NOTICE OF PRIVACY PRACTICES
Effective Date: May 27, 2026
THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Purpose of This Notice
Mind Balance Psychotherapy is committed to protecting the privacy and confidentiality of your protected health information (“PHI”). This Notice of Privacy Practices describes how your health information may be used and disclosed, your rights regarding your information, and this practice’s legal responsibilities.
How Your Information May Be Used & Disclosed
Your protected health information may be used or disclosed for the following purposes:
Treatment
Information may be used to provide, coordinate, or manage your mental health treatment and related services.
Payment
Information may be used to obtain payment for services rendered, including insurance billing, payment processing, and collections when applicable.
Healthcare Operations
Information may be used for business operations such as scheduling, quality assurance, supervision, training, compliance, and administrative functions.
Required by Law
Information may be disclosed when required by federal or state law.
Risk of Harm
Information may be disclosed if necessary to reduce a serious threat to your health or safety or the safety of another person.
Abuse or Neglect
Information may be disclosed when reporting suspected abuse, neglect, or exploitation as required by law.
Court Orders & Legal Proceedings
Information may be disclosed pursuant to valid court orders, subpoenas, or other legal processes consistent with applicable law.
Uses & Disclosures Requiring Authorization
Certain disclosures require your written authorization, including most disclosures related to:
Psychotherapy notes
Marketing purposes
Sale of protected health information
Certain releases to third parties
You may revoke an authorization in writing at any time unless action has already been taken in reliance upon it.
Your Rights
You have the right to:
Request access to your records
Request corrections or amendments to your records
Request restrictions on certain disclosures
Request confidential communications
Receive an accounting of certain disclosures
Receive a paper or electronic copy of this notice
File a complaint without retaliation
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Mind Balance Psychotherapy
admin@mindbalancepsychotherapy.com
312-945-0154
You may also file a complaint with the U.S. Department of Health & Human Services.
You will not be penalized or retaliated against for filing a complaint.
Electronic Communication & Telehealth
This practice may utilize electronic communication methods and HIPAA-compliant third-party platforms, including SimplePractice, for scheduling, secure messaging, billing, client portal services, and telehealth.
While reasonable efforts are made to protect confidentiality, electronic communication may involve certain security risks.
Practice Responsibilities
This practice is required by law to:
Maintain the privacy of your protected health information
Provide you with this Notice of Privacy Practices
Abide by the terms currently in effect
Notify affected individuals in the event of certain breaches of unsecured protected health information
Changes to This Notice
This practice reserves the right to modify this Notice of Privacy Practices at any time. Updated versions will be posted on the website and made available upon request.
Contact Information
Mind Balance Psychotherapy
admin@mindbalancepsychotherapy.com
312-945-0154
WEBSITE DISCLAIMER
Effective Date: May 27, 2026
Informational Purposes Only
The content on this website is provided for informational and educational purposes only and is not intended to serve as medical advice, mental health advice, diagnosis, or treatment.
Viewing this website, reading its content, or communicating through this website does not establish a therapist-client relationship.
No Therapist-Client Relationship
A therapist-client relationship is only established after completion of appropriate intake procedures, informed consent documentation, and mutual agreement between clinician and client.
Submitting a contact form, scheduling a consultation, sending an email, or leaving a voicemail does not automatically establish a therapeutic relationship.
Emergency & Crisis Disclaimer
This practice does not provide emergency or crisis services through this website, email, contact forms, or voicemail.
If you are experiencing a mental health emergency, are in crisis, or believe you may harm yourself or others, call 911, go to your nearest emergency room, or contact 988, the Suicide & Crisis Lifeline.
Electronic Communication Risks
While efforts are made to maintain secure communications, information transmitted electronically may not always be fully secure.
Please avoid sending highly sensitive or urgent information through website forms or standard email.
External Links
This website may contain links to third-party websites or resources for convenience. This practice does not control or guarantee the accuracy, privacy practices, or content of third-party websites.
No Guarantee of Results
Therapy outcomes vary based on many individual factors. No guarantees are made regarding specific results or outcomes from services provided.
Geographic & Licensure Limitations
Services are only available to individuals located in states in which the clinician is legally authorized or licensed to practice.
Contact Information
Mind Balance Psychotherapy
admin@mindbalancepsychotherapy.com
312-945-0154