• Access Records: Request to inspect or receive a copy of your health information.

• Request Corrections: Request correction of inaccurate or incomplete information.

• Request Restrictions: Request limits on how your information is used or disclosed.

• Confidential Communication: Request to be contacted in a specific way or location.

• Accounting of Disclosures: Request a list of certain disclosures made.

• File a Complaint: File a complaint if you believe your privacy rights have been violated.

• Treatment & Operations: Used to coordinate care, consult on cases, and handle administration.

• Payment: Used for billing statements and invoices.

• Authorizations: Written authorization is required for third-party releases and non-routine uses, and can be revoked anytime in writing.

• Required/Permitted by Law: May disclose info without authorization for legal orders, public health, or threat prevention.

• SUD Records: Substance Use Disorder records are protected under 42 CFR Part 2 and require specific written consent.

We implement technical and administrative safeguards to protect records and will notify you if a breach occurs.

You may file a complaint with Scissortail Therapy Collective, PLLC or with the U.S. Department of Health & Human Services Office for Civil Rights (www.hhs.gov/ocr). You will not be retaliated against.