Policy for missed sessions and late cancellations

We understand that life happens and you may not always be able to give advanced notice to your therapist that you will not be able to attend your session (in the office or via telehealth).  When this happens, there can be a negative impact on you, your therapist, and any client who may have needed that time slot.  Your therapist can only schedule a very limited number of sessions per day, and the hour reserved for your appointment cannot easily by filled by another client at the last minute.  In order to protect our schedule for you and other clients who may need appointments, this policy has been established to ultimately minimize the occurrence or negative impact of these missed sessions or late cancellations.

If you need to cancel your appointment, you may do so by reaching out to your therapist via email, telephone, or through the client portal.  If you give less than 24 hours of notice (or simply do not show up), there will be a $99 office fee charged to your credit card on file.  This fee applies regardless of insurance status, as insurance does not pay for missed appointments.  This policy is not meant as any kind of punishment, and we are not "upset" at clients when this occurs.  Such a policy helps to cover our costs, but it also can reduce the number of missed visits that occur without adequate notice, thus resulting in a smoother running practice and schedule that helps our clients.

We hope that this policy can be agreed on happily with the understanding that we as therapists also need to have the same healthy boundaries we like to encourage. 

We greatly appreciate your understanding, and please feel free to discuss any questions or concerns with your therapist regarding this policy.

Your electronic signature indicates that you have been informed of this policy and agree to pay the related fee for missing a session/cancelling with less than 24 hours notice.

Parakaleo Counseling: HIPAA Notice

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.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record 

-      You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this. 

-      We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

-      You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.

-      We may say "no" to your request, but we'll tell you why in writing within 60 days.

Request confidential communications

-      You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. 

-      We will say "yes" to all reasonable requests.

Ask us to limit what we use or share

-      You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say "no" if it would affect your care.

-      If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say "yes" unless a law requires us to share that information.

Get a list of those with whom we've shared information

-      You can ask for a list (accounting) of the times we've shared your health information for six years prior to the date you ask, who we shared it with, and why.

-      We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We'll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

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 and make choices about your health information.

-      We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

-      You can complain if you feel we have violated your rights by contacting us directly. Parakaleo Counseling is owned and operated by Jason P. Springsted, Licensed Marriage and Family Therapist.  He can be reached at 951-374-0007 or jay@parakaleo.life.

-      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/.

-      We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

-      Share information with your family, close friends, or others involved in your care

-      Share information in a disaster relief situation

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

-      Marketing purposes [Parakaleo does not do this]

-      Sale of your information [Parakaleo does not do this]

-      Most sharing of psychotherapy notes

Our Uses and DisclosuresHow do we typically use or share your health information? 

We typically use or share your health information in the following ways.

Treat you

We can use your health information and share it with other professionals who are treating you.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Example: We use health information about you to manage your treatment and services. 

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities. 

Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information? 

We are allowed or required to share your information in other ways - usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

We can share health information about you for certain situations such as: 

-      Preventing disease

-      Helping with product recalls

-      Reporting adverse reactions to medications

-      Reporting suspected abuse, neglect, or domestic violence

-      Preventing or reducing a serious threat to anyone's health or safety

Do research

We can use or share your information for health research.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we're complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers' compensation, law enforcement, and other government requests

We can use or share health information about you:

-      For workers' compensation claims

-      For law enforcement purposes or with a law enforcement official

-      With health oversight agencies for activities authorized by law

-      For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

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

-       We will let you know promptly 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 this notice and give you a copy of it. 

-      We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind. 

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this NoticeWe can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site. [www.Parakaleo.life]

Please note: We never market or sell personal information

Notice Effective: January 1, 2023Contact: Jay Springsted; 951-374-0007; Jay@parakaleo.life

Electronic Signature indicates you have received this notice.  This can also be found under "Forms" on our website at www.parakaleo.life