Notice of Privacy Practices

Effective Date: August 25, 2026

Your Information. Your Rights. Our Responsibilities.

This notice describes how health information about you may be used and disclosed and how you can obtain access to that information. Please review it carefully.

Your Rights

You have the right to:

Obtain a copy of your health record

You may ask to inspect or receive an electronic or paper copy of your health record and other health information maintained by this practice. A reasonable, cost-based fee may apply where permitted by law.

In most circumstances, the requested information will be provided within the time required by applicable law.

Ask for a correction

You may ask for information in your record to be corrected if you believe it is incorrect or incomplete. The request may be denied in some circumstances, but you will receive an explanation.

Request confidential communications

You may ask to be contacted in a particular way or at a particular location. Reasonable requests will be accommodated.

Ask for limits on use or disclosure

You may ask the practice not to use or disclose certain health information for treatment, payment, or health care operations. The practice is not required to agree to every request.

If you pay for a service completely out of pocket and ask that information about that service not be disclosed to your health plan for payment or health care operations, the practice will honor the request unless disclosure is required by law.

Receive an accounting of disclosures

You may request a list of certain disclosures of your health information made during the applicable period before your request. The list will not include every use or disclosure, such as disclosures made for treatment, payment, or health care operations.

Receive a copy of this notice

You may request a paper or electronic copy of this notice at any time, even if you previously agreed to receive it electronically.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian or authorized personal representative, that person may exercise your rights when permitted by law.

File a complaint

You may file a complaint if you believe your privacy rights have been violated. You will not be retaliated against or denied services for filing a complaint.

To file a complaint with this practice, contact:

Privacy Officer: Shelby Decker, LCSW
Where You Are Therapy, LLC
Phone: 850-564-6177
Email: whereyouaretherapy@gmail.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights through the OCR Complaint Portal.

Our Uses and Disclosures

Health information may generally be used or disclosed for the following purposes:

Treatment

Information may be used and shared with other professionals involved in your care when permitted by law.

Example: With appropriate permission or when otherwise legally permitted, information may be shared with another treating health care provider to coordinate care.

Payment

Information may be used and shared to bill and obtain payment from health plans or other responsible parties.

Example: Information may be provided to an insurance company to support a claim for therapy services.

Health care operations

Information may be used and shared to operate the practice, improve services, conduct quality review, manage business functions, and meet professional obligations.

Example: Information may be used to review the quality and effectiveness of services.

Other Uses and Disclosures Permitted or Required by Law

Health information may be used or disclosed without written authorization in circumstances permitted or required by law, including:

  • Reporting suspected abuse, neglect, exploitation, or domestic violence

  • Preventing or reducing a serious and imminent threat to health or safety

  • Complying with public health activities

  • Responding to health oversight activities

  • Complying with workers’ compensation requirements

  • Responding to certain judicial, administrative, or law-enforcement requests

  • Working with medical examiners, coroners, or funeral directors

  • Complying with other applicable federal or state laws

Only information reasonably necessary for the permitted purpose will be disclosed when the minimum-necessary standard applies.

Uses Requiring Written Authorization

Written authorization generally will be obtained before:

  • Using or disclosing psychotherapy notes, except where otherwise permitted by law

  • Using information for most marketing purposes

  • Selling protected health information

  • Making other uses or disclosures not described in this notice or otherwise permitted by law

You may revoke an authorization in writing at any time. Revocation will not affect actions already taken in reliance on the authorization.

Additional protections may apply to certain substance-use-disorder treatment records, HIV-related information, and other specially protected information. When those protections apply, the practice will follow the applicable law.

Our Responsibilities

Where You Are Therapy, LLC is required to:

  • Maintain the privacy and security of protected health information

  • Follow the duties and privacy practices described in the current notice

  • Provide you with a copy of this notice

  • Notify affected individuals following a breach of unsecured protected health information when notification is required

  • Limit uses and disclosures to those permitted or required by law

  • Refrain from retaliating against anyone for exercising a privacy right or filing a complaint

Changes to This Notice

The terms of this notice may be changed. A revised notice may apply to all information maintained by the practice, including information created or received before the revision.

The current notice will be available on the practice website and upon request.

Questions

For questions about this notice or your privacy rights, contact:

Shelby Decker, LCSW
Where You Are Therapy, LLC
Florida License SW25954
Phone: 850-564-6177
Email: whereyouaretherapy@gmail.com