Aday at a Time Therapy Services
100 Cushman Street, Suite 308 | Fairbanks, Alaska 99701
Phone: 907-318-5686 | Fax: 907-917-4166
Email: info@adayatatimetherapyservices.com
Website: https://www.adayatatimetherapy.com/
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.
Aday at a Time Therapy Services is committed to protecting the privacy and confidentiality of your health information.
This Notice explains your rights, our responsibilities, and how we may use and disclose your protected health information, including information from in-person and telehealth services. It applies to this practice and its workforce.
To exercise a right below, contact our Privacy Officer using the contact information in this Notice. We can explain the process and help you make a request.
You have the right to:
• Obtain an electronic or paper copy of your health record.
• Ask us to correct health information you believe is incorrect or incomplete.
• Request confidential communications.
• Ask us to limit certain uses or disclosures of your health information.
• Request an accounting of certain disclosures of your health information.
• Obtain a paper copy of this Notice at any time.
• Authorize another person to act on your behalf when permitted by law.
• File a complaint if you believe your privacy rights have been violated.
You may ask to inspect or obtain an electronic or paper copy of your health information in our designated record set, including clinical and billing records used to make decisions about you. Contact our Privacy Officer to make a request. We may ask you to put the request in writing and verify your identity.
We will act on your request within 30 calendar days, or sooner if applicable law requires. If an extension is necessary, HIPAA permits one additional period of up to 30 days. We will explain the reason and give you a completion date in writing before the initial deadline.
We may charge a reasonable, cost-based fee when permitted by law.
HIPAA does not provide a right of access to separately maintained psychotherapy notes or information compiled for legal proceedings. Ordinary clinical progress notes are not automatically psychotherapy notes. If we deny access, we will explain the denial in writing and any available right to review.
You may ask us to amend health information that you believe is incorrect or incomplete. Send a written request to our Privacy Officer explaining the correction and your reason.
We will act within 60 days. If necessary, we may take one extension of up to 30 days and provide written notice of the reason and completion date before the initial deadline. We may deny a request as permitted by law, for example if the record is accurate and complete. A written denial will explain your right to submit a statement of disagreement and how to file a complaint.
You may ask us to contact you in a specific way or at a specific location.
For example, you may request that we contact you only at a particular telephone number, email address, or mailing address.
We will accommodate reasonable requests. You do not have to explain why you are making the request. Contact our Privacy Officer and tell us the method or location you want us to use.
You may ask us not to use or disclose certain health information for treatment, payment, or health care operations, or to limit sharing with people involved in your care. Contact our Privacy Officer and describe the information, disclosure, and restriction you request.
We are not required to agree to every request. If we agree, we will follow the restriction, subject to legally permitted exceptions such as disclosure needed for emergency treatment.
However, if you pay for a health care service entirely out-of-pocket, you may ask us not to disclose information about that service to your health plan for payment or health care operations. We will honor that request unless disclosure is required by law.
You may request an accounting of certain disclosures of your health information made during the six years before your request. Contact our Privacy Officer and specify the period you want covered. The accounting identifies the recipients, dates, information disclosed, and purposes, as required by law.
The accounting excludes disclosures exempted by law, including most disclosures for treatment, payment, health care operations, or pursuant to your authorization. We will respond within 60 days, with one extension of up to 30 days if we first give written notice explaining the delay and completion date. The first accounting in any 12-month period is free. We may charge a reasonable, cost-based fee for additional requests after telling you the fee and allowing you to withdraw or modify the request.
You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically. Ask our office or Privacy Officer, and we will provide a copy promptly. The current Notice is also available on our website.
If another person has legal authority to act on your behalf, such as a legal guardian or authorized personal representative, that person may exercise your privacy rights as permitted by law.
We will verify that the person has authority to act for you. Parents or guardians may act for minors to the extent permitted by law. Exceptions may apply, including certain minor-consented services or circumstances involving abuse, neglect, or endangerment.
