NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

O’Day Psychotherapy PLLC

DBA: Maytree Therapy

Clinicians:

Chelsea O’Day-Navis, MA, LPC
Sydney Jenish, MA, LLPC, NCC (Clinically Supervised by Chelsea O’Day-Navis, LPC)

Effective Date: 06/01/2026

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. OUR DUTIES REGARDING YOUR HEALTH INFORMATION

We are required by law to maintain the privacy of protected health information (“PHI”), to provide you with this Notice of our legal duties and privacy practices, and to follow the terms of this Notice currently in effect.

We reserve the right to change the terms of this Notice and to make the new Notice effective for all PHI we maintain. Revised Notices will be made available upon request, in our office, and on our website.

Your therapist creates and maintains a clinical record of the care and services you receive. This record is necessary for your treatment, to support payment for services, and to comply with legal and professional requirements.

II. HOW YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED

The following categories describe ways your PHI may be used or disclosed without your written authorization.

Treatment

Your therapist may use or disclose PHI to provide, coordinate, or manage your care. This may include consultation with other health care providers involved in your treatment.

Payment

We may use or disclose PHI to obtain payment for services provided to you, including billing claims, eligibility determinations, and utilization review.

Health Care Operations

We may use or disclose PHI for practice operations, including quality assessment, supervision, administrative activities, and compliance functions.

III. OTHER PERMITTED USES AND DISCLOSURES WITHOUT AUTHORIZATION

We may use or disclose PHI without your authorization when permitted or required by law, including:

  • When required by federal, state, or local law

  • Public health activities (including abuse reporting and serious safety threats)

  • Health oversight activities (audits, investigations, licensure)

  • Judicial and administrative proceedings (court orders or legally valid processes)

  • Law enforcement purposes as permitted by law

  • Coroners, medical examiners, or funeral directors

  • Research activities meeting legal requirements

  • Specialized government functions (as permitted by law)

  • Workers’ compensation compliance

  • To prevent or lessen a serious and imminent threat to health or safety

  • Appointment reminders and communication about treatment alternatives or services

IV. USES AND DISCLOSURES REQUIRING AUTHORIZATION

We will obtain your written authorization before using or disclosing PHI for purposes not described in this Notice, including:

Psychotherapy Notes

Psychotherapy notes, as defined under HIPAA (45 CFR § 164.501), are kept separate from the medical record and require authorization for disclosure except in limited circumstances permitted by law, including:

  • Treatment by your therapist

  • Training or supervision activities

  • Defense of legal claims brought by you

  • Compliance with federal oversight activities

  • As otherwise required by law

Marketing and Sale of Information

We will not use or disclose your PHI for marketing purposes, and we will not sell your PHI.

V. USES AND DISCLOSURES WHERE YOU HAVE THE OPPORTUNITY TO OBJECT

Unless you object, we may share relevant PHI with a family member, friend, or other person involved in your care or payment for care when appropriate. In emergencies, this information may be shared as permitted by law.

VI. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

You have the right to:

  • Request restrictions on certain uses and disclosures of PHI

  • Request confidential communications

  • Access and obtain copies of your record (excluding psychotherapy notes)

  • Request amendments to your PHI

  • Receive an accounting of disclosures

  • Obtain a paper or electronic copy of this Notice

Requests will be processed in accordance with HIPAA timelines. Reasonable fees may apply where permitted by law.

VII. COMPLAINTS

If you believe your privacy rights have been violated, you may contact us directly so we can address your concerns.

You may also file a complaint with:

Michigan Department of Licensing and Regulatory Affairs
Bureau of Professional Licensing
Investigations & Inspections Division
PO Box 30670
Lansing, MI 48909
(517) 241-0205

You will not be penalized for filing a complaint.