Notice of Privacy Practices

Effective date: December 22, 2025

Generations Mental Health and Wellness PLLC ("we," "us") is committed to protecting your protected health information ("PHI"). This Notice explains how we may use and disclose your PHI, your rights regarding your PHI, and our legal responsibilities.

By law, we must: (1) maintain the privacy of your PHI; (2) provide you with this Notice of our legal duties and privacy practices; and (3) follow the terms of the Notice currently in effect.

How We May Use and Disclose Your Information

We may use or disclose your PHI without your written authorization for the following purposes:

1. Treatment. To provide, coordinate, or manage your mental health care, including telemedicine or in-person appointments.
2. Payment. To obtain payment for services, including insurance billing and prior authorizations.
3. Healthcare Operations. For administrative, quality-improvement, audit, training, and practice-management activities. We may use secure electronic tools and service providers, under appropriate agreements, to support healthcare operations such as documentation, billing, and scheduling.
4. Telemedicine Services. PHI may be shared as needed when providing telemedicine services. We use secure, HIPAA-compliant technology for all virtual appointments.
5. When Required by Law. We may disclose PHI when required by federal or state law.
6. Other Permitted Uses Without Authorization. These include public health and safety activities, mandatory reporting of abuse or neglect, health oversight activities, judicial or administrative proceedings, law enforcement purposes, preventing a serious threat to health or safety, and workers' compensation claims.
7. Appointment Reminders & Health Information. We may contact you with appointment reminders or with information about treatment alternatives or health-related benefits.

Authorization. Any use or disclosure of your PHI not described above requires your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already relied on it. We will never condition your treatment on whether you sign an authorization.

Your Rights Regarding Your Health Information

1. Right to Inspect and Copy. You may view or obtain copies of your PHI, with limited exceptions. Reasonable fees may apply.
2. Right to Request an Amendment. If you believe your PHI is incorrect or incomplete, you may request an amendment.
3. Right to an Accounting of Disclosures. You may request a list of certain disclosures of your PHI made in the past six years.
4. Right to Request Restrictions. You may request restrictions on how your PHI is used or disclosed. We are not required to agree, except that we must honor a request to restrict disclosures to your health plan when you have paid for a service in full out-of-pocket.
5. Right to Confidential Communications. You may request that we contact you in a specific way — for example, at an alternate phone number, email, or address. We will accommodate reasonable requests.
6. Right to a Paper Copy. You may request a paper copy of this Notice at any time, even if you previously received it electronically.

Breach Notification

If a breach occurs involving your unsecured PHI, we will notify you as required by federal law.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the U.S. Department of Health & Human Services, Office for Civil Rights (OCR): hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

Changes to This Notice

We may revise this Notice at any time. The updated Notice will apply to all PHI we maintain. The current version will always be posted on our website, and you may request a copy at any time.

Contact Us

If you have questions about this Notice or your privacy rights, please contact:

Ionatan Cauneac, ARNP, PMHNP-BC
Owner & Privacy Officer
Generations Mental Health and Wellness PLLC
Phone: (206) 923-8886
Email: info@…