Notice of Privacy Practices (HIPAA)

Effective Date: May 01, 2026

This Notice describes how your medical information may be used and disclosed and how you can access it.

You have the right to:

• Access your mental health records (with limited exceptions) 
• Request corrections to your records 
• Request confidential communications 
• Request restrictions on certain uses/disclosures 
• Receive an accounting of disclosures 
• Obtain a copy of this Notice 

We may use or disclose your protected health information (PHI) for:

• Treatment (therapy services) 
• Payment (insurance billing) 
• Healthcare operations (practice management) 

We may also disclose information:

• When required by law 
• To prevent serious harm or safety risks 
• In cases of abuse or neglect reporting requirements 

We maintain administrative, physical, and technical safeguards to protect your PHI.

If you believe your privacy rights have been violated, you may contact us or file a complaint with the U.S. Department of Health and Human Services.

Monarch Therapy and Wellness
contact@monarchtherapywellness.com

407-429-5677

You will not be penalized for filing a complaint.