HIPAA Notice of Privacy Practices
Last Updated: January 18, 2026
NOTICE
Core Counseling Center maintains records of the health care services we provide. You may request to inspect and obtain a copy of your record, and you may request corrections to your record. We do not disclose your health information to others unless you authorize us to do so, or unless disclosure is permitted or required by law.
To request access to your records or to obtain more information about our privacy practices, contact:
Address
Core Counseling Center
Suite 130, 250 N Rock Rd
Wichita, Kansas 67206
Phone
620-804-1666
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.
Protected Health Information (PHI)
Your health record contains personal information about you and your health care. State and federal laws protect the confidentiality of your health information. Protected Health Information (PHI) includes information that identifies you and relates to your past, present, or future physical or mental health condition and related health care services.
Core Counseling Center is required by law to:
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Maintain the privacy of your PHI
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Provide you with this Notice of Privacy Practices
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Follow the terms of this Notice currently in effect
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Notify you if a breach occurs involving your unsecured PHI
We may change this Notice at any time. Any updated Notice will apply to PHI we maintain at that time. We will make the revised Notice available on request and by posting it on our website.
How We May Use and Disclose Your PHI
1) For Treatment
We may use and disclose your PHI to provide, coordinate, or manage your care and any related services. This may include consultation with other health care providers, referrals, and coordination of care when appropriate.
2) For Payment
We may use and disclose your PHI to obtain payment for services provided. This may include billing insurance, verifying benefits, or collecting unpaid balances.
3) For Health Care Operations
We may use and disclose PHI for practice operations such as quality assurance, training, supervision/consultation, licensing requirements, recordkeeping, auditing, scheduling, and administrative activities.
4) Uses and Disclosures Permitted Without Your Authorization
State and federal law may permit or require disclosure of your PHI in certain situations, including:
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Required by Law: When required to do so by federal, state, or local law
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Health Oversight Activities: Audits, inspections, or investigations by oversight agencies
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Abuse, Neglect, or Domestic Violence: Reporting when required or authorized by law
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Deceased Individuals: To coroners/medical examiners or for purposes permitted by law
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Serious Threat to Health or Safety: To prevent or lessen a serious and imminent threat
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Judicial and Administrative Proceedings: Court orders, subpoenas, or legal demands as allowed by law
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Law Enforcement Purposes: In limited circumstances permitted by law
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Essential Government Functions: National security, protective services, military activities, or correctional settings as permitted by law
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Research: Under limited conditions and protections required by law (e.g., approved protocols and safeguards)
5) With Your Written Authorization
For uses or disclosures not described above, we will obtain your written authorization. You may revoke your authorization in writing at any time, except to the extent we have already acted in reliance on it.
Incidental Uses and Disclosures
We take reasonable safeguards to protect your PHI. However, HIPAA recognizes that some incidental disclosures may occur as a byproduct of otherwise permitted uses/disclosures, and such incidental disclosures may be allowed as long as reasonable protections are in place and disclosures are limited to the minimum necessary.
Psychotherapy Notes
Psychotherapy notes (if maintained separately from the medical record) receive special protection under HIPAA. We generally require your written authorization to use or disclose psychotherapy notes, except in limited circumstances permitted by law, such as:
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Use for your treatment
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Use for training purposes (when permitted)
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Defense in legal proceedings initiated by you
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Health oversight investigations as permitted by law
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To avert a serious and imminent threat
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As otherwise required by law
Marketing and Sale of PHI
Core Counseling Center will not:
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Use or disclose your PHI for marketing purposes without your written authorization (except as permitted by law), or
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Sell your PHI without your written authorization.
Your Rights Regarding Your PHI
You have the following rights regarding PHI we maintain about you. Requests must be submitted in writing.
1) Right to Inspect and Copy
You may inspect and obtain a copy of your PHI in a designated record set for as long as we maintain it. We may charge a reasonable, cost-based fee for copying and transmitting records. In limited circumstances, your request may be denied; if so, you may have the right to a review of the denial.
2) Right to Request an Amendment
You may request corrections or amendments to your PHI. We may deny your request in certain cases (for example, if the record is accurate and complete). If denied, you may submit a written statement of disagreement.
3) Right to an Accounting of Disclosures
You may request a list of certain disclosures of your PHI for up to six (6) years, excluding disclosures made for treatment, payment, health care operations, disclosures made to you, and certain other exceptions. A reasonable fee may apply for additional requests within a 12-month period.
4) Right to Request Restrictions
You may request restrictions on how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree to all restrictions.
Special restriction: If you pay out-of-pocket in full for a service, you may request that we not disclose information about that service to your health plan, unless disclosure is required by law.
5) Right to Request Confidential Communications
You may request to receive communications in a certain way (for example, at an alternate phone number or address). We will accommodate reasonable requests.
6) Right to a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
7) Right to Notice of a Breach
You have the right to be notified if a breach occurs involving your unsecured PHI.
8) Right to Opt Out of Fundraising
Core Counseling Center does not use PHI for fundraising communications. If that changes, you will have the right to opt out.
Contact Information
Core Counseling Center
Address
Suite 130, 250 N Rock Rd
Wichita, Kansas 67206
Phone
620-804-1666
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
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Core Counseling Center’s Privacy Officer (contact information above), and/or
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The U.S. Department of Health and Human Services (HHS), Office for Civil Rights.
Core Counseling Center will not retaliate against you for filing a complaint.
Effective Date
Effective Date of this Notice: January 18, 2026