Privacy Policy
1. Introduction
At Singular Psychotherapy Center of DC, we prioritize the privacy and confidentiality of our clients. This Privacy Policy outlines how we collect, use, and protect your personal information in accordance with applicable privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA). By engaging with our services, you agree to the collection and use of information in accordance with this policy.
2. Information We Collect
We collect the following types of information from clients:
Personal Information: Name, address, email, phone number, date of birth, and other personally identifiable information necessary for providing services.
Health Information: Medical and mental health history, treatment plans, therapy session notes, diagnoses, medications, and other health-related information.
Payment Information: Credit card information, billing addresses, and any other data necessary to process payments. Credit card information is encrypted into our Electronic Health Record system, and we are only privy to the last four digits after your information is entered.
3. How We Use Your Information
The information we collect is used to:
Provide psychotherapy and mental health services.
Develop personalized treatment plans.
Schedule appointments and communicate with clients.
Process payments.
Maintain accurate medical and financial records.
Comply with legal and regulatory requirements.
4. Disclosure of Information
We do not share, sell, or disclose your personal or health information except in the following situations:
With Your Consent: We will share your information when you explicitly request or authorize us to do so using a Release of Information (ROI) form.
For Treatment Purposes: With your signed consent, we may collaborate with other healthcare professionals involved in your care.
For Payment: We may provide superbills to clients who wish to submit claims to their insurance providers directly.
Legal Requirements: We may disclose your information if required by law — for example, in cases of suspected child abuse, threats of harm to self or others, or as mandated by a court order.
Business Associates: We may share information with third-party service providers (such as our EHR system, note-taking platforms, and payment processors) under a Business Associate Agreement (BAA) that ensures confidentiality.
5. How We Protect Your Information
We take reasonable precautions to protect your personal and health information from unauthorized access, use, or disclosure. This includes:
Implementing secure electronic health record systems.
Encrypting sensitive data.
Limiting access to authorized personnel only.
Adhering to HIPAA standards for privacy and security.
6. Your Rights
As a client, you have the right to:
Access: Request copies of your personal and health information.
Amend: Request corrections or updates to inaccurate or incomplete information.
Restrict Use: Limit the use of your information for certain purposes.
Request Confidential Communications: Specify how and where we communicate with you.
File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services (HHS).
7. Cookies and Website Analytics
If you use our website, we may collect non-personal information via cookies and similar tracking technologies. This helps us improve your user experience. You may adjust your browser settings to refuse cookies.
8. Changes to This Policy
We reserve the right to modify this Privacy Policy at any time. Updates will be posted on our website, and changes take effect upon posting.
9. Contact Us
If you have any questions or concerns about this Privacy Policy or your privacy rights, please contact us at:
Singular Psychotherapy Center of DC
5028 Wisconsin Ave NW, Suite 260
Washington, District of Columbia 20016
📩 Email: info@singularpsychotherapy.com
☎️ Tel: xxx-xxxx-xxx
NOTICE OF PRIVACY PRACTICES: THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
I. Your Clinician’s Pledge Regarding Health Information
Your clinician understands that your health information is personal and is committed to protecting it. A record of the care and services you receive is created to ensure quality and compliance with legal and ethical requirements.
This notice applies to all records of your care generated by this psychotherapy practice. It explains how your clinician may use and disclose your health information, your rights concerning it, and the legal obligations to protect it.
Your clinician is required by law to:
Ensure that protected health information (PHI) that identifies you is kept private.
Provide you with this notice of legal duties and privacy practices.
Follow the terms of the notice currently in effect.
Notify you of any updates to this notice. The updated version will be available upon request, in our office, and on our website.
II. How Your Clinician May Use and Disclose Health Information About You
Your clinician may use and disclose health information in the following cases (not all uses are listed, but all fall within these categories):
For Treatment, Payment, or Health Care Operations: Federal privacy rules allow providers to use or disclose PHI for treatment purposes if necessary to support your care.
Lawsuits and Disputes: If you are involved in a lawsuit, your clinician may disclose health information as required by a court order or other lawful process, including subpoenas and discovery requests.
III. Uses and Disclosures Requiring Your Authorization
Psychotherapy Notes: Any use or disclosure of psychotherapy notes requires your written authorization, except when required by law or by licensing board regulations.
Marketing Purposes: Your clinician will not use or disclose PHI for marketing purposes.
Sale of PHI: Your PHI will never be sold.
IV. Uses and Disclosures Not Requiring Authorization
Your clinician may use or disclose PHI without your authorization in situations such as:
Legal requirements and public health reporting (e.g., suspected abuse or safety threats).
Judicial and administrative proceedings when required by law.
V. Emergency Situations
Disclosures to Family, Friends, or Others: In the event of an emergency, your clinician may disclose PHI to a designated emergency contact when necessary.
VI. Your Rights Regarding PHI
You have the right to:
Request limits on uses and disclosures.
Request restrictions for out-of-pocket expenses paid in full.
Choose how PHI is communicated to you.
Access and obtain copies of your PHI.
Request an accounting of disclosures made.
Correct or update your PHI.
Obtain a paper or electronic copy of this notice.
Effective Date of This Notice
This notice went into effect when the practice was founded in 2015.
