Notice of Privacy Practices

Effective Date: August 28, 2026

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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.

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Your information. Your rights. My responsibilities.  This Notice applies to protected health information maintained by Lisa Paer through Therapy InsightOut. I use “health information” to mean information that identifies you and concerns your physical or mental health, treatment, or payment for care.

1. Your Rights

You may exercise the following rights by contacting me using the information near the end of this Notice. Some rights are subject to legal limitations, and I may ask you to make a request in writing.

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Get an electronic or paper copy of your record

You may ask to inspect or obtain a copy of your health information. I will ordinarily respond within the time required by law and may charge only a reasonable, cost-based fee permitted by law. Access to particular information may be limited as permitted by federal or California law.

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Ask me to correct your record

You may request correction of information you believe is inaccurate or incomplete. I may deny the request when the law allows, but I will explain the denial in writing. California law may also permit you to submit a written addendum for inclusion in the record.

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Request confidential communications

You may ask me to contact you in a particular way or at a particular location. I will agree to reasonable requests.

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Ask me to limit what I use or disclose

You may ask me not to use or disclose certain information for treatment, payment, or health care operations. I am not generally required to agree. If you pay in full out of pocket and ask me not to disclose that service to your health plan for payment or operations, I will agree unless disclosure is required by law.

Receive an accounting of certain disclosures

You may request a list of certain disclosures made during the six years before your request. The accounting does not include every disclosure, such as most disclosures for treatment, payment, operations, or those you authorized. One accounting in a 12-month period is free; a reasonable fee may apply to additional requests after advance notice.

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Receive this Notice

You may request a paper or electronic copy at any time, even if you previously received it in another form.

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Choose someone to act for you

A legally authorized personal representative may exercise your privacy rights. I will verify the person’s authority before acting.

File a complaint without retaliation

You may complain to me or to the U.S. Department of Health and Human Services if you believe your privacy rights were violated. I will not retaliate against you for filing a complaint.

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2. Your choices

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You may tell me your preferences about sharing information with family members, close friends, others involved in your care or payment for care, or a disaster-relief organization. I will follow your instructions when the law requires me to do so. If you cannot communicate your preference, I may use professional judgment to act in your best interest and disclose only information relevant to the person’s involvement.

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Written authorization is generally required for:

Marketing, sale of your health information, most uses or disclosures of psychotherapy notes, if any are maintained, and other purposes not described in this Notice or otherwise permitted by law. I do not sell protected health information or use it for fundraising.

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You may revoke an authorization

You may revoke a written authorization in writing at any time, except to the extent I have already acted in reliance on it or another legal limitation applies.

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3. How I may use or disclose your information

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HIPAA and California law allow or require some uses and disclosures without your written authorization. I will apply any conditions imposed by law and will limit information to what is reasonably necessary when the minimum-necessary rule applies.

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Treatment and care coordination

I may use your information to provide treatment and, when permitted by applicable law, consult or coordinate with other health professionals involved in your care.

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Payment

I may use or disclose information to collect payment, process claims, provide superbills at your request, or respond to lawful payment-related inquiries.

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Health care operations

I may use information to operate the practice, improve services, maintain records, comply with professional requirements, and perform administrative functions. Business associates—such as secure technology, record-storage, billing, or payment-service vendors—may receive limited information when needed to perform services for the practice and must safeguard it as required by law and contract.

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Communications with you

I may contact you for appointment reminders, scheduling, treatment alternatives, or other health-related services. You may request a different reasonable method of contact.

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Other uses or disclosures permitted or required by law

• Report suspected child abuse or neglect, or suspected abuse or neglect of an elder or dependent adult, when reporting is required by law.

• Prevent or lessen a serious threat to health or safety, including actions permitted or required when a serious threat of physical violence is communicated.

• Comply with public-health duties, health-oversight activities, workers’ compensation requirements, or other federal or state laws.

• Respond to lawful requests from courts, administrative bodies, law enforcement, or government agencies only when the requirements of applicable federal and California law have been met. A subpoena by itself does not necessarily authorize disclosure of mental health treatment information.

• Work with a coroner, medical examiner, funeral director, or organ-procurement organization when permitted by law.

• Conduct or support health research only when all applicable legal requirements and approvals are satisfied.

• Defend or respond to a legal claim, complaint, or proceeding involving my services or your mental or emotional condition, to the extent permitted or required by law.

• Provide information to the U.S. Department of Health and Human Services when it is investigating compliance with federal privacy law.

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Substance use disorder records

To the extent I receive or maintain substance use disorder treatment records from a program subject to 42 CFR Part 2, those records, or testimony describing their contents, will not be used or disclosed in a civil, criminal, administrative, or legislative proceeding against you unless you provide specific written consent or the disclosure is authorized by a qualifying court order entered after any required notice and opportunity to be heard and accompanied by a subpoena or similar legal mandate.

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4. California and mental-health privacy protections

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California law may protect mental health information more strictly than HIPAA. When California law provides greater protection, I will follow California law. In general, I will not disclose your mental health treatment information without written authorization unless the disclosure is otherwise permitted or required by applicable law. Psychotherapist-patient privilege and special rules governing subpoenas, access requests, and mandatory reporting may affect a particular request.

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5. My responsibilities

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• I am required by law to maintain the privacy and security of your protected health information.

• I will notify you as required by law if a breach occurs that may have compromised the privacy or security of your information.

• I must follow the duties and privacy practices described in the Notice currently in effect.

• I will not use or disclose your information other than as described here unless you authorize it in writing or the law otherwise permits or requires it.

• I use reasonable administrative, physical, and technical safeguards and require applicable business associates to protect information entrusted to them.

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Changes to this Notice

I may change this Notice and make the revised terms apply to all health information I maintain, including information created or received before the revision. The current Notice will be available upon request and on the Therapy InsightOut website.

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6. Questions and complaints

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For questions, requests, or complaints about privacy practices, contact:

Privacy contact: Lisa Paer - Therapy InsightOut

Telephone: 562-656-2696

Email: lisa@therapyinsightout.com

Role: Privacy Officer and contact person for this practice

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html, calling 1-877-696-6775, or writing to 200 Independence Avenue, S.W., Washington, D.C. 20201. I will not retaliate against you for filing a complaint.