Privacy Policies & Professional Disclosures
Personal Health Information (PHI)
Personal health information (PHI) is data that can identify you and details of your healthcare. This may include:
Contact information (name, address, telephone number, e-mail address)
Personal characteristics (age, gender, cultural/ethnic background)
Health details (presenting issues, health history, medical/mental health conditions, treatments received)
Collection and Use of PHI
Mend Therapy Services will collect personal health information about you. You will be asked to complete intake forms, questionnaires, or other self-report tools as appropriate.
Purposes of collecting this information:
Evaluate your health-related needs
Recommend appropriate treatment options
Provide therapy and related healthcare
Electronic Communication of PHI
Mend Therapy Services offers e-mail and text communication for:
Appointment confirmations and reminders
Scheduling or cancellations
Brief clinical communication between sessions
Risks include:
Privacy and security cannot be fully guaranteed
Messages may be misaddressed or intercepted
Electronic communication creates a permanent record
Client agreement:
Clinically relevant communications may be included in your clinical record
Electronic communication is not appropriate for emergencies
You are responsible for following up if no response is received
Sensitive health information will generally not be discussed over e-mail/text
Electronic communication is voluntary. Notify us if you do not wish to use these methods.
Use and Disclosure of Health Information
Your PHI is confidential and will not be disclosed without written authorization except as required by law.
Permitted uses:
Treatment, payment, and healthcare operations
Scheduling, billing, and practice administration
Mend Therapy Services is a solo practitioner practice. Administrative support may assist with operations and is bound by confidentiality. An authorized designee for emergency access may access records only if the clinician is unavailable. Records are not shared routinely with other clinicians.
Third-party payers (when applicable): Limited information may be disclosed for payment purposes. Psychotherapy notes or detailed clinical content are released only with your written authorization or as legally required.
Tele-Services (Virtual and Telephone-based Sessions)
Virtual and telephone sessions are offered via secure, HIPAA-compliant platforms.
Clients have the right to:
Withdraw consent at any time
Receive alternative treatment if virtual care is inappropriate
Risks include technical issues. Be in a private, secure location. Parental/legal guardian consent is required for children/adolescents.
Disclosure Without Authorization
Mend Therapy Services may disclose PHI without your authorization for:
Risk of harm to self or others
Suspected abuse/neglect of children, elderly, or vulnerable adults
Abuse by a regulated professional
Legal proceedings (only subpoenas issued directly by a judge)
Regulatory oversight (licensing boards or government audits)
Your Rights Regarding Your Health Information
You have the right to:
Request access to your health records
Request corrections to factual errors
Request copies of your records
Request restrictions on certain disclosures
Requesting Your Records:
Submit a written request via email, mail, or secure portal including:
Full name
Date of birth
Contact information
Specific records requested
Processing timeframe:
Texas clients: within 15 business days
New York clients: within 10 business days
Extensions will be notified in writing
Fees:
Reasonable fee for copying, mailing, or electronic delivery
Fees will never exceed the amounts allowed by state or federal law, and you will be informed of any applicable fees before your records are released
Corrections: Request corrections in writing. The clinician will review and amend as appropriate.
Denied requests: You will receive a written explanation and your right to appeal.
Storage, Retention, and Destruction of Records
Records are stored securely via HIPAA-compliant systems.
Adults: at least 7 years after last contact
Minors: at least 7 years after turning 18, or longer if required by law
Records are securely destroyed after retention. The treating clinician maintains responsibility.
Questions or Complaints
If you have questions about privacy practices or your health information, contact the clinician directly.
If you believe your privacy rights have been violated, you may:
Submit a written complaint to the clinician
File a complaint with the Texas Behavioral Health Executive Council or the New York State licensing board
Filing a complaint will not affect your access to care or quality of services.

