HIPAA

Notice of Privacy Practices

Effective Date: July 1, 2026

This Notice describes how your protected health information (PHI) may be used and disclosed, how you can access your information, and your rights regarding your health information. Please review it carefully.

Our commitment to your privacy

Your privacy is important to us. We are required by the Health Insurance Portability and Accountability Act (HIPAA) to protect the privacy of your health information, provide you with this Notice of Privacy Practices, and follow the terms currently in effect.

How we may use and disclose your health information

We may use or disclose your health information for the following purposes:

Treatment: To provide, coordinate, and manage your mental health care.
Payment: To bill and collect payment from you, your insurance company, or another responsible party.
Health Care Operations: To support the operation of our practice, including quality improvement, licensing, accreditation, audits, and administrative activities.

Other uses and disclosures

We may also disclose your information when permitted or required by law, including:

To report suspected abuse, neglect, or domestic violence.
To comply with court orders or legal proceedings.
To prevent or lessen a serious and imminent threat to the health or safety of you or others.
As required by state or federal law.
For public health or law enforcement purposes when legally authorized.

Any other use or disclosure of your health information will require your written authorization. You may revoke your authorization at any time, except to the extent that action has already been taken in reliance on it.

Your rights

You have the right to:

Receive a copy of this Notice.
Request access to your health records.
Request corrections to your health information.
Request restrictions on certain uses or disclosures.
Request confidential communications by alternative means or at alternative locations.
Receive an accounting of certain disclosures.
Receive a paper copy of this Notice upon request.

Our responsibilities

We are required to:

Maintain the privacy and security of your protected health information.
Notify you if a breach occurs that may compromise your information.
Follow the privacy practices described in this Notice.
Obtain your authorization when required by law.

Changes to this Notice

We reserve the right to revise this Notice at any time. The revised Notice will apply to all protected health information maintained by this practice and will be posted on our website.

Questions or complaints

If you have questions about this Notice or believe your privacy rights have been violated, please contact us using the information below.

Julie Otis, LCSW
Email: admin@indyevals.com
Phone: (317) 324-8357

You also have the right to file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.