Mental Health Workshop

Cancellation Policy

Privacy Practices and Informed Consent Disclosure Your Privacy and Rights Under HIPAA We are committed to protecting your personal health information (PHI) in compliance with the Health Insurance Portability and Accountability Act (HIPAA). HIPAA ensures your right to: Confidentiality: Your health information will be kept private and used only for your treatment, billing, and healthcare operations. Access: You may request a copy of your records at any time, with certain legal exceptions. Amendment: You have the right to request corrections to your records if you believe they are inaccurate or incomplete. Disclosure: We will not share your information without your written consent, except when required by law, such as in cases of suspected abuse, imminent risk of harm, or court orders. For a full description of your rights, you may request our Notice of Privacy Practices at any time. Use of Your Information We will use your health information to provide high-quality care, communicate with other healthcare providers (with your permission), and process payments through insurance. If sharing your information is necessary for other purposes, such as research, we will request your explicit written consent. Limits to Confidentiality While your information is generally confidential, there are exceptions where we are required to disclose it, including: If you express intent to harm yourself or others. If there is reasonable suspicion of abuse, neglect, or exploitation of a child, elder, or vulnerable adult. As mandated by a court order or legal proceeding. Informed Consent for Treatment By signing this form, you acknowledge that: You understand the nature and purpose of psychiatric services, including assessments, treatment plans, and therapy sessions. You have the right to ask questions, decline services, or terminate treatment at any time. Treatment outcomes are not guaranteed, as progress depends on various factors, including participation and individual response. Acknowledgment By signing, you confirm that you have reviewed this disclosure, understand your rights, and consent to treatment and the use of your health information as described. If you have questions or concerns about this notice or your rights, please ask us at any time.

Contact Details

• 500 Terry Francine Street, 6th Floor, San Francisco, CA 94158

  3306905644

  savehealgrow@gmail.com