HIPAA Notice of Privacy Practices

Lotus Living
Jessica Frederic, LCSW

Effective Date: February 22, 2026

THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. Please review it carefully.

1. Commitment to Your Privacy

   Jessica Frederic, LCSW, is required by law to protect the privacy of your protected health information and to provide you with this Notice.

   Protected health information includes information that identifies you and relates to your mental health condition, treatment, or payment for services.

   This Notice applies to psychotherapy services provided in Florida, Ohio, and Utah.

2. How Your Information May Be Used and Disclosed

   For Treatment

   Protected health information may be used to provide and coordinate your mental health care. This may include consultation with other providers when appropriate and authorized.

   For Payment

   If you use insurance benefits, information necessary for billing and reimbursement will be disclosed to your insurance company or third-party payer. This may include:

   • Diagnosis codes
   • Treatment dates
   • Session type
   • Limited treatment information required for claims

   Insurance companies may require additional information for reimbursement decisions.

   If you are a self-pay client and do not use insurance, billing disclosures are limited to payment processing.

   For Health Care Operations

   Information may be used for administrative functions such as:

   • Case consultation
   • Licensing compliance
   • Quality assurance
   • Practice management

3. Telehealth and Electronic Systems

   Protected health information may be stored and transmitted using secure electronic systems, including:

   • SimplePractice for electronic health records and documentation
   • Zoom for telehealth sessions
   • Google Workspace for secure business communication

   Business Associate Agreements are maintained with these providers as required by HIPAA.

   Reasonable safeguards are used. No electronic system can guarantee absolute security.

4. Disclosures Required or Permitted by Law

   Information may be disclosed without authorization when required by law, including:

   • Serious risk of harm to you or others
   • Suspected abuse or neglect
   • Court orders or subpoenas
   • Licensing board inquiries
   • Public health or law enforcement requirements.

   These disclosures follow federal law and applicable state laws in Florida, Ohio, and Utah.

5. Uses and Disclosures Requiring Written Authorization

   Uses or disclosures outside treatment, payment, and health care operations require your written authorization.

   You may revoke authorization in writing at any time.

6. Your Rights

   You have the right to:

   Access Your Records
   Request a copy of your protected health information, subject to legal limitations.

   Request Amendment
   Request correction of inaccurate or incomplete information.

   Request Restrictions
   Request limits on certain uses or disclosures. Not all requests can be granted.

   Request Confidential Communication
   Request communication by alternative means or locations.

   Receive an Accounting of Disclosures
   Request a list of certain disclosures made outside treatment, payment, and operations.

   Receive a Copy of This Notice

7. Complaints

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

   Jessica Frederic, LCSW
   Jessica@LotusLivingFL.com

   Or with:

   U.S. Department of Health and Human Services
   Office for Civil Rights
   www.hhs.gov/ocr/privacy/hipaa/complaints/

   You will not be retaliated against for filing a complaint.

8. Changes to This Notice

   This Notice may be revised at any time. The most current version will be available upon request.