Notice of Privacy Practices

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 This Notice Applies To

Courage Root Women's Mental Health is required by law to protect the privacy of your protected health information, provide you with this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect. This notice applies to records created or maintained in connection with the healthcare services we provide.

How We May Use and Disclose Protected Health Information

We may use and disclose protected health information for treatment, payment, and healthcare operations. For example, we may use your information to provide psychiatric evaluation and medication management, coordinate care with another provider involved in your treatment, submit claims or obtain payment, and run our practice in a lawful and professionally appropriate way.

We may also use or disclose protected health information without your written authorization when permitted or required by law, including for public health activities, health oversight, reporting abuse or neglect when required, judicial or administrative proceedings, certain law enforcement purposes, workers' compensation matters, coroners or funeral directors, organ donation, specialized government functions, or to help avert a serious threat to health or safety.

We may share information with business associates that perform services for us, such as billing, hosting, technology, or secure portal support, if they are required to safeguard the information appropriately.

Information disclosed as permitted by federal law may be subject to redisclosure by the recipient and may no longer be protected by federal privacy law in the same way.

Uses and Disclosures Requiring Your Authorization

Most uses and disclosures not described in this notice will be made only with your written authorization. We will obtain your authorization before most uses or disclosures of psychotherapy notes if we maintain them, before most marketing uses that require authorization, and before any sale of protected health information.

You may revoke an authorization in writing at any time, except to the extent that we have already relied on it.

Reproductive Health Privacy and Attestation Requirements

Federal law limits certain uses and disclosures of protected health information related to reproductive healthcare. In some circumstances, we may be prohibited from using or disclosing protected health information to investigate, impose liability for, or identify a person in connection with lawful reproductive healthcare.

For certain requests that may involve reproductive healthcare information, federal law may require the requester to provide a signed attestation that the requested use or disclosure is not for a prohibited purpose before we may disclose the information.

Your Rights

• You have the right to ask us to restrict certain uses and disclosures of your protected health information, although we are not required to agree to every request.
• If you pay out of pocket in full for a specific item or service, you may ask us not to disclose related information to your health plan for payment or healthcare operations, and we will honor that request unless the law requires otherwise.
• You have the right to request confidential communications, such as asking us to contact you in a particular way or at a particular location.
• You have the right to inspect and obtain a copy of protected health information maintained in a designated record set, subject to applicable legal exceptions.
• You have the right to request an amendment to protected health information you believe is incomplete or incorrect.
• You have the right to receive an accounting of certain disclosures made outside treatment, payment, and healthcare operations.
• You have the right to obtain a paper copy of this notice upon request, even if you agreed to receive it electronically.

Our Duties

We are required by law to maintain the privacy and security of protected health information, provide you with this notice, and notify affected individuals following a breach of unsecured protected health information when required by law.

We must abide by the terms of the notice currently in effect. We reserve the right to change the terms of this notice and to make the revised notice effective for all protected health information we maintain. If we make a material change, we will post the revised notice on our website and make it available upon request.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Courage Root Women's Mental Health by contacting our Privacy Officer at 720-778-3568 or hello@courageroot.com. Please do not include sensitive clinical details in standard email; we can provide secure follow-up through SimplePractice if needed.

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, through the OCR complaint portal or by mail. We will not retaliate against you for filing a complaint.

Learn how to file a complaint with HHS Office for Civil Rights

Contact and Effective Date

Contact for further information: Privacy Officer, Courage Root Women's Mental Health, 720-778-3568.

Effective date of this Notice of Privacy Practices: July 2, 2026.