HIPAA Notice of Privacy Practices

Effective Date: [10/13/25]

This Notice describes how your health information may be used and disclosed, and how you can access that information. Please review it carefully.

1. Your Protected Health Information (PHI)

When you receive therapy services from Dr. Horner, certain personal and health information is collected and stored. This information is protected under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

2. How We May Use & Disclose Your Information

Your PHI may be used or disclosed for the following purposes:

  • Treatment: To provide, coordinate, or manage your care.

  • Payment: To obtain payment for services rendered.

  • Healthcare Operations: For administrative tasks that support service delivery.

Other uses or disclosures will require your written authorization, such as releasing records to another provider or sharing information with family members.

3. Your Rights Under HIPAA

You have the right to:

  • Access and obtain copies of your clinical record.

  • Request corrections to your health information.

  • Request restrictions on how information is shared.

  • Receive an accounting of certain disclosures.

  • Request confidential communication by alternative means.

  • File a complaint if you believe your privacy rights have been violated.

Requests can be made in writing to Dr. Horner at the contact information below.

4. Limits to Confidentiality

Certain circumstances require disclosure by law or ethical obligation, such as:

  • If there is a risk of serious harm to yourself or others.

  • If there is suspected abuse or neglect of a child, elderly, or disabled person.

  • When records are requested by court order.

These exceptions are rare and will be handled with sensitivity and professionalism.

5. Safeguarding Your Information

Your information is stored in secure, HIPAA-compliant electronic systems. Only authorized personnel have access to your records.

6. Telehealth & Digital Communication

Telehealth sessions are conducted via encrypted, HIPAA-compliant platforms. Emails or text messages used for scheduling are not fully secure; therefore, sensitive information should not be transmitted through them.

7. Complaints or Concerns

If you believe your privacy rights have been violated, you may contact Dr. Horner directly or file a complaint with:
U.S. Department of Health and Human Services, Office for Civil Rights
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
Phone: 1-800-368-1019

You will not be retaliated against for filing a complaint.

8. Contact Information

Dr. Evalie Horner, PhD
Email: [Insert Email Address]
Phone: (303) 622-1142
Location: Boulder, Colorado