You may tell us your preferences about sharing information with others. Contact your clinician or our Privacy Officer to tell us what you want us to do.
Depending on the circumstances, you may have choices regarding whether we:
• Share information with family members, friends, or others involved in your care.
• Share information during a disaster-relief situation.
• Notify someone about your location or general condition when legally permitted.
If you cannot communicate your preference, we may use professional judgment to share relevant information in your best interest, but only when applicable confidentiality law allows. We may also make legally permitted disclosures to lessen a serious and imminent threat.
Psychotherapy notes are a mental health professional's separately maintained notes documenting or analyzing counseling conversations. They are different from ordinary progress notes and receive additional federal protection.
We generally will not use or disclose psychotherapy notes without your written authorization except when specifically permitted or required by law.
We will obtain your written authorization before using or disclosing your protected health information for marketing purposes when authorization is required by law.
We will obtain your written authorization before any disclosure of protected health information that would constitute a sale of protected health information under HIPAA.
If we use protected health information to contact you about fundraising, each communication will explain how to opt out. You may also contact our Privacy Officer to opt out. Your choice will not affect treatment or payment. Before using Part 2-protected records for fundraising, we will give you a clear opportunity to choose not to receive those communications.
The following uses and disclosures are permitted under HIPAA. All are subject to the stricter federal and Alaska confidentiality limits described below. We will obtain consent or authorization whenever those laws require it. A HIPAA permission alone does not override those limits.
We may use and disclose health information to provide, coordinate, or manage your treatment when permitted by applicable law.
For example, your clinician may consult with another licensed clinician about your care or coordinate services with your treating physician, with your consent when required.
We may use and disclose health information to obtain payment for services, with authorization when required by applicable confidentiality law. For example, we may send your insurer a claim containing your diagnosis and the service provided.
Examples include:
• Determining insurance eligibility or benefits.
• Obtaining prior authorization.
• Submitting claims.
• Responding to requests from health plans.
• Conducting other activities necessary to receive payment for services.
We may use and disclose health information to operate and manage our practice when permitted by applicable law. For example, an authorized supervisor may review care to evaluate service quality. Service providers that handle protected health information on our behalf must have appropriate safeguards and business associate agreements when HIPAA requires them.
Examples include:
• Quality assessment and improvement.
• Staff training and supervision.
• Credentialing.
• Compliance activities.
• Auditing.
• Business planning.
• Administrative activities.
• Evaluating the quality and effectiveness of services.
We may use or disclose health information for the purposes below only when all applicable legal requirements are met. Alaska confidentiality laws and Part 2, when applicable, may require consent or otherwise limit a disclosure even when HIPAA permits it.
Examples may include:
• Public health: reporting disease, adverse reactions, product recalls, or other information to authorized public health agencies when legally permitted.
• Abuse, neglect, and domestic violence: making required reports of suspected child abuse or neglect and harm to vulnerable adults, and other legally permitted reports.
• Health oversight: disclosures to authorized agencies for audits, licensing, inspections, investigations, or other legally authorized oversight.
• Legal proceedings: disclosures in response to a valid court or administrative order, or another lawful process such as a subpoena when the required safeguards are satisfied. A request alone does not authorize disclosure of protected counseling communications or Part 2 records.
• Law enforcement: limited disclosures for legally authorized purposes, such as reporting certain crimes or responding to qualifying requests, subject to applicable confidentiality protections.
• After death and donation: disclosures to coroners, medical examiners, or funeral directors for their authorized duties, and to organ procurement organizations when legally permitted.
• Workers' compensation: disclosures authorized by workers' compensation or similar laws.
• Research: disclosures for qualifying research with your authorization or a legally approved waiver or other permitted process, subject to additional confidentiality limits.
• Health and safety: disclosures to people able to prevent or lessen a serious and imminent threat, consistent with applicable law and professional standards.
• Required law and special government functions: disclosures required by law, including to HHS to assess compliance, and legally authorized disclosures for military, national security, protective services, or correctional custody purposes, subject to applicable confidentiality limits.
