Effective Date: November, 15, 2026

This notice describes how your health information may be used and disclosed and how you can get access to this information. Please review it carefully.

Our responsibilities
We are required by law to maintain the privacy of your protected health information (PHI), to provide you with this notice, and to follow the terms of the notice currently in effect.

How we may use and disclose your information

• Treatment: We may use your information to provide, coordinate, and plan your care, including consulting with other providers involved in your care.

• Payment: We may use and disclose your information to bill and get paid by your health insurance plan or other payers.

• Health care operations: We may use your information to run our practice, such as quality review, training, and business planning.

• Other uses permitted or required by law, such as to prevent imminent serious harm, for public health reporting, or when required by a court order or as otherwise permitted by law.

• Uses requiring your written authorization, including most uses of psychotherapy notes and marketing. You may revoke an authorization at any time in writing.

• Required reporting of child abuse or neglect: Michigan law requires us to report suspected child abuse or neglect to the appropriate authorities.

Your rights
You have the right to:

• Request a copy of your records.

• Request an amendment to your records.

• Request an accounting of certain disclosures.

• Request restrictions on certain uses and disclosures, and to request confidential communications.

• Receive a paper copy of this notice on request.

• Be notified if a breach affects your unsecured PHI.

Minors and parental access
When a client is a minor, we may share information with a parent or legal guardian as permitted by Michigan law. In some circumstances, Michigan law allows minors to consent to their own outpatient mental health care, and in those cases, certain information may not be shared with a parent or guardian without the minor’s consent.

Complaints
If you believe your privacy rights have been violated, you may contact us at admin@soltherapygroup.com or file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

Contact us
Privacy Officer: Blanca Escalante
269-284-6771· admin@soltherapygroup.com · 600 Plastics Pl, Kalamazoo, MI 49001

Changes to this notice
We may change this notice. Any changes will apply to all information we maintain, and the updated notice will be posted on our website and available on request.