Deann Ware

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During your initial consultation at Ware Wellness Group, your mental health professional will review with you confidentiality issues regarding therapy. Generally speaking, unless you provide written consent for Ware Wellness Group to release information regarding your psychological treatment, no information is divulged. Exceptions include: If you inform a mental health professional at Ware Wellness Group that a member of a protected group (children, an elderly person, or disabled person) is being abused or neglected, the mental health professional will report that information to the appropriate agency. - If you are an imminent danger to yourself or others, confidentiality may be breached. - If you are in need of emergency medical services, appropriate personnel will be contacted. - If a judge orders that your mental health records be released, the records will be released to the court. In addition to the above general issues, please read this statement regarding Ware Wellness Group's confidentiality and privacy regulations. It is a federally required notice of your rights regarding personal health information. NOTICE OF PRIVACY PRACTICES FOR PERSONAL HEALTH INFORMATION THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Summary This Notice describes how your personal health information (PHI) is protected, and how we may use and disclose this information. PHI includes personally identifiable information that relates to your past, present, or future health, treatment, or payment for health care services. Our employees and professional staff are required to comply with this privacy policy, and have access to this information only when there is an appropriate reason to do so, such as to confer with other health care providers or to submit claims for these services. Under the Health Insurance Portability and Accountability Act (HIPAA), you are afforded privacy rights regarding the use and disclosure of your health information. These include: a right to be informed of the potential uses and disclosures of your protected health information, and to limit those uses and disclosures of this protected health information; - a right to receive this written notice that explains how we may use and disclose your protected health information, your rights under HIPAA ’s privacy rule, and Dr. Ware’s responsibilities as a covered entity under HIPAA;

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