Table of Contents
- Our Legal Duties
- About the Provider and Supervision
- What Information We Protect
- How We May Use or Share Your Information
- When Disclosure Is Required by Arizona Law
- Uses That Require Your Written Permission
- Telehealth and Electronic Communication
- Your Rights
- Record Retention
- How We Protect Your Information
- Changes to This Policy
Our Legal Duties
Under federal and Arizona law, we are required to:
- Protect the privacy of your Protected Health Information (PHI)
- Give you this Privacy Policy
- Follow the terms of this notice
This policy applies to all records related to your care, whether created by your counselor, supervisor, or authorized personnel.
About the Provider and Supervision
Counseling services are provided by:
Kaitlyn Hindes, Licensed Associate Counselor (LAC)
Arizona License #: LAC-20507
Under the clinical supervision of:
Shawn Backs, Licensed Professional Counselor (LPC)
Arizona License #: LPC-16512
What Supervision Means for You
Arizona law requires Licensed Associate Counselors to work under supervision. This means:
- The supervising LPC has full access to clinical records
- Records may be reviewed for supervision, training, ethical oversight, and legal compliance
- The supervising LPC shares professional responsibility for your care
- Both the LAC and LPC are required to protect your confidentiality under HIPAA and Arizona law
What Information We Protect
Protected Health Information (PHI) includes information that identifies you and relates to your counseling services, such as:
- Intake paperwork and assessments
- Diagnoses and treatment plans
- Progress notes
- Appointment information
- Billing or insurance records
- Telehealth session information
- Communications related to your care
Psychotherapy Notes
Psychotherapy notes are kept separate from your general clinical record and receive extra protection under the law. These notes are not shared without your written permission, except when required by law.
How We May Use or Share Your Information
For Treatment
We may use or share information to:
- Provide counseling services
- Consult with the supervising LPC
- Coordinate care with other healthcare providers involved in your treatment
For Payment
We may use or share information for:
- Billing and payment processing
- Insurance claims or eligibility checks
- Collections, if necessary
For Practice Operations
We may use information for:
- Required clinical supervision
- Quality assurance
- Practice management
- Legal or ethical reviews
When Disclosure Is Required by Arizona Law
We may be required to share information without your permission in certain situations, including:
- Reporting abuse or neglect of a child, vulnerable adult, or disabled person
- When there is a serious and immediate threat of harm to you or others
- Court orders, subpoenas, or legal proceedings
- Licensing board investigations or audits
Uses That Require Your Written Permission
Your written authorization is required before we share information for purposes such as:
- Release of information to employers
- Release to schools
- Disclosure to attorneys (unless court-ordered)
- Any non-treatment-related disclosures
You may revoke your authorization in writing at any time.
Telehealth and Electronic Communication
If telehealth or electronic communication is used:
- We use HIPAA-compliant platforms
- No electronic system is completely risk-free
- Email and text messaging may not be fully secure
- You are responsible for maintaining privacy on your end (private location, secure device)
By using telehealth services, you acknowledge and accept these risks.
Your Rights
You have the right to:
- Access your records
Request copies of your records (reasonable fees may apply) - Request corrections
Ask us to correct information you believe is inaccurate - Request limits
Ask us to limit how your information is used or shared - Request confidential communication
Ask us to contact you in a specific way or location - Receive a list of disclosures
Request an accounting of certain disclosures - File a complaint
Without fear of retaliation
Requests must be submitted in writing.
Record Retention
In accordance with Arizona professional standards:
- Adult records are kept for at least 7 years after the last session
- Minor records are kept for at least 7 years after the minor turns 18
How We Protect Your Information
We use reasonable safeguards to protect your information, including:
- Secure electronic record systems
- Locked physical storage
- Access controls
- Ongoing supervision and training
Changes to This Policy
We may update this Privacy Policy from time to time. The most current version will always be available on our website and upon request.
