Clarity Counseling, LLC
Effective date: October 1, 2026
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.
1. Who Follows This Notice
This Notice applies to Clarity Counseling, LLC and to everyone who provides services for the practice, including employed staff, independent contractor clinicians, and business associates acting on our behalf.
2. How We May Use and Share Your Health Information Without Your Written Authorization
Treatment. We use your information to provide and coordinate your care. For example, with your knowledge we may share relevant history with a prescriber you are also seeing, or with another clinician in the practice who is covering for your therapist.
Payment. We use your information to bill for services and be paid. For example, we send your health plan a claim that includes your dates of service, the type of service, and a diagnosis.
Health care operations. We use your information to run the practice. For example, we review records to check quality of care, to train staff, and to handle billing questions.
We may also use or share your information without your authorization when the law requires or permits it, including:
- When required by law.
- For public health activities, such as reporting disease or a reaction to a medication.
- To report suspected abuse, neglect, or exploitation, as Kansas law requires.
- For health oversight activities such as licensing board audits or investigations.
- In response to a court order, subpoena, or other lawful process, subject to the protections that apply to mental health records.
- To law enforcement, in the limited circumstances the law allows.
- To coroners, medical examiners, and funeral directors.
- For research, where an approved process protects your information.
- To prevent a serious and imminent threat to your health or safety, or that of another person.
- For workers’ compensation claims, military or veteran activities, and national security, where the law allows.
- To a family member, friend, or personal representative involved in your care, as the law allows or as you agree.
3. Uses That Always Require Your Written Authorization
- Psychotherapy notes, except in the narrow circumstances the law allows. Psychotherapy notes are kept separate from the rest of your record.
- Marketing communications.
- Any sale of your information.
- Most other uses not described in this Notice.
You may revoke an authorization in writing at any time. Revoking it does not undo anything we already did while relying on it.
4. Your Rights
| You have the right to | What that means |
|---|---|
| See and get a copy of your record | Including an electronic copy where we keep it electronically. We may charge a reasonable, cost-based fee. |
| Ask us to correct your record | We will respond in writing. If we deny the request, you may file a statement of disagreement. |
| Ask for confidential communication | You may ask us to contact you a certain way, or at a certain address or number. |
| Ask us to limit what we use or share | We are not required to agree, except as noted in the next row. |
| Restrict disclosure to your health plan | If you pay in full out of pocket for a service, you may tell us not to share information about it with your plan. We must agree. |
| Get a list of disclosures | An accounting of certain disclosures we made in the six years before your request. |
| Get a paper copy of this Notice | Even if you agreed to receive it electronically. |
| Be notified of a breach | We will tell you if your unsecured information is breached. |
| Choose someone to act for you | A personal representative with legal authority may exercise these rights for you. |
To exercise any right, contact us using the information in Section 7.
5. Our Responsibilities
- We are required by law to protect the privacy and security of your health information.
- We are required to give you this Notice and to follow the terms currently in effect.
- We will tell you promptly if a breach compromises the privacy or security of your information.
- We will not use or share your information other than as described here unless you tell us in writing that we may.
6. 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 and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or at www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.
7. How to Reach Us
| Privacy Officer | Cara McBride, Privacy Officer |
| Phone | 913-486-4455 |
| Secure message or email | SimplePractice secure messaging (through your Client Portal) |
| Clarity Counseling, LLC, 4701 College Blvd., Suite 209, Leawood, Kansas 66211 |
8. Kansas and Other Laws
Where Kansas law or another applicable law gives your information greater protection than HIPAA, we follow the stronger protection. This includes state requirements for mental health records and for releasing information about minors.
9. Changes to This Notice
We may change this Notice at any time. Changes apply to information we already have as well as information we receive in the future. The current Notice is posted in our office, given to you at your first appointment, and available at claritycounselingkc.com. The effective date appears at the top of this Notice.