Near Counseling & Wellness, LLC
256 N. West Street
Doylestown, PA 18901
Effective Date: September 10, 2026
This Notice of Privacy Practices describes how health information about you may be used and disclosed and how you can obtain access to that information.
Please review this notice carefully. If you have questions about this notice or your privacy rights, please contact Near Counseling & Wellness, LLC.
Near Counseling & Wellness, LLC is required by law to:
· Maintain the privacy and security of your protected health information (PHI).
· Provide you with this notice describing our legal duties and privacy practices.
· Follow the terms of the Notice of Privacy Practices currently in effect.
· Notify you as required by law if a breach occurs that may have compromised the privacy or security of your information.
· Provide you with a copy of this notice upon request.
We reserve the right to change our privacy practices and this notice. If we make a material change to our privacy practices, we will promptly revise and distribute the notice as required by law. The revised notice will be available upon request and will be posted on our website when applicable.
The following describes some of the ways we may use or disclose your health information without obtaining your written authorization when permitted or required by law.
We may use or disclose your health information to provide, coordinate, or manage your mental health treatment.
For example, we may communicate with another health care provider involved in your treatment when permitted by law.
We may use or disclose your health information as necessary to obtain or process payment for services.
Near Counseling & Wellness, LLC is a private-pay practice and generally does not bill health insurance directly. When applicable, information may be used or disclosed in connection with payment-related activities.
We may use or disclose your health information as necessary for health care operations, such as practice administration, quality improvement, compliance activities, and other activities permitted by law.
We may use or disclose your health information when required to do so by federal, state, or local law.
We may disclose information when permitted or required by law for certain public health activities, including reporting certain diseases, injuries, or conditions; reporting suspected abuse or neglect; or addressing serious threats to health or safety.
We may disclose information when required or permitted by law to report suspected abuse, neglect, or exploitation of a child, older adult, or dependent adult.
We may disclose information when necessary to prevent or lessen a serious and imminent threat to the health or safety of you, another person, or the public, as permitted by applicable law.
We may disclose health information in response to a valid court or administrative order, subpoena, discovery request, or other lawful process when the applicable legal requirements for disclosure have been satisfied.
We may disclose health information to law enforcement when permitted or required by applicable law, such as in response to a valid legal process or in circumstances specifically authorized by law.
We may disclose health information as authorized by and to the extent necessary to comply with laws relating to workers’ compensation and similar programs.
We may disclose information to appropriate governmental agencies for activities authorized by law, including audits, investigations, inspections, licensure, disciplinary proceedings, and other health oversight activities.
We may disclose information to a coroner or medical examiner when permitted or required by law.
We may use or disclose health information for research purposes when permitted by applicable law and when appropriate requirements for protecting the information have been satisfied.
We may disclose health information for certain specialized government functions when authorized by law.
To the extent that Near Counseling & Wellness, LLC creates or maintains substance use disorder patient records that are subject to 42 CFR Part 2, those records may receive additional federal confidentiality protections.
Part 2 generally provides additional protections for records maintained in connection with federally assisted substance use disorder treatment programs. When Part 2 applies, we will comply with the applicable requirements governing the use and disclosure of those records.
To the extent required by Part 2, information protected by Part 2 will not be used or disclosed for an investigation or legal proceeding against you unless the disclosure is permitted by Part 2, including through your written consent or a court order and subpoena when required.
You may contact Near Counseling & Wellness, LLC with questions about whether particular records are subject to additional confidentiality protections.
Certain uses and disclosures of your health information generally require your written authorization.
These may include:
· Most uses and disclosures of psychotherapy notes maintained separately from your clinical record.
· Uses and disclosures for marketing purposes when authorization is required by law.
· The sale of protected health information when authorization is required by law.
· Other uses or disclosures not otherwise permitted or required by applicable law.
You may revoke an authorization in writing at any time, except to the extent that action has already been taken in reliance on the authorization.
Near Counseling & Wellness, LLC does not maintain psychotherapy notes separately from the clinical record. If psychotherapy notes are created and maintained in the future, they will be handled in accordance with applicable federal and state privacy requirements.
We may disclose relevant health information to a family member, close friend, or another person you identify as being involved in your care or payment for your care when permitted by law.
