Privacy & Policy

Confidentiality & Privacy Policy

The law protects the relationship between a client and a psychotherapist, and information cannot be disclosed without written permission.

Exceptions include:

• Suspected child abuse or dependent adult or elder abuse, for which I am required by law to report this to the appropriate authorities immediately.
• If a client is threatening serious bodily harm to another person/s, I must notify the police and inform the intended victim.
• If a client intends to harm himself or herself, I will make every effort to enlist their cooperation in ensuring their safety. If they do not cooperate, I will take further measures without their permission that are provided to me by law in order to ensure their safety.

Notice of Privacy Practices

Notice_of_Privacy_Practices

Notice of Substance Abuse Treatment Privacy Practices

SAMHSA-42-CFR

WE RESERVE THE RIGHT TO CHANGE OUR PRACTICES AND TO MAKE THE NEW PROVISIONS
EFFECTIVE FOR ALL INDIVIDUALLY IDENTIFIABLE HEALTH INFORMATION THAT WE
MAINTAIN. IF WE CHANGE OUR INFORMATION PRACTICES, WE WILL MAIL A REVISED
NOTICE TO THE ADDRESS THAT YOU HAVE GIVEN US.

If you wish to make a complaint about a violation of HIPAA

1. You can request a Privacy Complaint Form from any staff member. 

2. You may submit your complaint to Jamey A. Hinman, MA, LCDC, LPC at 775-283-8738 or [email protected], or in person at 1607 FM 306, Suite 402, New Braunfels, TX 78132.

3. If your complaint involves a violation of HIPAA, you may also contact DHHS directly. To file your complaint directly to DHHS, you must file your complaint with the Regional Manager of the Department of Health and Human Services, Office of Civil Rights, at the following address

Southwest - (Arkansas, Louisiana, New Mexico, Oklahoma, Texas)

Marisa Smith, Regional Manager
Office for Civil Rights
U.S. Department of Health and Human Services
1301 Young Street, Suite 1169
Dallas, TX 75202

Customer Response Center: (800) 368-1019
Fax: (202) 619-3818
TDD: (800) 537-7697
Email: [email protected]

You may obtain a DHHS complaint form at
DHHS Complaint Forms