Notice of Privacy Practices

For purposes of these notices, “Seventh Pillar Psychiatry,” “we,” “us,” and “our” refer to Felicity, Nurse Practitioner in Psychiatry, PLLC.

This notice describes how medical information about you may be used and disclosed, how you can obtain access to it, and how to raise a privacy concern. It applies to protected health information maintained by the practice.

You have a right to a paper or electronic copy of this notice and may discuss it with the privacy contact listed below.

Inspect or obtain a copy of your record

You may ask to inspect or receive an electronic or paper copy of your medical record and other health information we maintain about you. We will explain how to make the request. We generally respond within the time required by law and may charge a reasonable, cost-based fee where permitted.

Ask us to correct your record

You may ask us to amend information you believe is incorrect or incomplete. We may deny the request in circumstances allowed by law, but we will explain the decision in writing within the required time.

Request confidential communications

You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests.

Ask us to limit use or disclosure

You may ask us not to use or share particular information for treatment, payment, or healthcare operations. We are not always required to agree, including when a restriction could affect care. If we agree, information may still be disclosed when needed for emergency treatment.

If you pay out of pocket in full for a service, you may ask us not to disclose information about that service to your health plan for payment or healthcare operations. We will honor that request unless disclosure is required by law.

Receive an accounting of certain disclosures

You may request a list of certain disclosures made during the six years before your request. The accounting generally does not include disclosures for treatment, payment, healthcare operations, or certain disclosures you authorized or the law otherwise excludes. One accounting in a 12-month period is provided without charge; an additional request may involve a reasonable, cost-based fee.

Receive this notice and choose a representative

You may request a paper copy of this notice at any time. A person legally authorized to act for you, such as a healthcare agent or legal guardian, may exercise your privacy rights after we verify that authority.

File a complaint

You may complain to the practice or to the U.S. Department of Health and Human Services Office for Civil Rights if you believe your privacy rights were violated. Complaint instructions appear below. We will not retaliate against you for filing a complaint.

In certain situations, you may tell us how you want information shared. You may direct us regarding information shared with family members, close friends, or others involved in your care or payment for care, and regarding disaster-relief communications.

If you cannot express a preference, we may share information when we reasonably believe it is in your best interest or when needed to reduce a serious and imminent threat to health or safety, as permitted by law.

Written authorization is generally required for marketing, the sale of protected health information, and most uses or disclosures of psychotherapy notes. You may revoke an authorization in writing, except to the extent action has already been taken in reliance on it.

The practice does not sell protected health information and does not use protected health information for fundraising.

Treatment

We may use your health information and share it with other professionals who are treating you so care can be coordinated and clinically informed.

Healthcare operations

We may use and disclose information to operate the practice, manage services, improve care, maintain systems, conduct quality and compliance activities, and contact you when necessary.

Payment

The practice is private pay. At your request, we may prepare a superbill for you to submit to a health plan for possible out-of-network reimbursement. We may use and disclose information as needed for payment activities permitted by law.

Practice systems and service providers

PracticeQ/IntakeQ is used for secure scheduling, forms, portal communication, and related practice functions. We may work with service providers that perform functions for the practice and are required to protect health information as applicable law and contractual arrangements require.

Subject to legal conditions and any additional protections described below, we may use or disclose health information:

• For public-health and safety activities authorized by law.
• For legally permitted research.
• To comply with federal or state law and with HHS compliance reviews.
• For organ and tissue donation purposes.
• To a coroner, medical examiner, or funeral director after death.
• For workers’ compensation matters and authorized health oversight.
• For legally authorized law-enforcement or special government functions.
• In response to a court or administrative order, subpoena, or other lawful process.

Each category is subject to the limitations and safeguards required by applicable law. A listed purpose does not mean every disclosure is permitted in every case.

New York and federal law may provide additional protection for mental-health treatment records, HIV-related information, genetic information, and substance-use-disorder records. Such information will be used or disclosed only as applicable law permits, with written authorization obtained when required.

To the extent the practice maintains substance-use-disorder patient records protected by 42 CFR Part 2, those records will not be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against you unless you give written consent or the disclosure is authorized by both a court order and a subpoena as required by law.

Part 2 records may be used or disclosed for treatment, payment, and healthcare operations when a valid consent or another legal permission applies. If Part 2 information would be used for fundraising, you would receive clear advance notice and a choice; the practice does not use protected health information for fundraising.

• We are required by law to protect the privacy and security of protected health information.
• We will notify you as required if a breach may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in the notice currently in effect.
• We will provide a copy of this notice upon request.
• We will not use or disclose information other than as described here unless you authorize it in writing or law permits or requires it.
• You may revoke a written authorization as permitted by law by notifying us in writing.

Contact the practice privacy contact with questions, requests, or complaints:

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by writing to 200 Independence Avenue, S.W., Washington, D.C. 20201; calling 1-877-696-6775; or visiting the HHS complaint website.

We will not retaliate against you for filing a complaint.

We may revise this notice and make the revised terms effective for all protected health information we maintain, including information created or received before the revision. The current notice will be available upon request, through the practice, and on this website.

This notice is effective July 24, 2026.