HIPAA!
NOTICE OF PRIVACY PRACTICES FOR MANON GOODRICH, DBA: MANON GOODRICH PSYCHOTHERAPY
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Last Updated 10/09/2026
Your Privacy Is Important to Us
This Notice of Privacy Practices describes how Therapy With Manon operates. Manon Goodrich may use and disclose your protected health information (PHI), and how you can access that information. We are committed to protecting the privacy and confidentiality of your personal and health information. This notice applies to information we receive or create in connection with providing mental health services to you.
How We May Use or Disclose Your Information
We may use or disclose your protected health information without your written authorization in certain circumstances permitted by law, including: Treatment: To provide, coordinate, or manage your mental health care. Payment: To obtain payment for services, when applicable. Health Care Operations: To conduct activities necessary to operate our practice, such as quality assessment, administrative activities, and compliance. As Required by Law: When disclosure is required by federal, state, or local law. Public Health: When permitted by law for certain public health activities. Serious Threats to Health or Safety: When necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, as permitted by law. Abuse or Neglect: When reporting is required or permitted by law. Judicial or Administrative Proceedings: When permitted or required by applicable law. Law Enforcement: In limited circumstances permitted by law. Other uses or disclosures of your protected health information generally will require your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already relied upon it.
1. Your Rights
You have the following rights regarding your protected health information.
Access your records. You may request to inspect or receive a copy of your health information, subject to applicable law.
Request corrections. You may ask us to correct information you believe is inaccurate or incomplete. We may deny your request in certain circumstances, as permitted by law.
Request confidential communications. You may ask us to contact you in a specific way or at a particular address or telephone number.
Request restrictions. You may ask us to limit how we use or disclose your information. We are not required to agree to every request, except where the law requires us to do so.
Request an accounting of disclosures. You may request a list of certain disclosures of your health information, subject to HIPAA exceptions.
Receive a copy of this notice. You may request a paper or electronic copy of this notice at any time.
Choose someone to act for you. An authorized personal representative may exercise your rights when permitted by law.
File a complaint. You may file a complaint with our practice or the U.S. Department of Health and Human Services if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.
To exercise these rights, contact us using the information at the end of this notice.
2. How We May Use and Disclose Your Information
We may use or disclose your protected health information for the following purposes, as permitted by law.
Treatment: To provide, coordinate, or manage your mental health care, including appropriate communication with other health care professionals involved in your treatment.
Payment: To obtain payment for services, including billing your health insurance plan when applicable.
Health care operations: To manage our practice, evaluate the quality of care, maintain records, and perform other permitted administrative activities.
Legal requirements: To comply with applicable federal, state, or local laws and valid legal processes.
Safety and public protection: In certain circumstances permitted or required by law, we may disclose information to report suspected abuse or neglect, address serious threats to health or safety, or meet other applicable reporting obligations.
Other permitted purposes: We may disclose information for certain public health, health oversight, law enforcement, workers' compensation, or judicial and administrative purposes when legally permitted or required.
We will limit uses and disclosures of your information as required by applicable law.
3. Uses and Disclosures Requiring Your Written Authorization
In most circumstances, we will obtain your written authorization before using or disclosing your protected health information for purposes not otherwise permitted or required by law.
Written authorization is generally required for:
Marketing uses or disclosures that require authorization under HIPAA.
The sale of protected health information, where applicable.
Most disclosures of separately maintained psychotherapy notes, subject to limited legal exceptions.
You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it.
4. Special Protections for Mental Health Information
We recognize the sensitive nature of mental health treatment information.
Psychotherapy notes, as specifically defined by HIPAA, receive additional protection and are treated differently from the general clinical record. Not all therapy notes qualify as psychotherapy notes under HIPAA.
We will handle mental health records in accordance with applicable federal and state confidentiality laws. Additional protections may apply to certain records, including substance use disorder treatment records.
5. Our Responsibilities
We are required by law, when HIPAA applies, to:
Maintain the privacy and security of your protected health information.
Provide you with this notice describing our legal duties and privacy practices.
Follow the privacy practices described in the notice currently in effect.
Notify you following a breach of unsecured protected health information when notification is required by law.
Obtain your written authorization for uses and disclosures when required.
We will not use or disclose your information in ways not described in this notice unless permitted or required by law or you provide the appropriate authorization.
6. Electronic Communications and Website Privacy
Our website is intended to provide information about our services and ways to contact our practice.
Information submitted through our website may include your name, email address, telephone number, and the contents of your inquiry. Our website may also collect technical information, such as browser details, IP addresses, and website usage data, through our website platform and enabled tools.
Please do not submit sensitive clinical details, therapy histories, crisis information, or other protected health information through a general website contact form.
Website contact forms, ordinary email, and other electronic communication methods may not provide the same protections as our designated secure clinical systems. We use designated systems for protected health information as appropriate to our practice and applicable legal obligations.
For more information about website data collection, please review our separate Website Privacy Policy.
7. Changes to This Notice
We may change our privacy practices and the terms of this notice as permitted by law. Any revised notice will be made available as required, including on our website when applicable.
The revised notice will apply to protected health information we maintain, as permitted by law.
8. Questions, Requests, and Complaints
If you have questions about this notice, wish to exercise your privacy rights, or would like to file a complaint, please contact:
424-337-0696