When possible, we will give you an opportunity to object to such disclosures.
We may contact you to provide appointment reminders, information about treatment alternatives, or information about health-related services that may be of interest to you.
We may contact you using the communication methods you have provided to us, subject to applicable law and your preferences.
We will not use or disclose your health information for marketing purposes when HIPAA requires your written authorization without first obtaining that authorization.
We will not sell your health information without your written authorization when HIPAA requires authorization for such a sale.
You have the following rights regarding your health information, subject to certain legal limitations.
You have the right to inspect and obtain a copy of your health information maintained by the practice, as permitted by law.
We generally will act on a request for access within 30 calendar days. In certain circumstances, an additional 30-day extension may be permitted. If an extension is needed, we will provide you with written notice explaining the reason for the delay and the expected completion date.
You may request your information in paper or electronic form when the requested form or format is readily producible, subject to applicable law.
Reasonable, cost-based fees may apply when permitted by law.
You have the right to request that we amend health information that you believe is inaccurate or incomplete, subject to applicable legal requirements.
We will generally act on an amendment request within 60 days. If additional time is reasonably necessary, we may extend the response period as permitted by law and will provide written notice explaining the reason for the delay.
If we deny your request, we will provide you with a written explanation and information about your right to submit a written statement of disagreement when applicable.
You have the right to request restrictions or limitations on how we use or disclose your health information for treatment, payment, or health care operations.
We are not required to agree to every requested restriction.
However, if you pay for a health care item or service completely out of pocket and request that the information concerning that item or service not be disclosed to your health plan for payment or health care operations, we will generally agree to the restriction unless disclosure is otherwise required by law.
You have the right to request that we communicate with you about your health information by a particular method or at a particular location.
We will consider reasonable requests and will not require you to explain why you are making the request when the request is otherwise permitted by law.
You have the right to request an accounting of certain disclosures of your health information made by the practice during the six years preceding the date of your request, subject to exclusions and limitations provided by law.
Certain disclosures, including disclosures made for treatment, payment, and health care operations, are generally excluded from an accounting.
You may request one accounting in a 12-month period without charge. Reasonable, cost-based fees may apply to additional requests during the same period as permitted by law.
You have the right to receive a paper copy of this Notice of Privacy Practices at any time, even if you have agreed to receive the notice electronically.
If you have a legally authorized personal representative, that person may exercise certain rights and make certain decisions regarding your health information on your behalf, subject to applicable law.
We may take reasonable steps to verify the identity and authority of a personal representative before providing access to or disclosing health information.
If you believe your privacy rights have been violated, you may file a complaint with Near Counseling & Wellness, LLC.
You may also file a complaint with the:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775
You may submit a complaint to the Office for Civil Rights through its complaint process.
We will not retaliate against you for filing a privacy complaint.
We make reasonable efforts to protect the privacy and security of electronic communications.
You may communicate with the practice by telephone, email, client portal, or text message for administrative purposes. Electronic communications may carry privacy or security risks, and no electronic communication system can be guaranteed to be completely secure.
You may request confidential communications by an alternative method or at an alternative location as permitted by law.
In an emergency, we may use or disclose health information when permitted or required by applicable law to provide treatment or to prevent or lessen a serious and imminent threat to health or safety.
When applicable law permits disclosure without prior authorization because of an emergency or serious and imminent threat, the disclosure will be limited to what is reasonably necessary under the circumstances.
Some information may be subject to additional protections under federal or Pennsylvania law.
Where applicable law provides greater protection for certain health information than HIPAA, the practice will follow the more protective requirements.
We reserve the right to change this Notice of Privacy Practices.
If we make a material change to our privacy practices or to this notice, we will promptly revise and make the updated notice available as required by law.
The current version of this notice will be available upon request and, when applicable, on the practice website.
If you have questions about this Notice of Privacy Practices, your privacy rights, or how your health information is used or disclosed, please contact:
Near Counseling & Wellness, LLC
256 N. West Street
Doylestown, PA 18901
Privacy Contact: Amanda Reichert, MS, LAPC, NCC, RYT
Phone: 215-712-8862
Email: Amanda@nearcounseling.com
Near Counseling & Wellness, LLC
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