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Traverse Family Therapy

Legal

Notice of Privacy Practices

Effective date: October 1, 2026

Last updated: October 1, 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.

Traverse Family Therapy LLC is required by law to protect the privacy of your health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect. This notice applies to all clinicians and staff of Traverse Family Therapy LLC. In this notice, “health information” means information that identifies you and relates to your mental or physical health, the care you receive, or payment for that care.

1. Our Responsibilities

  • We are required by law to maintain the privacy and security of your 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 by letting us know in writing.

2. How We Use and Share Your Health Information

We may use and share your health information without your written authorization for the following purposes.

Treatment

We use your information to provide and coordinate your care. For example, a clinician who practices under supervision reviews your care with their clinical supervisor, and we may coordinate with another provider who is treating you.

Payment

We use and share your information to bill and get paid for your care. For example, we give your health plan the information it needs to pay for your sessions, such as dates of service, the type of service and a diagnosis.

Health Care Operations

We use your information to run the practice and improve care. For example, we use it for quality reviews, clinical supervision and training, audits, and legal and billing services.

Appointment Reminders

We may contact you by phone, text message or email to remind you of appointments, using the contact methods you have given us.

Business Associates

We share information with companies that perform services for us, such as our electronic health record, billing and communication providers. The law and our contracts with them require them to protect your information.

3. Other Uses and Disclosures Allowed or Required by Law

We may also use or share your health information without your authorization in the following situations, as federal and Utah law permit or require:

  • When federal, state or local law requires it.
  • To report suspected abuse or neglect of a child or of a vulnerable adult to the appropriate authorities, as Utah law requires.
  • To prevent or lessen a serious and imminent threat to the health or safety of a person or the public. If you communicate a serious threat of physical violence against an identifiable person, Utah law may require us to warn that person or notify law enforcement.
  • For public health activities, such as preventing or controlling disease.
  • To health oversight agencies, such as licensing boards, for audits, investigations and inspections.
  • In response to a court or administrative order, or to a subpoena or other lawful request when the conditions the law sets for that disclosure are met.
  • To law enforcement officials in limited situations the law allows.
  • To coroners, medical examiners and funeral directors, and to organ and tissue donation organizations, as the law allows.
  • For research, when the law allows it and appropriate privacy protections are in place.
  • For military, national security and protective services for the President, as the law allows.
  • To comply with workers' compensation laws.

4. Uses That Require Your Written Authorization

We will ask for your written authorization before we:

  • use or share psychotherapy notes, which are a clinician's separate notes about the content of your sessions, except in the limited situations the law allows;
  • use or share your information for marketing;
  • sell your information;
  • use or share your information for any purpose not described in this notice.

You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

5. Family Members and Others Involved in Your Care

With your agreement, or if you do not object when given the chance, we may share relevant information with a family member, friend or other person involved in your care or in paying for it. If you are not able to agree, for example in an emergency, we may share information when we believe it is in your best interest.

6. Minors

Parents and legal guardians generally act on behalf of a client under 18 and may exercise the rights in this notice for them. Exceptions apply where state or federal law gives the minor control over their own health information, or where we believe sharing information with a parent or guardian could endanger the minor.

7. Your Rights

Get a Copy of Your Records

You can ask to see or get a copy of your health information, including an electronic copy. We usually respond within 30 days, and we may charge a reasonable, cost-based fee. Psychotherapy notes are not included. In limited situations we may deny your request. If we do, we will tell you why in writing and how you can ask for a review.

Ask Us to Correct Your Records

You can ask us to correct health information you believe is incorrect or incomplete. We may say no, but if we do, we will tell you why in writing within 60 days.

Request Confidential Communications

You can ask us to contact you in a specific way, such as at a certain phone number or address. We will agree 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, unless you ask us not to share information with your health plan about a service you paid for out of pocket in full. In that case we will agree, unless the law requires us to share it.

Get an Accounting of Disclosures

You can ask for a list of the times we have shared your health information in the six years before your request, who we shared it with and why. The list does not include disclosures for treatment, payment, health care operations and certain other disclosures. We provide one list a year for free and may charge a reasonable, cost-based fee for another list within 12 months.

Get a Paper Copy of This Notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically.

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 confirm that the person has this authority before we act.

File a Complaint

If you believe your privacy rights have been violated, you can file a complaint with our Privacy Officer at (385) 224-5128 or at 60 W Canyon Crest Road, Alpine, UT 84004. You can 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, by calling 1-877-696-6775, or online at www.hhs.gov/hipaa/filing-a-complaint (opens in a new tab). We will not retaliate against you for filing a complaint.

8. Changes to This Notice

We can change the terms of this notice, and the changes will apply to all the information we have about you. The new notice will be available on request, in our office and on our website.

9. Contact Us

For questions about this notice or your privacy rights, contact:

Privacy Officer
Traverse Family Therapy LLC
60 W Canyon Crest Road
Alpine, UT 84004
(385) 224-5128