  • sharing information with employers;

  • releasing records to attorneys (unless otherwise required by law);

  • sending records to schools or other organizations; and

  • most other disclosures not specifically permitted by HIPAA.

You may revoke your authorization at any time in writing, except to the extent that action has already been taken in reliance upon it.

Your Rights Regarding Your Health Information

You have the right to:

  • Inspect and Receive Copies of Your Records

    • You may request access to your treatment records, subject to limitations permitted by law.Psychotherapy notes, as defined by HIPAA, receive special protection and generally are not available for inspection or copying.

  • Request Amendments

    • If you believe information in your record is inaccurate or incomplete, you may request that it be amended. A request may be denied under circumstances permitted by law.

  • Request Restrictions

    • You may request restrictions on certain uses or disclosures of your information. Although every request will be considered carefully, the practice is not required to agree to every requested restriction.

  • Request Confidential Communications

    • You may request that communications be sent to a different address, phone number, email address, or by another reasonable method. Reasonable requests will be accommodated whenever possible.

  • Receive an Accounting of Disclosures

    • You may request a list of certain disclosures made outside treatment, payment, and healthcare operations, as provided by HIPAA.

  • Receive a Paper Copy of this Notice

    • You have the right to receive a paper or electronic copy of this Notice at any time.

Electronic Records & Technology

RoseBloom Therapy maintains electronic health records using HIPAA-compliant systems.

The practice may utilize HIPAA-compliant technology to assist with scheduling, secure communication, documentation, payment processing, and other administrative functions.

Clinical documentation may be assisted by secure technology vendors operating under Business Associate Agreements (BAAs). All clinical documentation is reviewed and approved by the treating therapist before becoming part of your medical record.

Our Responsibilities

RoseBloom Therapy is required to:

  • maintain the privacy of your Protected Health Information;

  • provide you with this Notice;

  • follow the privacy practices described in this Notice;

  • notify you following certain breaches of unsecured Protected Health Information as required by law; and

  • obtain your authorization whenever required by HIPAA before using or disclosing your information.

Changes to This Notice

RoseBloom Therapy reserves the right to change this Notice at any time.

Any revised Notice will apply to all Protected Health Information maintained by the practice and will be made available upon request and through the client portal.

Questions or Complaints

If you have questions about this Notice or believe your privacy rights have been violated, you are encouraged to contact:

RoseBloom TherapyVictoria Leon, Licensed Clinical Social Worker, PCCalifornia LCSW #130413 | Colorado LCSW #CSW.09931870

RoseBloom Therapyadmin@rosebloomtherapy.com

You also have the right to file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. Filing a complaint will not affect your treatment or result in retaliation.

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