Privacy Policy
NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Last Updated: June 11, 2026
OVERVIEW
This Notice of Privacy Practices ("Notice") describes how Restore Reclaim Therapy LLC ("Practice, " "we," "us," or "our") may use and disclose your protected health information ("PHI") and explains your rights regarding that information.
We understand that your health information is personal, and we are committed to protecting your privacy. We create and maintain records of the care and services you receive so we can provide quality treatment and comply with legal requirements.
We are required by law to:
• Maintain the privacy and security of your protected health information.
• Provide you with this Notice of our legal duties and privacy practices regarding your health
information.
• Notify you if a breach occurs that may compromise the privacy or security of your information.
• Follow the terms of the Notice currently in effect.
We reserve the right to change our privacy practices and the terms of this Notice at any time. Any revised Notice will apply to all protected health information we maintain. The most current version will be available upon request.
HOW YOUR INFORMATION MAY BE USED AND DISCLOSED
We may use and disclose your health information for purposes of treatment, payment, and
health care operations without obtaining your written authorization.
Treatment
We may use and disclose your health information to provide, coordinate, or manage your health
care and related services.
Examples include:
• Referring you to another healthcare provider or specialist.• Consulting with another healthcare professional regarding your care.
• Coordinating treatment with other providers involved in your care when appropriate and
authorized by law.
Payment
We may use and disclose your health information to obtain payment for services provided to
you.
Examples include:
• Verifying insurance coverage and benefits.
• Submitting claims to your health insurance company.
• Collecting payment for services rendered.
Health Care Operations
We may use and disclose your health information to support the operation of our practice and
improve the quality of care provided.
Examples include:
• Quality assessment and improvement activities.
• Reviewing treatment procedures and documentation.
• Compliance and auditing activities.
• Business planning and administrative functions.
USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION
Except as described in this Notice, we will obtain your written authorization before using or
disclosing your health information.
Your written authorization is generally required for:
• Most uses and disclosures of psychotherapy notes.
• Marketing activities not otherwise permitted by law.
• Any disclosure that constitutes the sale of protected health information.
You may revoke your authorization at any time in writing, except to the extent that action has already been taken in reliance upon it.
USES AND DISCLOSURES WITHOUT AUTHORIZATION
The law permits or requires certain disclosures without your authorization, including:
Emergencies
We may disclose information when necessary to address a serious or imminent threat to your
health or safety or the health or safety of another person.
Required by Law
We may disclose information when required by federal, state, or local law.
Judicial and Administrative Proceedings
We may disclose information in response to a court order, subpoena, or other lawful process as
permitted by law.
Public Health Activities
We may disclose information to public health authorities for activities such as preventing or controlling disease, injury, or disability.
Abuse, Neglect, or Domestic Violence
We may disclose information when required or permitted by law to report suspected abuse, neglect, or domestic violence.
Health Oversight Activities
We may disclose information to governmental agencies responsible for oversight of the healthcare system, licensing, audits, investigations, and inspections.
Law Enforcement
We may disclose information to law enforcement officials under certain circumstances permitted by law.
Business Associates
We may share information with trusted third-party service providers who perform services on our behalf, such as billing, record management, secure technology services, or administrative support. These providers are required by law and contract to safeguard your information.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
Right to Inspect and Obtain CopiesYou have the right to inspect and obtain a copy of your health information, with certain limited
exceptions. Requests must be submitted in writing.
Right to Request Amendment
You have the right to request that we amend information you believe is inaccurate or incomplete. Requests must be submitted in writing and include the reason for the requested amendment.
Right to an Accounting of Disclosures
You have the right to request a list of certain disclosures we have made of your health information for purposes other than treatment, payment, or healthcare operations.
Right to Request Restrictions
You have the right to request restrictions on how your information is used or disclosed. While we are not required to agree to most requested restrictions, we will comply with any restriction required by law.
Right to Request Confidential Communications
You have the right to request that we communicate with you in a specific manner or at a specific location. We will accommodate reasonable requests whenever possible.
Right to Receive a Paper Copy of This Notice
You have the right to receive a paper copy of this Notice, even if you agreed to receive it electronically.
Right to File a Complaint
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and
Human Services.
To file a complaint with the Practice, contact:
Privacy Officer
Restore Reclaim Therapy LLC
Email: restorereclaimtherapy@gmail.com
Phone: 619-257-3858
You will not be retaliated against for filing a complaint.
EMAIL, TEXT, AND ELECTRONIC COMMUNICATIONS
Protecting the privacy and confidentiality of your health information is important to us. Please be aware that standard email communication is not considered a secure or confidential method of communication and may be vulnerable to unauthorized access, interception, or disclosure.
For matters related to your care, scheduling, billing, or clinical concerns, clients are requested to communicate through the secure Electronic Health Record (EHR) patient portal messaging system or by telephone. These methods provide greater protection for your personal and health information.
Some clients prefer to communicate through EHR messaging or text messaging. While we make reasonable efforts to protect your privacy, electronic communications may not always be secure.
By choosing to communicate through EHR messaging or text message, you acknowledge the potential privacy risks associated with these forms of communication. Electronic communications may become part of your clinical record.
Please do not use email or text messaging for urgent or emergency situations. If you are experiencing a medical or mental health emergency, call 911 or go to the nearest emergency room.
CONTACT INFORMATION
If you have questions regarding this Notice or your privacy rights, please contact:
Restore Reclaim Therapy LLC
Email: restorereclaimtherapy@gmail.com
Phone: 619-257-3858
Effective Date: June 11, 2026