Last Updated: 05/01/2026

The purpose of this notice describes the privacy practices of GOOD TALK MENTAL HEALTH PLLC in accordance with the Health Insurance Portability and Accountability Act (HIPAA). It describes how medical information about you may be used and disclosed and applies to all services you receive with us. Please read it carefully.

By law, we must maintain the privacy of your Protected Health Information (PHI). This information includes, but is not limited to, information related to treatment such as personal history, test results, diagnosis, treatment, symptoms, related medical information, payment, billing, and insurance information. If we disclose your PHI, our practice must operate under the terms of this notice. We reserve the right to change the terms of this notice at any time.

PERMITTED DISCLOSURES OF PHI. We may disclose your PHI for the following reasons:

1. Treatment. We may disclose your PHI to a physician or other health care provider providing you treatment, including pharmacists and office administrative assistants coordinating your care.

2. Payment. We may disclose your PHI to bill any insurance company, or its administrators, any information needed to process your claim and collect payment for the services we provided you.

3. Health Care Operations. We may disclose your PHI in connection with our healthcare operations. Health care operations include, but are not limited to, quality assurance reviews, supervision, and/or consultation with other mental health providers to maintain and improve the standards of care, clinical decision making, and ensuring best practices. We may also disclose your PHI to accountants, attorneys, consultants, and others to make sure we comply with the laws that govern us.

• We may call your cell or home phone number, or email or text you, and leave voicemails in reference to any items that assist our practice with health care operations, such as, but not limited to, appointment reminders, administrative updates (including office closures), insurance items, and any calls pertaining to your care, including lab results. 

• We may mail you to the address you provided any items that assist the practice with health care operations. 

• We may also email you to the email address you provide with any items to assist our practice with health care operations, such as, but not limited to, appointment reminders, telehealth links, patient billing statements, and informational items. 

• Our practice may send out marketing materials to you via mail, email, text message, or other methods of communication. 

• You have the right to opt out of receiving marketing communications at any time by following the unsubscribe instructions provided or by contacting the practice directly. Opting out of marketing communications will not affect your ability to receive care or essential administrative communications.

• We may utilize secure third-party systems and vendors to support our operations, including scheduling, billing, payment processing, insurance facilitation, and communication services. These third parties may have access to your PHI as necessary to perform their services and are required to comply with applicable privacy and security standards.

• Our practice may use secure technology tools, including artificial intelligence–supported documentation tools, to assist with clinical note-taking and administrative tasks. These tools may process spoken information during visits to support accurate documentation. These tools are used to support accuracy and efficiency and do not replace clinical judgment. All information is handled in accordance with applicable privacy and security standards, and any technology used is designed to protect the confidentiality of your health information.

4. Required by law. We may use and disclose your PHI for law enforcement purposes and as required by state or federal law. We must report suspected abuse, domestic violence, or neglect to the proper authorities and/or the local family/child protection agency.

5. Serious Threat to Health or Safety. We may use and disclose your PHI to take steps to protect individuals from harm when we have reason to believe there is a serious threat to the life or safety of yourself or others. This may include notifying the person(s) in danger and the proper authorities.

6. Public Health. We may use and disclose your PHI to public health or similar authorities in charge of preventing or controlling disease, injury, or disability or in charge of collecting public health data.

7. Food and Drug Administration. We may use and disclose your PHI to a person or company required by the FDA pertaining to product defects or problems, product recalls, or serious adverse reactions or events to medications.

8. Legal Proceedings. We may use and disclose your PHI pursuant to a subpoena, court order, discovery request, or other lawful process.

9. Law Enforcement. We may use and disclose your PHI, so long as legal requirements are met, for law enforcement purposes, including legal processes, identification and location purposes, victims of a crime, suspicion that death has occurred as the result of criminal conduct, crimes occurring within the practice, and in cases of medical emergencies.

10. Health Oversight. We may use and disclose your PHI to a health oversight agency for activities authorized by law, including investigations, audits, and inspections.

11. Military and National Security. We may use or disclose your PHI if you are an active-duty service member of the armed forces as required by your command. This includes guard and reserve components on active orders and Veterans being evaluated for Veterans Affairs benefits. We may also use and disclose PHI for matters pertaining to national security.

12. Inmates in Correctional Facilities. If you are an inmate within a correctional facility, we may use and disclose your PHI to that facility.

13. Research. We may disclose your PHI to institutional review board-approved researchers with established protocols in place to protect your PHI.

14. Workers Compensation. We may use and disclose your PHI for workers compensation claims or similar legally established programs providing benefits for work-related injuries or illness.

15. Coroners, Medical Examiners, Funeral Directors, Organ Donation. We may use and disclose your PHI to medical examiners and coroners for identification of a deceased person, determining a cause of death, or other authorized duties. We may disclose your PHI to funeral directors as necessary to carry out their duties. If you are identified as an organ donor, we may disclose your PHI to organ procurement organizations.

16. Required Use and Disclosure. Under the law, we may use and disclose your information if requested by the Secretary of the U.S. Department of Health and Human Services for privacy compliance purposes.

In other situations not described above, uses and disclosures of your PHI will be made only with your written authorization, unless otherwise permitted or required by law. If you sign an authorization, it may be revoked at any time in writing, except to the extent that this office has taken action in reliance on the use or disclosure indicated in the authorization.

---

INDIVIDUAL RIGHTS:

The following are your rights regarding PHI under the Privacy Rule. Please feel free to discuss your questions and concerns with our staff. We have the right to change the terms of our notice at any time.

You have the right to a copy of this policy, and one will be provided via mail upon your request.

You have the right to request restrictions of your protected health information. You may request restrictions in writing on certain uses and disclosures of your health information for the purpose of treatment, payment, or healthcare operations. We are not required to agree, particularly if we believe it would affect your care, but if we do, we will abide by it, except in emergency situations when the information is needed for your treatment. If you paid for your health treatment out of pocket and in full, you may request, in writing, that we limit disclosure of your information to an insurance provider for purposes of payment, and we will abide by your request.

You have the right to authorize other uses and disclosures of your protected health information, including sharing with a third party such as a guardian or healthcare power of attorney. You may revoke authorization at any time in writing.

You have the right to request confidential communications, including alternative methods or locations.

You have the right to access or obtain copies of your health information. Providers are not required to release psychiatric records directly to the patient. With written authorization, records may be released to another provider, hospital, or attorney. Fees may apply if released directly to the patient.

You have the right to request amendments if information is incorrect or incomplete.

You have the right to request a list of disclosures made outside of treatment, payment, or healthcare operations.

You have the right to receive a written privacy breach notice if required.

---

OUR LEGAL DUTY.

We are required by law to protect and maintain the privacy of your health information, to provide this notice, and to abide by its terms.

Any portion of this notice is subject to change. Updates will be posted on our website, www.goodtalk.care. You may request a paper copy at any time.

---

COMPLAINTS.

You have the right to make a complaint to us or directly to the U.S. Department of Health and Human Services (HHS) if you believe your privacy rights have been violated.

You may file a complaint with GOOD TALK MENTAL HEALTH PLLC by contacting the practice at:

Email: admin@goodtalk.care

Phone: 719-292-3139

Address:

Good Talk

2519 McMullen Booth Rd.

Suite 510-222

Clearwater, FL 33761

You may file a complaint with HHS by contacting:

Office for Civil Rights 

200 Independence Avenue, S.W. 

Washington, D.C. 20201 

Phone: 1-877-696-6775 

Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized in any way for filing a complaint.