HIPAA Notice of Privacy Practices

Effective date: June 29, 2026

Placeholder notice: This is sample HIPAA / confidentiality language. Crestmind Behavioral Health PLLC should have the final Notice of Privacy Practices reviewed by a qualified HIPAA compliance professional or healthcare attorney before publishing.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Our Pledge

Crestmind Behavioral Health PLLC is required by law to maintain the privacy of your Protected Health Information (PHI), provide this Notice of our legal duties and privacy practices, and follow the terms currently in effect.

Uses & Disclosures Without Authorization

  • Treatment: Sharing PHI with providers involved in your care.
  • Payment: Billing and collecting payment for services.
  • Operations: Quality assessment, staff training, and administration.
  • Required by Law: Public health, abuse reporting, court orders, and similar mandates.

Uses & Disclosures Requiring Your Authorization

Most uses of psychotherapy notes, marketing communications, and any sale of PHI require your written authorization. You may revoke an authorization in writing at any time.

Your Rights

  • Inspect and copy your records (subject to limited exceptions).
  • Request an amendment to your records.
  • Receive an accounting of certain disclosures.
  • Request confidential communications or restrictions on use.
  • Receive a paper copy of this notice.
  • Be notified of a breach of unsecured PHI.

Telehealth & Electronic Communications

Telehealth platforms used by the practice operate under HIPAA-compliant Business Associate Agreements where required. WhatsApp and SMS may not provide the same protections; we'll discuss the most appropriate channel for your needs.

Complaints

If you believe your privacy rights have been violated, contact us at contact@crestmind.com or file a complaint with the U.S. Department of Health & Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Contact

Privacy Officer, Crestmind Behavioral Health PLLC, 9550 Spring Green Blvd, Suite 408-215, Katy, TX 77494. Phone: 281-673-5462.