HIPAA Notice of Privacy Practices

Effective Date: May 14th, 2026

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Our Commitment to Your Privacy

Dragonfly Counseling & Wellness, LLC (“Dragonfly Counseling & Wellness,” “we,” “our,” or “us”) understands the importance of protecting your health information and maintaining your privacy.

We are required by law to maintain the privacy and security of your Protected Health Information (“PHI”), provide you with this Notice of Privacy Practices, and comply with the terms currently in effect.

Practice Information

Dragonfly Counseling & Wellness, LLC
850 Michigan Avenue
Columbus, Ohio 43215
Email: info@dragonflycw.com

Protected Health Information

Protected Health Information (“PHI”) includes information relating to your physical or mental health condition, healthcare services provided to you, payment for healthcare services, and information that may identify you.

How We May Use and Disclose Your Information

Treatment

We may use and disclose your PHI to provide, coordinate, or manage your treatment and related services.

Payment

We may use or disclose your PHI to process payments, issue invoices, generate superbills, or conduct billing-related activities.

Healthcare Operations

We may use and disclose your PHI for practice operations, including quality improvement, training, supervision, compliance, licensing, and administrative functions.

Legal Requirements

We may disclose your PHI when required by federal law, state law, court order, subpoena, or other legal process.

Risk of Harm

We may disclose information if necessary to prevent or reduce a serious threat to your health or safety or the health or safety of another person.

Abuse or Neglect

We may disclose information when required to report suspected abuse, neglect, domestic violence, or exploitation in accordance with applicable law.

Business Associates

We may share PHI with trusted service providers (“Business Associates”) who assist us in operating our practice, including scheduling systems, telehealth platforms, billing providers, cloud storage providers, and secure client portal services.

Business Associates are required to appropriately safeguard your information.

Uses Requiring Authorization

Other uses or disclosures of your PHI generally require your written authorization.

You may revoke an authorization at any time in writing, except to the extent action has already been taken in reliance upon it.

Your Rights Regarding Your Information

Right to Access

You have the right to inspect and request a copy of your PHI, subject to certain limitations permitted by law.

Right to Request Amendments

You may request corrections or amendments to your records if you believe information is inaccurate or incomplete.

Right to Request Restrictions

You may request restrictions regarding certain uses or disclosures of your PHI. While we will consider your request, we may not always be legally required to agree.

Right to Confidential Communications

You may request that we communicate with you through specific methods or at specific locations.

Right to an Accounting of Disclosures

You may request a list of certain disclosures of your PHI made by our practice.

Right to a Paper Copy of This Notice

You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.

Electronic Communications and Telehealth

We may use electronic communication systems, secure portals, and telehealth platforms as part of our services.

While reasonable safeguards are used, electronic communications may involve risks including technological failures or unauthorized access.

Data Security

We maintain administrative, technical, and physical safeguards designed to protect your PHI against unauthorized access, disclosure, or misuse.

Breach Notification

If a breach of unsecured PHI occurs that may compromise your privacy or security, we will provide notification as required by law.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health & Human Services.

You will not be retaliated against for filing a complaint.

Contact Information

Questions or complaints regarding this Notice may be directed to: