Notice of Privacy Practices

Counseling and Testing Center, LLC
 Effective Date: July 1st, 2025

Updated: May 14th, 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.


Our Duties

Counseling and Testing Center, LLC is required by law to:

·         Maintain the privacy of your health information;

·         Provide you with this Notice of Privacy Practices;

·         Follow the terms of this notice; and

·         Notify you if a breach occurs that may have compromised the privacy or security of your information.

We may change the terms of this Notice at any time. If we do, the revised Notice will be available in our office and, if applicable, on our website. The new notice will apply to all health information that we maintain.


How We May Use and Disclose Your Health Information

Treatment

We may use your health information to provide, coordinate, or manage your care and related services. For example, your provider may consult with another healthcare professional about your treatment.

Payment

We may use and disclose your health information to obtain payment for services rendered. For example, we may provide necessary information to your insurance company.

Healthcare Operations

We may use your health information for our operations, such as quality improvement, staff training, auditing, and licensing.


Other Uses and Disclosures Permitted or Required by Law

We may also disclose your health information without your authorization as permitted or required by law, including:

·         When required by federal or Illinois law;

·         For public health activities;

·         To report suspected abuse, neglect, or domestic violence;

·         For health oversight activities such as audits, inspections, or investigations;

·         To comply with legal proceedings or law enforcement requests;

·         To avert a serious threat to health or safety;

·         As required by the Illinois Mental Health and Developmental Disabilities Confidentiality Act for mental health records (which provides stricter protections than HIPAA).


Coordination with Consent Forms:

This Notice works together with the Comprehensive Consent Form. The Comprehensive Consent allows us to use and disclose your information for treatment, payment, and healthcare operations (TPO). For any other purpose, such as disclosures to attorneys, schools, or unrelated third parties, a separate Release of Information form is required.


Uses and Disclosures Requiring Your Written Authorization

We will not use or disclose your health information for purposes outside of treatment, payment, or healthcare operations without your written authorization. This includes:

·         Most uses or disclosures of psychotherapy notes;

·         Marketing communications;

·         Sale of your health information.

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


Your Rights Regarding Your Health Information

You have the right to:

·         Access and Copies: Inspect and obtain a copy of your health information, with limited exceptions (Illinois law provides additional protections for mental health records).

·         Amendments: Request an amendment if you believe information in your record is incorrect or incomplete.

·         Restrictions: Request restrictions on the use or disclosure of your information. We are not required to agree, except for restrictions on disclosures to a health plan when you have paid in full out of pocket.

·         Confidential Communications: Request that we communicate with you in a specific way (e.g., to a certain address or phone number).

·         Accounting of Disclosures: Request a list of certain disclosures we have made of your health information, except for treatment, payment, healthcare operations, or those you authorized.

·         Notice of Breach: Receive notification if a breach of your unsecured health information occurs.

·         Paper Copy: Receive a paper copy of this Notice at any time, even if you agreed to receive it electronically.


Mobile Information / SMS

No mobile information will be shared with third parties/affiliates for marketing or promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties. If you wish to stop receiving text messages from us, you may reply STOP to any message at any time.

 

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All other categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties


 

Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Counseling and Testing Center, LLC
 Attn: Privacy Officer
 3S723 Landon Ave, Warrenville, IL 60555
 (630)318-0550

You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services.

You will not be retaliated against for filing a complaint.


Contact Information

If you have questions about this Notice or wish to exercise your rights, please contact:

Privacy Officer
 Counseling and Testing Center, LLC
 3S723 Landon Ave, Warrenville, IL 60555
 (630)318-0550