HIPAA Notice of Privacy Practices
Effective Date: October 15, 2025
Wrobel Counseling Services, PLLC
This Notice describes how medical and mental health information about you may be used and disclosed, and how you can access this information. Please review it carefully.
Our Legal Duty
Wrobel Counseling Services, PLLC is committed to protecting your privacy and the confidentiality of your health information. We are required by law to:
Maintain the privacy of your protected health information (PHI)
Provide you with this Notice of our legal duties and privacy practices
Notify you if there is a breach of your unsecured PHI
Abide by the terms of this Notice currently in effect
Understanding Your Health Information
Each time you visit a therapist or counselor at Wrobel Counseling Services, PLLC, a record of your visit is created. This record typically contains your symptoms, assessment results, diagnoses, treatment plan, and other relevant information. This information, known as Protected Health Information (PHI), is used:
To plan your care and treatment
For communication with other healthcare providers (with your consent)
For billing purposes
To comply with legal and regulatory requirements
How We May Use and Disclose Your Information
Below are examples of ways in which your PHI may be used or shared. Not every use or disclosure is listed, but all allowable disclosures fall within one of these categories:
1. For Treatment
We may use and disclose your PHI to provide you with counseling and mental health treatment services. This may include consultation with other providers (e.g., psychiatrists) if authorized by you.
2. For Payment
We may use and disclose your PHI to bill and collect payment from you, your insurance provider, or a third party. This may include sending information about your diagnosis and services rendered.
3. For Healthcare Operations
We may use your information to evaluate the performance of our staff, improve the quality of services, or train interns or clinicians.
4. As Required by Law
We will disclose your PHI when required to do so by federal, state, or local law.
5. To Prevent Harm
We may use or disclose your PHI if we believe it's necessary to prevent serious harm to you or others (e.g., threat of suicide or violence), or in cases of suspected child or elder abuse or neglect, as required by law.
6. Legal Proceedings
If you are involved in a legal matter, and we receive a court order or subpoena, we may be required to disclose your PHI.
7. With Your Authorization
Other uses and disclosures of PHI not covered by this Notice or by law will only be made with your written authorization. You may revoke that authorization in writing at any time, except where we’ve already acted based on it.
Your Rights Regarding Your PHI
You have the following rights under HIPAA and applicable law:
Right to Access
You may request access to or copies of your health records. Requests must be made in writing. In some cases, a reasonable fee may apply.
Right to Amend
If you believe your records contain incorrect or incomplete information, you may request a correction. We may deny the request under certain circumstances, but you have the right to submit a written statement of disagreement.
Right to an Accounting of Disclosures
You may request a list (accounting) of certain disclosures of your PHI made by us over the past six years, excluding those made for treatment, payment, or healthcare operations.
Right to Request Restrictions
You may ask us not to use or disclose certain parts of your PHI. While we will consider your request, we are not legally required to agree in all cases.
Right to Confidential Communications
You may request that we contact you in a specific way (e.g., only by phone, at a particular number). We will accommodate reasonable requests.
Right to a Paper or Digital Copy of This Notice
You have the right to receive a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Our Responsibilities
We are required by law to maintain the privacy and security of your PHI.
We will not use or share your information other than as described in this Notice unless you give us written permission.
We will promptly notify you if a breach occurs that may have compromised the privacy or security of your information.
CHANGES TO THIS NOTICE
We reserve the right to change this Notice and our privacy practices at any time. Any changes will apply to all existing and future PHI we maintain. A revised Notice will be posted on our website and made available upon request.
Filing a Complaint
If you believe your privacy rights have been violated, you may file a complaint:
With Wrobel Counseling Services, PLLC:
Beth Wrobel
beth@wrobelcounseling.com
630-277-9225
With the U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
Phone: 1-877-696-6775
You will not be penalized or retaliated against for filing a complaint.
Contact Information
If you have any questions about this Notice or your privacy rights, please contact us:
Wrobel Counseling Services, PLLC
Beth Wrobel, LCPC
beth@wrobelcounseling.com
630-277-9225