Effective Date: January 1, 2025
Last Updated: February 6, 2026

Notice of Privacy Practices (NPP)

For California LMFT Private Practice

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.

This Notice is provided under the Health Insurance Portability and Accountability Act (HIPAA). HIPAA requires covered providers to give patients notice of privacy practices and patient rights.

1) Our Duties

We are required by law to:

• Maintain the privacy of your protected health information (PHI)

• Provide you with this Notice of our legal duties and privacy practices

• Follow the terms of this Notice currently in effect

• Notify you following a breach of unsecured PHI when required by law

We may use and disclose PHI for the following purposes:

• Treatment: To provide, coordinate, or manage your care

• Payment: To bill and collect payment for services

• Health Care Operations: For business functions such as quality improvement, training, compliance, and auditing

We may also disclose PHI when required or permitted by law, including:

• Public health and health oversight activities

• Judicial or administrative proceedings

• Law enforcement requests that meet legal standards

• Serious threat to health or safety

• Workers’ compensation claims

• Coroners, medical examiners, or funeral directors

• Certain specialized government functions

3) Uses and Disclosures Requiring Your Written Authorization

Most uses and disclosures not listed above require your written authorization. You may revoke an authorization in writing at any time, except to the extent we already relied on it.

4) Psychotherapy Notes

“Psychotherapy notes” (as defined by HIPAA) receive special protection and generally require your written authorization for use/disclosure, with limited legal exceptions.

5) Your Rights Regarding PHI

You have the right to:

• Request restrictions on certain uses/disclosures
  (We are not always required to agree, except where required by law.)

• Request confidential communications
  (For example, contact at a specific phone number or mailing address.)

• Inspect and obtain a copy of your record (paper or electronic, as applicable)

• Request an amendment if you believe information is incorrect or incomplete

• Receive an accounting of disclosures as permitted by law

• Obtain a paper copy of this Notice, even if you agreed to electronic delivery

• Choose someone to act for you (such as personal representative), where legally valid

6) Complaints

If you believe your privacy rights were violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

Practice Privacy Contact:
Name/Title: Katie Holz, LMFT
Email: [wanderingheartLA@gmail.com
Phone: (847)-361-6209
Mailing Address: 7720 W. Sunset Blvd. West Hollywood, CA 90046

7) California Privacy Protections

California’s Confidentiality of Medical Information Act (CMIA) also protects medical information and generally requires authorization for disclosure unless an exception applies.
Where state law is stricter, we follow applicable state requirements.

8) Changes to This Notice

We may change this Notice and apply revised terms to PHI we already maintain and PHI we receive in the future. The current Notice will be posted on our website and available upon request.