When the HIPAA minimum-necessary standard applies, we will limit the information used or disclosed to the minimum reasonably necessary to accomplish the intended purpose.
Alaska law protects professional communications between a client and a licensed social worker and restricts disclosure by the social worker, employees, and others with access to the records. We do not disclose those protected communications unless you authorize release in writing or an applicable legal exception permits or requires disclosure.
Exceptions under AS 08.95.900 include case conferences with licensed social workers or other licensed healing-arts practitioners, specified licensing-board matters and court proceedings, and disclosures to an identified potential victim or law enforcement following a threat of imminent serious physical harm. Required reports of child abuse or neglect and harm to vulnerable adults also apply.
When federal or Alaska law gives information greater protection than HIPAA, we follow that more protective requirement. The general permissions described above do not override those restrictions. Other behavioral health records may also receive additional protection under applicable law.
Aday at a Time Therapy Services is not a program subject to 42 CFR Part 2. However, we may receive or maintain records from another provider or program that are protected by that law.
If we receive or maintain Part 2-protected records, we follow the consent, use, disclosure, and redisclosure requirements that apply to those records. A consent covering future treatment, payment, and health care operations may permit those uses and disclosures, and qualifying HIPAA redisclosures, subject to applicable limits.
We will not use or disclose Part 2-protected records, or testimony describing their contents, in civil, criminal, administrative, or legislative proceedings against you without your specific written consent or a qualifying Part 2 court order. The court-order process requires notice and an opportunity to be heard for you or the record holder. An authorizing order must also be accompanied by a subpoena or other legal requirement compelling disclosure. A subpoena alone is insufficient.
Consent for proceedings against you must be separate from consent for other purposes. You may revoke consent in writing, subject to actions already taken in reliance on it. The complaint procedures below also apply to alleged Part 2 violations.
Aday at a Time Therapy Services is required to:
• Maintain the privacy of your protected health information and safeguard it as required by law.
• Provide this Notice describing our legal duties and privacy practices, and follow applicable federal and state confidentiality laws.
• Notify you following a breach of your unsecured protected health information as required by law.
• Follow the privacy practices described in the Notice currently in effect.
• Provide you with a copy of this Notice upon request.
Other uses and disclosures not described in this Notice will be made only with your written authorization.
You may revoke an authorization in writing at any time, except to the extent that we have already acted in reliance on the authorization.
You have the right to file a complaint if you believe your privacy or confidentiality rights have been violated.
You may contact:
Privacy Officer
Aday at a Time Therapy Services
100 Cushman Street, Suite 308
Fairbanks, Alaska 99701
Phone: 907-318-5686
Email: info@adayatatimetherapyservices.com
To complain to our practice, contact the Privacy Officer by telephone or send a written complaint by mail or email describing what happened. You may complain to HHS directly without first complaining to us.
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue SW
Washington, DC 20201
File a HIPAA or Part 2 complaint online or obtain filing instructions at https://www.hhs.gov/hipaa/filing-a-complaint/index.html. You may also call 1-877-696-6775 for assistance. Complaints generally must be filed within 180 days of when you knew of the issue. OCR may extend that deadline for good cause.
Aday at a Time Therapy Services will not retaliate against you for filing a complaint or exercising your privacy rights.
We reserve the right to change this Notice and our privacy practices as permitted by law.
The revised terms may apply to all health information we maintain, including information created or received before the revision. We will identify the effective date on each revised Notice.
When this Notice is materially revised, the current version will be made available:
• On our website at https://www.adayatatimetherapy.com/
• At our office.
• Upon request.
If you have questions about this Notice, your privacy rights, or how your health information is handled, contact:
Privacy Officer
Aday at a Time Therapy Services
Phone: 907-318-5686
Email: info@adayatatimetherapyservices.com
Effective Date: October 2, 2026
Last Updated: October 2, 2026
