Notice of Privacy Practice

Effective 02/01/2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Tea & Empathy Counseling LLC (the “Practice”) is committed to protecting your privacy. The Practice is required by federal law to maintain the privacy of Protected Health Information (“PHI”), which is information that identifies or could be used to identify you. The Practice is required to provide you with this Notice of Privacy Practices (this “Notice”), which explains the Practice's legal duties and privacy practices and your rights regarding PHI that we collect and maintain.

How We May Use and Disclose Your Health Information

We may use and disclose your health information for treatment, payment, and health care operations as described in this notice. Certain records, including substance use disorder treatment records, may be subject to additional federal protections.

YOUR RIGHTS

Your rights regarding PHI are explained below. To exercise these rights, please submit a written request to the Practice at the address noted below. 

To Inspect and Copy PHI

  • You can ask for an electronic or paper copy of PHI. The Practice may charge you a reasonable fee.
  • The Practice may deny your request if it believes the disclosure will endanger your life or another person's life. You may have a right to have this decision reviewed.

To Amend PHI

  • You can ask to correct PHI you believe is incorrect or incomplete. The Practice may require you to make your request in writing and provide a reason for the request.
  • The Practice may deny your request. The Practice will send a written explanation for the denial and allow you to submit a written statement of disagreement.

To Request Confidential Communications

  • You can ask the Practice to contact you in a specific way. The Practice will say “yes” to all reasonable requests.

Right To Restrict Disclosures

  • You can ask the Practice not to use or share PHI for treatment, payment, or business operations. The Practice is not required to agree if it would affect your care.
  • If you pay for a service or health care item out-of-pocket in full, you can ask the Practice not to share PHI with your health insurer.
  • You can ask for the Practice not to share your PHI with family members or friends by stating the specific restriction requested and to whom you want the restriction to apply. You may request restrictions on certain uses or disclosures of your health information. We are not required to agree to all requests. Special protections may apply to substance use disorder treatment records.

Right to an Accounting of Disclosures

You have the right to request a list of certain disclosures we have made of your health information. This includes certain disclosures of substance use disorder information as required by federal law.

To Receive a Copy of this Notice

You can ask for a paper copy of this Notice, even if you agreed to receive the Notice electronically. 

To Choose Someone to Act for You

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights. 

Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.

Complaints regarding substance use disorder confidentiality may also be subject to federal enforcement laws.

You can file a complaint by contacting the Practice using the following information: 

Tea & Empathy Counseling LLC 

184 Business Park Drive, Suite 206

Virginia Beach, VA 23462

Lauren Janiec 757-210-3090

You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. The Practice will not retaliate against you for filing a complaint. To Opt Out of Receiving Fundraising Communications

The Practice may contact you for fundraising efforts, but you can ask not to be contacted again.

Special Protections for Substance Use Disorder Information

Special Protections for Substance Use Disorder Records

Some health information related to substance use disorder diagnosis, treatment, or referral for treatment may be protected by additional federal confidentiality laws (42 CFR Part 2).

Where applicable, we will obtain your written consent before using or disclosing substance use disorder treatment records for treatment, payment, and health care operations, unless an exception applies.

Once disclosed with your consent for these purposes, federal law may permit the recipient to further use or disclose the information as allowed under HIPAA.

You have the right to revoke your consent for these disclosures at any time, except to the extent that we have already acted in reliance on it.

OUR USES AND DISCLOSURES

1. Routine Uses and Disclosures of PHI 

The Practice is permitted under federal law to use and disclose PHI, without your written authorization, for certain routine uses and disclosures, such as those made for treatment, payment, and the operation of our business. The Practice typically uses or shares your health information in the following ways: 

                To treat you. 

                      • The Practice can use and share PHI with other professionals who are treating you. 

                      • Example: Your primary care doctor asks about your mental health treatment. 

                To run the health care operations. 

                      • The Practice can use and share PHI to run the business, improve your care, and contact you. 

                      • Example: The Practice uses PHI to send you appointment reminders if you choose. 

                To bill for your services. 

                     • The Practice can use and share PHI to bill and get payment from health plans or other entities. 

                     • Example: The Practice gives PHI to your health insurance plan so it will pay for your services. 

2. Uses and Disclosures of PHI That May Be Made Without Your Authorization or Opportunity to Object 

The Practice may use or disclose PHI without your authorization or an opportunity for you to object, including: 

To help with public health and safety issues

We may disclose health information when required by law for public health activities, reporting abuse or neglect, preventing serious threats to health or safety, or complying with health oversight agencies. Some types of records, including substance use disorder treatment records, may have additional restrictions.

• Public health: To prevent the spread of disease, assist in product recalls, and report adverse reactions to medication. • Required by the Secretary of Health and Human Services: We may be required to disclose your PHI to the Secretary of Health and Human Services to investigate or determine our compliance with the requirements of the final rule on Standards for Privacy of Individually Identifiable Health Information. • Health oversight: For audits, investigations, and inspections by government agencies that oversee the health care system, government benefit programs, other government regulatory programs, and civil rights laws. • Serious threat to health or safety: To prevent a serious and imminent threat. • Abuse or Neglect: To report abuse, neglect, or domestic violence. To comply with law, law enforcement, or other government requests

Court Orders and Legal Proceedings

We may disclose your protected health information in response to a court order. Certain substance use disorder treatment records may require additional legal processes before disclosure, as required by federal law.

• Required by law: If required by federal, state or local law. • Judicial and administrative proceedings: To respond to a court order, subpoena, or discovery request. 

• Law enforcement: For law locate and identify you or disclose information about a victim of a crime. 

• Specialized Government Functions: For military or national security concerns, including intelligence, protective services for heads of state, or your security clearance. 

• National security and intelligence activities: For intelligence, counterintelligence, protection of the President, other authorized persons or foreign heads of state, for purpose of determining your own security clearance and other national security activities authorized by law. 

• Workers' Compensation: To comply with workers' compensation laws or support claims. To comply with other requests 

• Coroners and Funeral Directors: To perform their legally authorized duties. 

• Organ Donation: For organ donation or transplantation. 

• Research: For research that has been approved by an institutional review board. 

• Inmates: The Practice created or received your PHI in the course of providing care. 

• Business Associates: To organizations that perform functions, activities or services on our behalf. 

3. Uses and Disclosures of PHI That May Be Made With Your Authorization or Opportunity to Object Unless you object, the Practice may disclose PHI: 

To your family, friends, or others if PHI directly relates to that person's involvement in your care. If it is in your best interest because you are unable to state your preference. 

4. Uses and Disclosures of PHI Based Upon Your Written Authorization 

The Practice must obtain your written authorization to use and/or disclose PHI for the following purposes: Marketing, sale of PHI, and psychotherapy notes. You may revoke your authorization at any time by contacting the Practice in writing, using the information above. The Practice will not use or share PHI other than as described in Notice unless you give your permission in writing.

OUR RESPONSIBILITIES

• The Practice is required by law to maintain the privacy and security of PHI. 

• The Practice is required to abide by the terms of this Notice currently in effect. Where more stringent state or federal law governs PHI, the Practice will abide by the more stringent law. 

• The Practice reserves the right to amend Notice. All changes are applicable to PHI collected and maintained by the Practice. Should the Practice make changes, you may obtain a revised Notice by requesting a copy from the Practice, using the information above, or by viewing a copy on the website teaandempathycounseling.com.

• The Practice will inform you if PHI is compromised in a breach.