Mindful Mountain Counseling, P.L.L.C. · Laura Huber, LPC/LPCC · 17849 W. Caribbean Lane, Surprise, AZ 85388 · 602-615-0166
YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES.
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.
Effective Date: April 5, 2026 · Privacy Officer: Laura Huber, LPC/LPCC · 602-615-0166
This Notice is governed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and applicable state laws. Where the laws of any state in which you receive services provide greater privacy protection than HIPAA, this practice follows the more protective standard. State-specific disclosures for California and Minnesota clients appear at the end of this Notice.
Notice Regarding Substance Use Disorder Records: To the extent that we have your substance use disorder patient records subject to 42 CFR part 2, we will not share that information for civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your written consent or (2) a court order and a subpoena. This protection applies in all circumstances described in this Notice.
Your Rights
Get an electronic or paper copy of your medical record
- You can ask to see or receive a copy of your medical record and other health information we have about you.
- We will provide a copy generally within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
- You can ask us to correct health information you believe is incorrect or incomplete. We may say “no” but will tell you why in writing within 60 days.
Request confidential communications
- You can ask us to contact you in a specific way or send mail to a different address. We will say “yes” to all reasonable requests.
Ask us to limit what we use or share
- You can ask us not to use or share certain health information for treatment, payment, or our operations.
- If you pay out-of-pocket in full, you can ask us not to share that information with your insurer for payment purposes, and we will agree unless a law requires otherwise.
Get a list of those with whom we’ve shared information
- You can ask for an accounting of disclosures for six years prior to your request. We’ll provide one free per year; additional requests within 12 months may incur a reasonable fee.
File a complaint if you feel your rights are violated
- Contact us directly, or file with the U.S. Department of Health and Human Services Office for Civil Rights: 200 Independence Ave. S.W., Washington, D.C. 20201 · 1-877-696-6775 · www.hhs.gov/hipaa/filing-a-complaint/index.html
- We will not retaliate against you for filing a complaint.
Our Uses and Disclosures
We typically use or share your health information to treat you, run our practice, and bill for services (including submitting claims to Aetna or providing superbills). We may also disclose information as required by law (mandatory reporting, court orders, public health activities), or to avert a serious and imminent threat to health or safety.
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information.
- We will notify you promptly if a breach occurs that may have compromised your information.
- We will not use or share your information other than as described here unless you tell us we can in writing. You may change your mind at any time.
Marketing and Sale of Information
We will not use or share your information for marketing purposes or sell your information without your written authorization.
Special Protections
Special rules apply to: genetic information, mental health information (including psychotherapy notes), HIV/AIDS status, substance use disorder records (42 CFR Part 2), and reproductive health information. Psychotherapy notes receive heightened HIPAA protection and may not be disclosed without your specific written authorization except in imminent safety situations.
State-Specific Disclosures
California (CMIA — Health & Safety Code § 56 et seq.): California law may provide additional privacy protections. More information at oag.ca.gov.
Minnesota (Minn. Stat. § 144.292, Subd. 7): Minnesota law provides additional protections for mental health records for clients physically located in Minnesota at the time of services.
Changes to This Notice
We may change the terms of this notice. The current version will always be available on this website and upon request. Effective Date: April 5, 2026.
