Notice of Privacy Practices.
How health information about you may be used and disclosed, and how you can get access to it.
Waking House LLC ยท Andrew M. Woods, LCMHC, NCC
Privacy contact: Andrew Woods, (704) 741-4312, [email protected]
Effective date: November 10, 2026
This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Your health information is personal, and I'm required by law to protect it, to give you this notice of my legal duties and privacy practices, and to follow the notice currently in effect.
How I may use and share your information
For treatment, payment and running the practice. I use your information to provide your care, to bill you, and to run the practice. Examples: consulting with another professional about your care with your identity disguised, preparing a superbill you request, and using business associates such as my electronic health record and telehealth platform. Every business associate has signed an agreement to protect your information.
When the law requires or allows it, without your authorization:
- to prevent a serious and imminent threat to your health or safety, or someone else's
- to report suspected abuse or neglect of a child, an elder or a disabled adult
- in response to a court order (a subpoena alone is not enough)
- for health oversight, such as a licensing board investigation
- to a coroner or medical examiner, as the law allows
- for specialized government functions and workers' compensation, as the law requires
- when required by other state or federal law
With your chance to object. I may share information with a family member or someone involved in your care if you agree or don't object. In an emergency, I may do this if I believe it's in your best interest, and tell you afterward.
Only with your written authorization:
- uses and disclosures of my psychotherapy notes, which I keep separately from your record, except where the law allows otherwise
- marketing (I don't use your information for marketing)
- sale of your information (I never sell it)
- any other use not described in this notice
You can revoke an authorization in writing at any time, except for what I've already done in reliance on it.
Substance use treatment records. If I receive records from a federally assisted substance use disorder program protected by 42 CFR Part 2, I won't use or disclose them in a civil, criminal, administrative or legislative proceeding against you without your written consent or a court order, and I'll handle them under the stricter Part 2 rules.
Your rights
To use any of these, contact me in writing at the email above.
- See and get a copy of your records, on paper or electronically, usually within 30 days. I may charge a reasonable, cost-based fee. Psychotherapy notes are not part of this right.
- Ask me to correct your records. I may say no, and if I do, I'll tell you why in writing within 60 days.
- Ask me to limit what I use or share. I'm not required to agree, except one case: if you've paid for a service in full yourself and ask me not to share it with your health plan, I must agree.
- Ask me to contact you a certain way, such as a particular phone or email. I'll agree to reasonable requests.
- Get a list of disclosures I've made in the past six years, other than for treatment, payment, practice operations, or ones you authorized. One list a year is free.
- Get a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Be notified of a breach that affects your information.
- Choose someone to act for you, such as a guardian or someone with your power of attorney.
My duties
I'm required to keep your information private, to give you this notice, to follow it, and to tell you if a breach compromises your information. I may change this notice. The change applies to all information I hold, and the current version will be on my website and available on request.
Complaints
If you believe your privacy rights have been violated, you can complain to me using the contact above, or to the U.S. Department of Health and Human Services, Office for Civil Rights: 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201; 1-800-368-1019 (TDD 1-800-537-7697); www.hhs.gov/ocr/complaints. I will never retaliate against you for filing a complaint.