Notice of Privacy Practices (HIPAA)

Effective Date: 1/29/2026

1. Our Legal Duty

Everwell Counseling Center is required by law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of this Notice.

We reserve the right to change the terms of this Notice and make the new Notice effective for all PHI we maintain. Updated Notices will be available upon request and posted on our Website.

2. Uses and Disclosures for Treatment, Payment, and Operations

Treatment:

We may use and disclose your PHI to provide, coordinate, or manage your mental health care and related services.

Payment:

We may use and disclose your PHI to obtain payment for services rendered, including providing information for billing or reimbursement purposes.

Healthcare Operations:

We may use and disclose your PHI for practice operations, quality assessment, training, and administrative activities.

3. Other Permitted and Required Uses

We may use or disclose your PHI without authorization for purposes including:

• Public health and safety activities
• Health oversight activities
• Legal proceedings and law enforcement requests
• Abuse, neglect, or domestic violence reporting
• Serious threats to health or safety
• Workers’ compensation claims

4. Uses and Disclosures Requiring Authorization

Any use or disclosure of your PHI not described in this Notice requires your written authorization, except as otherwise permitted by law.

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

5. Your Rights Regarding Your Health Information

• Right to Inspect and Copy: You may request access to your health records.
• Right to Amend: You may request corrections to inaccurate information.
• Right to Accounting of Disclosures: You may request a list of certain disclosures.
• Right to Request Restrictions: You may request limits on certain uses or disclosures.
• Right to Request Confidential Communications: You may request alternative communication methods.
• Right to Receive a Copy of This Notice: You may request a paper or electronic copy.

6. Breach Notification

In the event of a breach involving unsecured PHI, we will notify you as required by applicable law.

7. Complaints

If you believe your privacy rights have been violated, you may file a complaint with Everwell Counseling Center or with the U.S. Department of Health and Human Services.

You will not be retaliated against for filing a complaint.

8. Contact Information

Privacy Officer

Everwell Counseling Center

8151 E Evans Road Ste 9
Scottsdale, AZ 85260

Phone: (623) 698-6892

Website: https://everwellcounselingcenter.com

U.S. Department of Health and Human Services:
https://www.hhs.gov/ocr/privacy/hipaa/complaints/

9. Acknowledgment

By receiving services from Everwell Counseling Center, you acknowledge that you have received and reviewed this Notice of Privacy Practices.

Completion of a form does not create a therapist-client relationship. Your form may not be reviewed for 48 business hours and should not be utilized for outreach during a time of crisis. If you are experiencing an emergency or behavioral health crisis, including thoughts of harming yourself, please call 911 or 988.