Notice of Privacy Practices
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Ascend Therapy, LLC
Hannah Greene, LCSW
This notice describes how medical and mental health information about you may be used and disclosed and how you can access this information. Please review it carefully.
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Our Commitment to Your Privacy
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Ascend Therapy is committed to protecting the privacy and confidentiality of your protected health information (PHI). Protected health information includes information about your mental health condition, treatment, and personal identifying information.
This Notice of Privacy Practices describes how your information may be used and disclosed in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
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How Your Information May Be Used and Disclosed
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Treatment
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Your health information may be used to provide, coordinate, or manage your mental health treatment. This may include consultation with other healthcare professionals involved in your care when appropriate.
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Payment
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Your information may be used to obtain payment for services provided. This may include submitting information to insurance companies or other third-party payers when applicable.
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Healthcare Operations
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Information may be used for activities necessary to operate the practice, including quality improvement, administrative functions, and internal review.
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Situations Where Information May Be Disclosed Without Authorization
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Certain situations may require disclosure of information without your written authorization, including:
• When there is a serious risk of harm to yourself or others
• Suspected abuse or neglect of a child, elder, or vulnerable person
• Court orders or legal proceedings
• Public health or safety reporting required by law
These disclosures are limited to the minimum information necessary to comply with legal obligations.
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Uses Requiring Your Authorization
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Other uses or disclosures of your protected health information will require your written authorization. You may revoke authorization at any time in writing.
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Your Rights Regarding Your Health Information
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You have the right to:
• Request access to your health records
• Request corrections to your records
• Request restrictions on how your information is used or shared
• Request confidential communication methods
• Receive a copy of this Notice of Privacy Practices
Requests must be made in writing when required by law.
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Confidential Communication
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Clients may request that communications occur through specific methods (such as phone, email, or mail). Reasonable requests will be accommodated whenever possible.
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If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
Complaints may be directed to:
Ascend Therapy
Hannah Greene, LCSW
Phone: (315) 399-9131
Email: hgreene28@gmail.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
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Changes to This Notice
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Ascend Therapy reserves the right to update this Notice of Privacy Practices at any time. Updated versions will be available upon request and on the practice website when applicable.
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Effective Date
This Notice of Privacy Practices is effective as of 3/5/2026