Notice of Privacy Practices
Effective Date: October 5, 2026
This notice describes how health information about you may be used and disclosed, how you can access this information, and your rights regarding your health information. Please review it carefully.
Dogwood Therapy LLC is committed to protecting the privacy of your health information and is required by law to maintain the privacy and security of protected health information.
Your Rights
You have rights regarding your health information. You may:
• Request to inspect or receive a copy of your health and treatment records.
• Ask me to correct information you believe is inaccurate or incomplete.
• Ask me to contact you in a specific way or at a specific location to protect your privacy.
• Ask me to limit certain uses or disclosures of your information. I am not always required to agree, except in certain circumstances required by law.
• Request a list of certain disclosures I have made of your health information.
• Request a copy of this Notice of Privacy Practices at any time.
• Authorize another person to exercise your privacy rights when that person has legal authority to act for you.
• File a privacy complaint without retaliation.
How Your Information May Be Used or Shared
I may use or share your health information without separate written authorization when permitted or required by law, including for:
• Treatment: to provide, coordinate, or manage your care, including consultation or referral when appropriate.
• Payment: to bill you, submit insurance claims, verify coverage, or obtain payment for services.
• Health care operations: to run the practice, maintain records, improve services, and carry out necessary administrative activities.
• Legal and safety requirements: when disclosure is required or permitted by law, including certain situations involving abuse or neglect, serious threats to health or safety, public health activities, health oversight, workers’ compensation, or legal proceedings.
If you pay for a service in full out of pocket and ask me not to disclose information about that service to your health insurer for payment or health care operations, I will honor that request unless disclosure is otherwise required by law.
Other uses or disclosures of your health information generally require your written authorization, which you may revoke in writing as permitted by law.
In some situations, you may tell me how you would like your health information to be shared. This may include sharing information with family members, close friends, or others involved in your care or payment for your care.
I will not use or disclose your information for marketing, sell your health information, or disclose most psychotherapy notes without your written permission, except as otherwise permitted or required by law.
If you are unable to express a preference and disclosure is necessary for your care or safety, information may be shared when permitted by law and when it is in your best interest.
Our Responsibilities & Complaints
Dogwood Therapy LLC is required by law to protect the privacy and security of your protected health information and to follow the privacy practices described in this notice.
If a breach occurs that may compromise the privacy or security of your information, I will notify you as required by law.
Your Choices
If you believe your privacy rights have been violated, you may contact:
Molly Hunt, LCSW
Dogwood Therapy LLC
Phone: (267) 225-4227
Email: molly@dogwoodtherapyllc.com
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.
More information about filing a HIPAA privacy complaint is available at HHS.gov/hipaa/filing-a-complaint or by calling 1-877-696-6775.
Changes to This Notice
Dogwood Therapy LLC may update this Notice of Privacy Practices if privacy practices or legal requirements change. The current version will remain available on this website and upon request.