Peace by Piece Concierge Therapy, LLC
Effective Date: July 27, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At Peace by Piece Concierge Therapy, LLC, we understand that your health information is personal. We are committed to protecting the privacy and confidentiality of your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable laws.
Our Commitment to Your Privacy
We are required by law to:
- Maintain the privacy of your Protected Health Information (PHI)
- Provide you with this Notice of Privacy Practices
- Follow the privacy practices described in this Notice
- Notify you if a breach of your unsecured PHI occurs as required by law
Protected Health Information includes information about your mental health, treatment, diagnosis, payment for services, and any information that identifies you.
How We May Use and Disclose Your Information
1. For Treatment
We may use or share your health information to provide, coordinate, or manage your treatment.
Examples include:
- Documenting therapy sessions
- Consulting with another healthcare provider involved in your care (when appropriate)
- Coordinating referrals
2. For Payment
We may use your information to:
- Verify insurance benefits
- Submit claims
- Obtain prior authorizations
- Process payments
- Collect balances owed
Insurance companies may receive information necessary to process your claims.
3. For Health Care Operations
We may use your information to:
- Improve the quality of our services
- Conduct quality assurance reviews
- Train staff
- Perform audits
- Meet licensing and accreditation requirements
- Manage our business operations
4. Appointment Reminders
We may contact you regarding:
- Upcoming appointments
- Appointment changes
- Scheduling reminders
- Administrative matters
Unless you instruct us otherwise, reminders may be sent by:
- Telephone
- Voicemail
- Secure client portal
- Text message (when authorized)
5. Individuals Involved in Your Care
With your permission, or when permitted by law, we may share relevant information with:
- Family members
- Caregivers
- Emergency contacts
You may tell us at any time not to share information with these individuals.
Uses That Require Your Written Authorization
Except as otherwise permitted or required by law, we will obtain your written authorization before:
- Releasing psychotherapy notes (except where permitted by law)
- Using your information for marketing purposes that require authorization
- Selling your health information
- Other disclosures not described in this Notice
You may revoke your authorization at any time in writing, except to the extent we have already relied on it.
Situations Where We May Disclose Information Without Authorization
HIPAA permits or requires disclosures in certain situations, including:
- When required by federal or state law
- To comply with court orders or legal proceedings
- To report suspected abuse or neglect
- To prevent or lessen a serious threat to health or safety
- To law enforcement when legally required
- For public health activities
- For workers’ compensation claims
- For certain government oversight activities
Your Rights Regarding Your Health Information
You Have the Right To:
Inspect and Obtain a Copy
You may request access to your health records and obtain copies as permitted by law.
Request an Amendment
If you believe information in your record is incorrect or incomplete, you may request an amendment.
We may deny certain requests but will explain the reason in writing.
Request Restrictions
You may request restrictions on how your information is used or disclosed.
Although we will consider every request, we are not required to agree to every restriction except where required by law.
Request Confidential Communications
You may request that we contact you:
- At a different address
- By a different telephone number
- Through another reasonable method
We will accommodate reasonable requests.
Receive an Accounting of Disclosures
You may request a list of certain disclosures we have made of your Protected Health Information, excluding disclosures made for treatment, payment, healthcare operations, and certain other exceptions permitted by HIPAA.
Receive a Paper Copy of This Notice
You have the right to receive a paper copy of this Notice at any time, even if you agreed to receive it electronically.
File a Complaint
You may file a complaint if you believe your privacy rights have been violated.
You may contact:
Peace by Piece Concierge Therapy, LLC
Phone: (302) 505-0466
Email: [Insert Practice Email]
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
You will not be penalized or retaliated against for filing a complaint.
Our Responsibilities
We are required to:
- Protect your health information
- Provide this Notice
- Notify you following a reportable breach of unsecured PHI
- Follow the practices described in this Notice
- Obtain your authorization when required
Electronic Communications
Peace by Piece Concierge Therapy uses electronic systems to support scheduling, billing, documentation, and client communication.
While we employ reasonable safeguards to protect your information, electronic communication carries inherent risks. We encourage clients to use our secure client portal for confidential communications whenever possible.
Telehealth Services
When participating in telehealth services, we use secure technology designed to protect your privacy.
Clients are encouraged to participate in telehealth sessions from a private location and to take reasonable steps to protect their own confidentiality during sessions.
Website and Online Store
This Notice applies to your Protected Health Information received as part of therapy services.
Information collected through our public website or online store is governed by our separate Website Privacy Policy.
Please do not submit confidential clinical information through website contact forms, online shopping pages, or email unless specifically instructed.
Changes to This Notice
We reserve the right to change this Notice at any time.
Updated versions will be posted on our website and will apply to all Protected Health Information maintained by Peace by Piece Concierge Therapy unless otherwise required by law.
Contact Information
Peace by Piece Concierge Therapy, LLC
📞 Phone: (302) 505-0466
📧 Email: admin@peacebypiececoncierge.com
🌐 Website: https://peacebypiececoncierge.com
Acknowledgment
Clients are encouraged to review this Notice carefully. A copy will be made available upon request and during the client onboarding process.
Effective Date: July 27, 2026