HIPAA Notice of Privacy Practices
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.
Axis Mental Health is committed to protecting the privacy of your protected health information (PHI). This Notice of Privacy Practices describes your rights and our legal duties and privacy practices regarding your PHI, as required by the Health Insurance Portability and Accountability Act (HIPAA).
1. How We May Use and Disclose Your Health Information
Treatment
We use and disclose your PHI to provide, coordinate, and manage your mental health treatment. This includes:
- Documenting session notes and treatment plans
- Coordinating care with other healthcare providers (with your authorization)
- Consulting with other qualified professionals about your case
Payment
We may use and disclose PHI to bill and collect payment for services:
- Submitting claims to your insurance company
- Verifying insurance coverage and benefits
- Collecting payment and responding to payment-related inquiries
Healthcare Operations
We may use PHI for quality improvement, training, and business management activities.
2. Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your PHI require your written authorization, including:
- Most uses and disclosures of psychotherapy notes
- Uses and disclosures for marketing purposes
- Disclosures that constitute a sale of PHI
- Sharing information with family members, friends, or others you identify
You may revoke your authorization in writing at any time, except to the extent we have already acted based on your authorization.
3. Uses and Disclosures Without Your Authorization
In certain situations, we may use or disclose your PHI without your authorization:
- When Required by Law: When federal, state, or local law requires disclosure
- Public Health Activities: To prevent or control disease, injury, or disability
- Victims of Abuse or Neglect: When we reasonably believe you are a victim of abuse, neglect, or domestic violence
- Health Oversight Activities: To agencies for audits, investigations, inspections, or licensing
- Judicial Proceedings: In response to a court order, subpoena, or discovery request
- Law Enforcement: For law enforcement purposes as required by law
- Serious Threat to Health or Safety: When necessary to prevent or lessen a serious threat to your health and safety or the health and safety of others
- Specialized Government Functions: Such as military, veterans, national security, and correctional institutions
4. Your Rights Regarding Your Health Information
You have the following rights regarding your PHI:
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your PHI maintained in your medical and billing records. Requests must be made in writing. We may charge a reasonable fee for copying costs.
Right to Amend
If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny your request in certain circumstances, but will provide you with a written explanation.
Right to an Accounting of Disclosures
You have the right to receive an accounting of certain disclosures of your PHI made by us during the six years prior to your request.
Right to Request Restrictions
You have the right to request restrictions on certain uses and disclosures of your PHI. We are not required to agree to your request except in limited circumstances.
Right to Request Confidential Communications
You have the right to request that we communicate with you about your PHI by alternative means or at alternative locations (e.g., calling a different phone number).
Right to a Paper Copy of This Notice
You have the right to receive a paper copy of this Notice upon request, even if you have agreed to receive it electronically.
5. Breach Notification
In the event of a breach of your unsecured PHI, we will notify you as required by law.
6. Changes to This Notice
We reserve the right to change this Notice at any time. Changes will apply to PHI we already have as well as any information we receive in the future. We will post the current Notice in our office and on our website with the effective date. You may request a copy of the current Notice at any time.
7. Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
- Axis Mental Health
8085 Wayzata Blvd, Suite 203, St. Louis Park, MN 55426
Phone: (612) 562-9880
Email: mitch@axismentalhealth.com - U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
Website: https://www.hhs.gov/ocr/privacy/hipaa/complaints/
You will not be retaliated against for filing a complaint.
8. Contact Information
For questions about this Notice or to exercise your rights, please contact:
Mitchell "Mitch" Olson, MA, LPCC
Axis Mental Health
8085 Wayzata Blvd, Suite 203, St. Louis Park, MN 55426
Phone: (612) 562-9880
Email: mitch@axismentalhealth.com
Effective Date: December 23, 2025