Notice of Privacy Practices | James Bryant Therapy

James Bryant, LMHC | Florida License MH23180

(850) 583-0026 | jbryanttherapy@gmail.com

Effective September 10, 2026 | Version 2.0

YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES.

This notice describes how health information about you may be used and disclosed, how you can get access to this information, and how to file a privacy complaint. Please review it carefully.

Your Rights

You have the right to:

Get an electronic or paper copy of your health information

  • You may ask to see or receive an electronic or paper copy of your clinical record and other health information maintained about you.

  • A copy or summary will ordinarily be provided within 30 days of your request. A reasonable, cost-based fee may apply when permitted by law.

Ask to correct your health information

  • You may ask to correct information that you believe is incorrect or incomplete.

  • A request may be denied when permitted by law. If it is denied, you will ordinarily be told why in writing within 60 days.

Request confidential communications

  • You may ask to be contacted in a particular way or at a particular address.

  • Reasonable requests for confidential communications will be honored.

Ask us to limit what we use or share

  • You may ask us not to use or disclose certain information for treatment, payment, or practice operations. We are not always required to agree.

  • If you pay for a service out of pocket in full, you may ask us not to disclose information about that service to your health plan for payment or health-care operations. We will honor that request unless disclosure is required by law.

Get an accounting of certain disclosures

  • You may request an accounting of certain disclosures of your health information made during the six years before your request.

  • The accounting does not include every type of disclosure, such as certain disclosures for treatment, payment, health-care operations, or disclosures you specifically authorized. One accounting in a 12-month period is provided without charge; a reasonable cost-based fee may apply to additional requests when permitted by law.

Get a copy of this Notice

  • You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.

Choose someone to act for you

  • A legally authorized personal representative may exercise privacy rights on your behalf. We will verify that person's authority before acting on the request.

File a privacy complaint

  • You may complain directly to James Bryant Therapy using the contact information below.

  • You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.

  • James Bryant Therapy will not retaliate against you for filing a privacy complaint.

Your Choices

For certain uses or disclosures, you may tell us your preference. Depending on the circumstances and applicable law, this can include sharing information with family members, close friends, caregivers, or others involved in your care or payment for your care, and sharing information in a disaster-relief situation.

If you cannot tell us your preference, information may sometimes be shared when permitted by law and when clinically appropriate, such as when disclosure is believed to be in your best interest or is needed to lessen a serious and imminent threat to health or safety.

James Bryant Therapy does not sell your protected health information and does not use your protected health information for fundraising.

How We Typically Use or Disclose Health Information

Treatment

Health information may be used to provide, coordinate, and manage your care and may be shared with other professionals involved in your treatment when permitted by applicable law.

Practice operations

Health information may be used as needed to operate the practice, manage services, improve care, maintain records, conduct legally permitted quality or compliance activities, and contact you about your care or appointments.

Payment

Health information may be used as necessary to collect payment for services. James Bryant Therapy is a private-pay practice and does not bill insurance directly. If you request a superbill, it may contain a diagnosis and information about services provided so that you may submit it independently.

Other Uses and Disclosures

Applicable law may permit or require other uses or disclosures, subject to the conditions and limitations that apply in the particular situation. These can include certain public-health and safety activities, reports of suspected abuse or neglect, health-oversight activities, workers' compensation matters, certain governmental or law-enforcement requests, medical-examiner or funeral-director functions, and other disclosures required by law.

Health information may be disclosed in response to certain legally valid governmental, judicial, administrative, or law-enforcement requirements. Mental-health records and confidential communications will not be disclosed merely because they have been requested when applicable Florida or federal law provides additional protection.

Serious threats and safety

Information may be disclosed when applicable law permits or requires disclosure to address a serious threat to health or safety. Florida law contains specific requirements concerning certain threats of serious bodily injury or death. The information disclosed will be limited as required by the law applicable to the situation.

Florida Mental Health Confidentiality

Communications between you and your therapist are confidential under Florida law. James Bryant Therapy will not disclose confidential mental-health communications except with your written authorization or when disclosure is otherwise permitted or required by applicable law. When applicable Florida law provides greater privacy protection than HIPAA, the more protective requirement will be followed.

Psychotherapy Notes

HIPAA gives special protection to 'psychotherapy notes,' meaning notes recorded by a mental-health professional that document or analyze the contents of a counseling conversation and are kept separate from the rest of the clinical record. Most uses or disclosures of separately maintained psychotherapy notes require written authorization.

Routine clinical documentation - such as progress notes, treatment plans, diagnoses, symptoms, medication information, screening results, session dates and times, and other information maintained in the clinical record - is not automatically considered HIPAA psychotherapy notes merely because it relates to psychotherapy.

Substance Use Disorder Records

To the extent that James Bryant Therapy receives, creates, or maintains substance use disorder patient records that are subject to 42 CFR Part 2, additional federal confidentiality protections apply. Such Part 2 records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against you without your written consent or a court order and subpoena as required by applicable law.

Electronic Information and Service Providers

The practice uses electronic systems for functions such as scheduling, telehealth, payment, forms, documents, communication, and record storage. When required, service providers that handle protected health information on behalf of the practice are used under appropriate business-associate arrangements.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.

  • We will notify you as required by law if a breach occurs that may have compromised the privacy or security of your information.

  • We must follow the duties and privacy practices described in the Notice currently in effect and provide you access to a copy.

  • We will not use or disclose your information other than as described in this Notice unless you authorize us in writing or another legal basis permits or requires the use or disclosure. You may revoke an authorization in writing for future uses or disclosures, subject to applicable law.

Changes to This Notice

We may change the terms of this Notice and make the revised Notice effective for health information already maintained as well as information received in the future. The current Notice will be available upon request and will be posted on the James Bryant Therapy website when the practice website is in operation.

Questions or Complaints

Privacy Contact:

James Bryant, LMHC
James Bryant Therapy
(850) 583-0026
jbryanttherapy@gmail.com

You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201; telephone 1-877-696-6775; or through the HHS Office for Civil Rights complaint process at https://www.hhs.gov/hipaa/filing-a-complaint/.

You will not be retaliated against for filing a complaint.

Acknowledgment of Receipt

I acknowledge that I have been provided access to the James Bryant Therapy Notice of Privacy Practices. This acknowledgment confirms receipt or availability of the Notice; it is not an authorization for uses or disclosures beyond those permitted by law or by a separate valid authorization.

Client legal name: ______________________________________________

Client signature: ________________________________________________

Date: __________________________