Notice of Privacy Practices
Effective Date: June 2, 2026
This Notice of Privacy Practices describes how health information about you may be used and disclosed and how you can obtain access to this information.
Please review it carefully.
Our Commitment to Your Privacy
Blue Lotus Psychotherapy is committed to protecting the privacy and confidentiality of your health information.
As a mental health provider, we are required by law to maintain the privacy of your protected health information ("PHI"), provide you with this Notice of Privacy Practices, and comply with the terms of this notice.
Protected Health Information (PHI) includes information that identifies you and relates to your mental health care, treatment, payment for services, or related healthcare operations.
How We May Use and Disclose Your Information
For Treatment
We may use and disclose information necessary to provide psychotherapy services and coordinate your care.
Examples may include:
- Maintaining clinical records
- Developing treatment plans
- Consulting with other healthcare providers when authorized or legally permitted
- Coordinating care related to your treatment
- For Payment
We may use and disclose information necessary to obtain payment for services.
Examples may include:
- Insurance verification
- Billing
- Claims submission
- Payment collection activities
Certain billing and insurance-related services may be facilitated through Headway or other authorized service providers.
For Healthcare Operations
We may use and disclose information to support the operation of the practice.
Examples may include:
- Quality improvement
- Licensing compliance
- Professional consultation
- Audits
- Training and supervision activities as permitted by law
- Uses and Disclosures Requiring Authorization
Certain disclosures require your written authorization.
Examples may include:
Release of information to family members or other third parties not otherwise permitted by law
Release of records to employers
Most uses of psychotherapy notes
Marketing activities not otherwise permitted by law
You may revoke an authorization at any time in writing, except to the extent action has already been taken based on your authorization.
Situations Where Disclosure May Be Required or Permitted by Law
We may disclose information without authorization when required or permitted by law, including:
- Risk of Serious Harm
If there is a serious threat to your health or safety or the health or safety of another person.
Abuse or Neglect Reporting
When reporting suspected abuse, neglect, or exploitation as required by law.
Court Orders and Legal Proceedings
When required by a court order, subpoena, or other legal process consistent with applicable laws.
Law Enforcement
When disclosure is legally required or permitted.
Public Health Activities
When required for public health or safety purposes.
Health Oversight Activities
For audits, investigations, inspections, licensing activities, or regulatory compliance.
Telehealth Services
Blue Lotus Psychotherapy may provide services through secure telehealth platforms, including Headway and Doxy.me.
While reasonable safeguards are used to protect privacy and confidentiality, no electronic communication system can guarantee absolute security.
Clients are encouraged to participate in telehealth sessions from a private location whenever possible.
Your Rights Regarding Your Health Information
Subject to applicable laws, you may have the right to:
- Request Access
Request access to your clinical records and health information.
Request Amendments
Request corrections or amendments to information maintained in your record.
Request Restrictions
Request limitations on certain uses or disclosures of your information.
Request Confidential Communications
Request that communications be sent through alternative means or locations when reasonably feasible.
Request an Accounting of Disclosures
Request information regarding certain disclosures of your health information.
Obtain a Copy of This Notice
Request a paper or electronic copy of this Notice at any time.
Psychotherapy Notes
Psychotherapy notes receive additional protections under federal law.
Most uses and disclosures of psychotherapy notes require your written authorization unless otherwise permitted or required by law.
Our Responsibilities
Blue Lotus Psychotherapy is required to:
- Maintain the privacy of protected health information
- Provide you with this Notice
- Follow the terms of this Notice currently in effect
Notify affected individuals when required by law following certain breaches of unsecured protected health information
Changes to This Notice
We reserve the right to modify this Notice of Privacy Practices.
Any revised notice will apply to information already maintained as well as information received in the future.
The current version will be made available upon request and may be posted on our website.
Questions or Complaints
If you believe your privacy rights have been violated or have questions about this Notice, you may contact:
- Blue Lotus Psychotherapy
- Email: therapywithkwany@gmail.com
- Website: therapywithkwany.com
You also have the right to file a complaint with the U.S. Department of Health and Human Services without fear of retaliation.
We will not retaliate against you for exercising your privacy rights or filing a complaint.