Notice of Privacy Practices

Effective Date: November 2025
The Growth Collective

This Notice of Privacy Practices (“Notice”) describes how your protected health information (PHI) may be used and disclosed by The Growth Collective, and how you can access this information. We are committed to protecting your privacy and complying with the Health Insurance Portability and Accountability Act (HIPAA).

Please review this Notice carefully.

1. Your Rights

You have the right to:

Access Your Records

You may request to see or get a copy of your mental health/medical record. We will provide a copy or summary, usually within 30 days. Fees may apply.

Request Amendments

If you believe your record is incorrect or incomplete, you may request a correction. We may deny requests in certain circumstances, but you will be informed in writing.

Request Confidential Communications

You may request to be contacted in specific ways—for example, via a specific email, phone number, or mailing address.

Request Restrictions

You may ask us not to use or share certain PHI for treatment, payment, or operations. We are not required to agree, but we will try to accommodate reasonable requests.

Receive an Accounting of Disclosures

You may request a list of the instances in which we have shared your PHI for reasons other than treatment, payment, or operations.

Receive a Paper or Electronic Copy of This Notice

You can request a paper copy at any time, even if you agreed to receive the Notice electronically.

Choose a Personal Representative

You may designate someone to act on your behalf with respect to your medical information and rights.

2. Your Choices

You have choices about how we use and share your information in situations such as:

• Sharing information with family members or support persons

• Providing appointment reminders

• Providing telehealth services

• Contacting you with treatment-related recommendations or wellness information

• Communications via email or text (with your consent)

If you have a preference, please tell us. We will honor your choices whenever possible.

3. Our Uses and Disclosures

We may use and share your PHI for the following reasons, without requiring additional written authorization:

A. Treatment

We can share information with other providers involved in your care (e.g., psychiatrists, primary care doctors) when necessary and with your permission.

B. Payment

We may use your PHI for billing purposes or to help you request reimbursement from insurance if you choose to use out-of-network benefits.

C. Health Care Operations

We may use PHI for practice operations such as:

• Quality improvement

• Training

• Licensing activities

• Case consultations

• Administrative tasks

Only the minimum necessary information will be used.

4. Other Uses and Disclosures Allowed or Required by Law

We may share PHI in additional situations, including:

Required by Law

When federal, state, or local laws require it.

Serious Threat to Health or Safety

If necessary to prevent a serious and foreseeable threat to you or others.

Abuse, Neglect, or Exploitation

We may be required to report suspected child, elder, or disabled-person abuse or neglect.

Legal Proceedings

In response to a valid subpoena or court order (we will attempt to notify you when appropriate).

Public Health and Health Oversight

Including audits, investigations, or government compliance activities.

Workers’ Compensation

For claims involving work-related injuries, as permitted by law.

5. Uses and Disclosures That Require Your Written Authorization

We will never use or share your PHI for the following unless you sign a specific written authorization:

• Marketing or sale of health information

• Sharing psychotherapy notes (except for certain treatment or legal exceptions)

• Release of information to attorneys or employers

• Sharing information with family or friends beyond what you allow

You may revoke an authorization at any time.

6. Our Responsibilities

We are required to:

• Maintain the privacy and security of your PHI

• Provide you with this Notice describing our duties and privacy practices

• Notify you in the event of a breach involving your unsecured PHI

• Follow the terms of the Notice currently in effect

We may change this Notice at any time. Updated versions will be available on our website.

7. Telehealth & Electronic Communications

When using telehealth platforms, email, text, or client portals:

• We use HIPAA-compliant systems whenever possible

• You will be informed of the risks of electronic communication

• You may decline communication via email/text at any time

8. Questions & Complaints

If you have concerns about your privacy rights or believe your rights have been violated, you may contact:

The Growth Collective
Email: info@thegrowthcollectivetr.com
Website: www.thegrowthcollectivetr.com

You may also file a complaint with:
U.S. Department of Health & Human Services – Office for Civil Rights
You will not be retaliated against for filing a complaint.

9. Acknowledgment

You may be asked to sign a separate form acknowledging that you received or reviewed this Notice. This acknowledgment is kept in your client record.