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Privacy Policy & Consent Disclaimer
By checking the box and submitting this form, I consent to voluntarily providing personal and possibly protected health information (PHI). I understand that while reasonable efforts are made to protect my privacy, this form and email communication may not be fully secure or HIPAA-compliant. I acknowledge that this form is not intended for emergencies or urgent mental health needs. If you are in crisis or need immediate help, please call 911 or go to your nearest emergency room. Please avoid including sensitive or detailed medical/mental health information in this form. More information can be shared during your intake or over secure channels. You can view the full Privacy Policy & HIPAA Notice of Privacy Practices below, or contact us directly at deidrelpc@gmail.com for more information.

Privacy Policy & HIPAA Notice of Privacy Practices

Effective Date: April 5, 2025
Deidre LPC, LLC
1235 Penn Avenue, Suite 305
Wyomissing, PA 19610

Your Privacy Is Important

This notice describes how your health information may be used and disclosed, and how you can access this information. Please review it carefully.


Your Protected Health Information (PHI)

When you seek therapy at Deidre LPC, LLC, we collect personal information known as Protected Health Information (PHI). This includes information about your health, mental health conditions, treatments, payment, and any information that can identify you.


How Your PHI May Be Used or Disclosed

We may use or disclose your PHI in the following ways, without additional authorization:

  • Treatment – To provide, coordinate, or manage your care.

  • Payment – To bill and receive payment from health plans or other payers.

  • Healthcare Operations – For business operations such as scheduling, quality review, or licensure compliance.

  • Required by Law – If required to do so by federal, state, or local law.

  • To Prevent Harm – To protect you or others from a serious threat to health or safety.

  • Mandated Reporting – To report abuse or neglect of children, elders, or vulnerable adults.


Other Uses Require Your Authorization

All other uses and disclosures not described above will be made only with your written authorization. You may revoke this authorization at any time in writing.


Your Rights Regarding Your PHI

You have the right to:

  • Access Your Record – Request a copy of your health information.

  • Request Amendments – Ask us to amend your health records if you believe there’s an error.

  • Receive Confidential Communications – Ask that we contact you in a specific way (e.g., only by phone or email).

  • Restrict Certain Disclosures – Request limitations on how we use or disclose your PHI.

  • Receive an Accounting of Disclosures – Ask for a list of instances when we disclosed your PHI.

  • Receive a Copy of This Notice – You may request a printed or digital copy of this notice at any time.


Privacy & Security of Electronic Communication

While we make every effort to protect your information, communication through our website contact form, email, or text messaging may not be fully secure. Please use discretion when sharing sensitive information through these means.


Complaints

If you believe your privacy rights have been violated, you can file a complaint with:

Deidre LPC, LLC
📧 Email: deidrelpc@gmail.com

Or:

U.S. Department of Health and Human Services
Office for Civil Rights
www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be penalized for filing a complaint.


Changes to This Notice

We reserve the right to change this Privacy Policy at any time. Any changes will apply to existing and future PHI. A current version will always be available on our website and by request.

Deidre LPC - Mental Health Counseling

Deidre LPC

We provide Outpatient Mental Health Counseling to Teens, Young Adults & Adults

Phone: +1 484 525 0509

Address: 1235 Penn Ave, Suite #305, Wyomissing, PA 19610

Email: Deidrelpc@gmail.com

Website: deidrelpc.com

Hours:

Sunday: Closed

Monday: 10:00 AM - 7:00 PM

Tuesday: 11:00 AM - 6:00 PM

Wednesday: 10:00 AM - 6:00 PM

Thursday: 10:00 AM - 5:00 PM

Friday: 10:00 AM - 1:00 PM

Saturday: Closed