Notice of Privacy Practices & Confidentiality
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Your privacy is an important part of the therapeutic relationship. Insights Wellness Center, LLC is committed to protecting the privacy and confidentiality of your personal and health information.
Your Health Information
During the course of treatment, Insights Wellness Center, LLC may create and maintain records regarding your care. These records may include information you provide, diagnoses when applicable, treatment plans, progress information, billing information, communications, and other information relating to your care.
Your health information is protected by applicable federal and Connecticut privacy laws and professional ethical requirements.
How Your Information May Be Used or Disclosed
Your health information may be used or disclosed as permitted or required by law for purposes that may include:
- Treatment: to provide, coordinate, or manage your care and, when appropriate, consult with other healthcare professionals involved in treatment.
- Payment: to obtain payment for services, including insurance billing when applicable.
- Healthcare Operations: for legitimate practice activities such as administration, quality review, legal or professional consultation, and other activities necessary to operate the practice.
When Information May Be Disclosed Without Your Authorization
Most information shared in psychotherapy is confidential. However, disclosure may be permitted or required by law in certain circumstances, including:
- Suspected abuse, neglect, or exploitation when a report is legally required.
- Situations involving serious concerns for the safety of you or another person when disclosure is legally permitted or required.
- Medical or other emergencies when information is needed to protect health or safety.
- Certain court orders, legal proceedings, or other disclosures required by law.
- Governmental oversight or other legally authorized activities.
When disclosure is necessary, reasonable efforts will be made to disclose only the information appropriate to the circumstances.
Other Disclosures
For uses or disclosures of your health information that are not otherwise permitted or required by law, your written authorization will generally be obtained.
You may revoke an authorization in writing at any time, except to the extent that action has already been taken in reliance upon that authorization.
Psychotherapy notes receive additional protections under federal law and generally require specific authorization before disclosure except in limited circumstances permitted by law.
Couples & Family Therapy
Confidentiality can be more complex when more than one person participates in treatment. At the beginning of couples or family therapy, the therapist will discuss expectations regarding individual communications, records, and confidentiality.
Insights Wellness Center, LLC does not serve as a custody evaluator simply because a therapist has provided psychotherapy to an individual, couple, or family.
Minors
Privacy and access to treatment information involving minors are governed by federal and Connecticut law and may vary depending on the minor’s age, circumstances, type of treatment, legal authority of the parent or guardian, and other factors.
When working with minors, the therapist will discuss with the parent or legal guardian and the minor, when developmentally appropriate, how confidentiality will be handled and what information may need to be shared.
Your Rights
Depending upon applicable law, you may have the right to:
- Request access to or a copy of your health records.
- Request that information in your record be corrected or amended.
- Request certain restrictions on how your information is used or disclosed.
- Request confidential communications in a particular manner or location.
- Request information about certain disclosures of your health information.
- Receive a paper or electronic copy of this Notice.
- Revoke certain authorizations you previously provided.
- File a complaint if you believe your privacy rights have been violated.
Some rights are subject to limitations established by federal or Connecticut law.
Our Responsibilities
Insights Wellness Center, LLC is required to maintain the privacy and security of protected health information, follow the privacy practices described in the Notice currently in effect, provide you with a copy of this Notice, and notify you as required by law if a breach occurs that may have compromised your protected health information.
Insights Wellness Center, LLC may revise this Notice when laws, regulations, or practice policies change. The current Notice will be available upon request and on the practice website when applicable.
Electronic Communications
Telephone, voicemail, text messaging, email, and other electronic communications may carry privacy risks. Please avoid including sensitive clinical information in routine electronic communications whenever possible.
Electronic communication should generally be used for scheduling and administrative purposes unless another arrangement has been specifically discussed with your therapist.
Questions or Privacy Concerns
If you have questions about this Notice, would like to exercise one of your privacy rights, or believe your privacy rights have been violated, please contact:
Insights Wellness Center, LLC
Privacy Contact: Christine Guerrera, LMFT
Website: insightswellnesscenter.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 making a privacy complaint.
Effective Date: September 12, 2026
Acknowledgment of Receipt
By signing below, I acknowledge that I have been provided access to the Notice of Privacy Practices & Confidentiality for Insights Wellness Center, LLC.
I understand that my signature acknowledges receipt of this Notice and does not constitute authorization for disclosures beyond those permitted or required by law.
Typing my name electronically and submitting this form serves as my electronic signature and acknowledgment of receipt of this Notice.
