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PRIVACY PRACTICES

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We are required by law to make sure that information about your health (your “Information”) is kept private and to give you notice of our legal duties and privacy practices with respect to your Information. (If you are the parent or legal guardian of a child we are treating, “Information” means information about the child’s health and “authorization” means written permission of the child’s parent or legal guardian.)

Primary Rule: We don’t use or disclose your Information without your prior authorization.

Exception 1: Our internal use - We can use and disclose your Information to carry out treatment, to (as needed) consult with other clinicians in order to assist in diagnosis and treatment of your condition, and to train and supervise other practitioners to help them improve their skills. Where feasible, we will change or redact details to protect your identity. - We can use and disclose your Information to run our operations and to facilitate billing. We will send appointment reminders, monthly statements, and superbills to the email address you provide.  - We can use and disclose your Information to defend ourselves if you bring a lawsuit.

EXCEPTION 2: As required by law - We will disclose your Information to comply with mandatory-reporting requirements (including suspected abuse of a child, elder, or dependent adult) or to prevent/reduce a serious threat to someone’s health or safety. - We will disclose your Information as required to comply with a court order. We will ask the litigating parties to accept a summary limited to pertinent information and ask the court to protect the Information from entry in public records.  - We will disclose your Information as requested by a governing agency or licensing authority (e.g., Health and Human Services). - We will disclose your Information to assist law enforcement (if a crime occurs on our premises) and medical examiners performing their duties.

EXCEPTION 3 - In an emergency - We can use or disclose your Information to protect your health and wellbeing in the event of emergency (or if we, in good faith, perceive an emergency).

You have the following privacy rights:

1. You have the right to request non-disclosure of your Information for treatment, payment, or operational purposes – we can say “no” if we believe that would adversely affect your health care.

2. You have the right, if you pay in full out-of-pocket, to request restrictions on disclosures of your Information to insurance companies and other health care practitioners.

3. You have the right to have us contact you in a specific way (e.g., to only call your cellphone) – we will agree to any reasonable request.

4. You have the right to receive an electronic or paper copy of your Information (not including any psychotherapy notes), to request details of when we have disclosed your Information (other than internal uses described above).

5. You have the right to request an alteration to your Information – if we reject your alteration, we will explain within 60 days of your request.

6. You have the right to receive this Notice by email, by paper copy, or both.

7. You have the right to complain to the Department of Health and Human Services and/or to us if you believe your rights have been violated.

To contact us for more information or to make a complaint: 3249 Hennepin Ave, Suite 215, Minneapolis, MN 55408 or 651-321-1515 or help@bothsidesmn.com.

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The effective date of these privacy practices is December 1, 2024.

These privacy practices can be revised at any time (the state licensing board promulgates the patient bill of rights). Revised practices are effectively immediately after they are emailed to you (using the email address you provided). If you don’t wish to be bound by the updated privacy practices, you must inform us before your next therapy session so we can begin transitioning you to a new provider.