HIPAA Notice of privacy practices

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Effective date: September 14, 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.

This notice applies to protected health information maintained by or on behalf of Wisdom Therapy, LLC. Service providers, including Headway, may process information for scheduling, records, insurance, billing, payment, or related services. Headway may also provide an additional privacy notice concerning its own services. That notice does not replace this notice.

You have the right to:

• Inspect or obtain an electronic or paper copy of your health record.
• Ask that incorrect or incomplete information be corrected.
• Request communication through a specific method or at a particular location.
• Ask Wisdom Therapy, LLC to limit certain uses or disclosures.
• Receive an accounting of certain disclosures.
• Obtain a paper copy of this notice.
• Designate a legally authorized person to act for you.
• File a privacy complaint without retaliation.

You may ask to inspect or receive an electronic or paper copy of your health information. A copy or summary will generally be provided within 30 days, subject to legally permitted extensions. A reasonable, cost-based fee may apply.

You may ask to amend information you believe is incorrect or incomplete. Wisdom Therapy, LLC may deny a request when permitted by law but will explain the denial in writing, generally within 60 days.

You may ask to be contacted in a particular way or at a particular location. Reasonable requests will be accommodated.

You may ask Wisdom Therapy, LLC not to use or disclose certain information for treatment, payment, or healthcare operations. Most requests are not required to be accepted.

If you pay for a service completely out of pocket, you may request that information about that service not be disclosed to your health plan for payment or healthcare operations. Wisdom Therapy, LLC will honor that request unless disclosure is required by law.

You may request an accounting of certain disclosures made during the six years before your request. Disclosures for treatment, payment, healthcare operations, and certain other legally excluded disclosures will not be included. One accounting during a 12-month period will be provided without charge.

A person with legal authority to act on your behalf may exercise your privacy rights. Wisdom Therapy, LLC will verify that authority before taking action.

When permitted by law, you may tell Wisdom Therapy, LLC whether health information may be shared with family members, close friends, or others involved in your care or payment.

If you cannot communicate your preference, information may be disclosed when reasonably believed to be in your best interest or when necessary to prevent or reduce a serious and imminent threat.

Written authorization is generally required for:

• Most uses or disclosures of psychotherapy notes.
• Marketing involving protected health information.
• The sale of protected health information.
• Other uses or disclosures not described in this notice.

Wisdom Therapy, LLC does not sell protected health information or use it for fundraising. You may revoke an authorization in writing unless action has already been taken in reliance on it.

Wisdom Therapy, LLC may use or disclose protected health information for the following purposes:

Information may be used to provide, document, coordinate, or manage your treatment. When permitted, relevant information may be shared with another healthcare professional involved in your care.

Information may be used or disclosed to verify insurance benefits, submit or review claims, obtain payment, and resolve billing matters. This may involve Headway, insurance companies, payment processors, or other service providers.

Information may be used to operate the practice, improve services, meet professional and legal responsibilities, conduct compliance or quality reviews, maintain security, and work with contractors or business associates that assist the practice.

Subject to applicable legal conditions, information may also be used or disclosed:

• To prevent or control disease or address other public-health matters.
• To report suspected abuse, neglect, or domestic violence when permitted or required.
• To prevent or lessen a serious and imminent threat to health or safety.
• For healthcare oversight, licensing, audits, inspections, or investigations.
• For workers’ compensation matters.
• For certain law-enforcement or government purposes.
• In response to a valid court or administrative order, subpoena, or other lawful process.
• To a coroner, medical examiner, or funeral director when legally appropriate.
• For legally authorized research.
• When otherwise required by federal or Missouri law.

Wisdom Therapy, LLC will limit disclosures to the information reasonably necessary and will apply any additional protections required for mental-health information.

Missouri law provides additional confidentiality protections for information obtained by a clinical social worker during professional services. Such information will not be disclosed without written authorization unless disclosure is otherwise permitted or required by applicable law.

To the extent Wisdom Therapy, LLC receives or maintains substance-use-disorder treatment 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 without your written consent or a qualifying court order accompanied by a subpoena or other legal requirement compelling disclosure.

Wisdom Therapy, LLC is required to:

• Maintain the privacy and security of protected health information.
• Provide this notice describing its legal duties and privacy practices.
• Follow the notice currently in effect.
• Notify affected individuals when a breach of unsecured protected health information requires notification.
• Use or disclose information only as described in this notice, as authorized in writing, or as otherwise permitted or required by law.

Wisdom Therapy, LLC may change this notice and apply the revised notice to information already maintained. An updated notice will be available upon request and posted on the Wisdom Therapy, LLC website.

Contact:

Tasha Wisdom, LCSW, Privacy Officer
Wisdom Therapy, LLC
Telephone: 573-247-2025
Email: tasha.wisdom@wisdomtherapyllc.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights:

• Telephone: 1-877-696-6775
• Website: File a HIPAA complaint⁠
• Mail: 200 Independence Avenue SW, Washington, DC 20201

Wisdom Therapy, LLC will not retaliate against anyone for filing a complaint.