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.
Who We Are
This notice is provided by The Outpost Therapy, a private therapy practice in Utah. Madison, Licensed Clinical Social Worker (LCSW), is the practice’s Privacy Official and the person to contact with any question about this notice.
Our Duties
We are required by law to:
- maintain the privacy and security of your protected health information;
- give you this notice of our legal duties and privacy practices, and abide by the terms of the notice currently in effect; and
- notify you if a breach occurs that may have compromised the privacy or security of your unsecured health information.
How We May Use and Disclose Your Health Information
Treatment
We use your health information to provide your therapy: for example, keeping session notes and a treatment plan, or, with your written authorization, coordinating care with another provider you choose.
Payment
This is a private-pay practice. We use your information to bill you and document payment. If you want to seek reimbursement from your insurer, we give a superbill to you. We disclose information to your health plan only at your direction or with your authorization.
Health Care Operations
We may use your information to run the practice: for example, record-keeping, quality review of our own services, or obtaining professional consultation, with your identity protected wherever possible.
Psychotherapy Notes
Psychotherapy notes (a therapist’s separate notes analyzing a counseling conversation) receive extra protection under HIPAA. Most uses and disclosures of psychotherapy notes require your written authorization. Narrow exceptions exist, including use by the therapist who wrote them for your treatment, defense of a legal action brought by you, and oversight by the U.S. Department of Health and Human Services.
Uses and Disclosures Requiring Your Written Authorization
We will not use your health information for marketing, sell it, or make any use or disclosure not described in this notice without your written authorization. You may revoke an authorization at any time, in writing, except to the extent we have already relied on it.
Disclosures That Do Not Require Your Authorization
We may use or disclose your health information without your authorization only in limited situations, including:
- when required by law;
- to report suspected abuse or neglect of a child or vulnerable adult;
- to prevent a serious and imminent threat to your health or safety or that of another person;
- in response to a court order or other lawful legal process;
- for public health activities, such as reporting authorized by public health authorities;
- to law enforcement, in the limited circumstances permitted by law;
- to health oversight agencies for activities authorized by law;
- for workers’ compensation claims, as authorized by law;
- to a coroner or medical examiner, as authorized by law; and
- for specialized government functions such as military or national security purposes, as authorized by law.
We are also required to disclose your health information to you upon request, and to the U.S. Department of Health and Human Services when it investigates our compliance with HIPAA.
Family, Friends, and Others Involved in Your Care
We may share relevant information with a family member or other person involved in your care only with your agreement, or after giving you the opportunity to object.
Your Rights Regarding Your Health Information
To exercise any of the rights below, contact the Privacy Official at contact@theoutposttherapy.com. We will respond within the timeframes required by law.
Right to Inspect and Copy
You may inspect and obtain a copy of your health record, including an electronic copy; the practice can provide a complete electronic export of your record. Limited exceptions apply, including psychotherapy notes.
Right to Amend
If you believe information in your record is incorrect or incomplete, you may request an amendment in writing. We may deny the request in certain cases, and you may respond with a statement of disagreement that becomes part of your record.
Right to an Accounting of Disclosures
You may request a list of the disclosures we have made of your health information, other than those for treatment, payment, operations, and certain other excepted categories.
Right to Request Restrictions
You may ask us to restrict how we use or disclose your information. We are not required to agree to every request, with one exception we must honor: if you have paid for a service in full out of pocket, you may require that we not disclose information about that service to your health plan. Because this is a private-pay practice, this restriction applies to most care we provide.
Right to Confidential Communications
You may ask us to contact you in a specific way or at a specific location: for example, only at a particular phone number or email address. We will accommodate all reasonable requests.
Right to a Paper Copy of This Notice
You may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
Right to Be Notified of a Breach
You have the right to be notified if a breach of your unsecured health information occurs.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the practice by contacting the Privacy Official at (385) 202-4087 or contact@theoutposttherapy.com, or with the U.S. Department of Health and Human Services, Office for Civil Rights (200 Independence Avenue SW, Washington, DC 20201; hhs.gov/ocr). You will never be penalized or retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change this notice and to apply the revised notice to health information we already hold. The current notice is always posted on this page, and a copy is available at any appointment.
Effective Date & Contact
This notice is effective as of September 27, 2026. Privacy Official: Madison, LCSW: (385) 202-4087; contact@theoutposttherapy.com.