HIPAA
Effective Date: July 23, 2026
Contact Information
If you have questions about this Notice, wish to exercise your privacy rights, or need access to your records, please contact:
Wildflower & Stone Therapy
731 N McLean BLVD
Wichita, KS 67203
Telephone: 316-512-1096
Protected Health Information (PHI)
Protected Health Information (PHI) includes any information that identifies you and relates to your past, present, or future physical or mental health, the health care you receive, or payment for that care.
Examples include:
- Intake forms
- Clinical records
- Treatment plans
- Session notes
- Diagnoses
- Billing information
- Insurance information
- Appointment history
- Communications regarding your care
Federal and state laws require us to protect the privacy and confidentiality of your PHI.
Our Responsibilities
Wildflower & Stone Therapy is required by law to:
- Maintain the privacy and security of your Protected Health Information.
- Provide you with this Notice of Privacy Practices.
- Follow the privacy practices described in this Notice.
- Notify you promptly if a breach occurs that may have compromised your unsecured PHI.
- Comply with all applicable federal and Kansas privacy laws.
We reserve the right to revise this Notice at any time. Any revisions will apply to all PHI we maintain. Updated versions will be available on our website and upon request.
How We May Use and Disclose Your PHI
1. Treatment
We may use and disclose your PHI to provide, coordinate, or manage your treatment.
Examples include:
- Coordinating care with other health care providers
- Consulting with other professionals when clinically appropriate
- Referring you to specialists or community resources
- Planning and documenting your treatment
2. Payment
We may use or disclose PHI as necessary to obtain payment for services.
Examples include:
- Billing insurance companies
- Verifying insurance eligibility
- Collecting payment
- Processing claims
- Managing outstanding balances
3. Health Care Operations
We may use your PHI for activities that help us operate our practice, including:
- Quality improvement
- Clinical supervision or consultation
- Staff training
- Licensing and accreditation requirements
- Scheduling
- Recordkeeping
- Compliance reviews
- Audits
- Administrative operations
4. Uses and Disclosures Permitted Without Your Authorization
Federal and state laws permit or require us to disclose PHI without your written authorization under certain circumstances, including:
Required by Law
When disclosure is required by federal, state, or local law.
Public Health Activities
When reporting information required for public health purposes.
Abuse, Neglect, or Domestic Violence
When reporting suspected abuse, neglect, or domestic violence as required or authorized by law.
Health Oversight Activities
For audits, inspections, investigations, licensing, or accreditation activities.
Judicial or Administrative Proceedings
When responding to court orders, subpoenas, or other lawful legal processes.
Law Enforcement
When disclosure is permitted by HIPAA and applicable law.
Serious Threat to Health or Safety
When necessary to prevent or lessen a serious and imminent threat to you or another person.
Coroners and Medical Examiners
As authorized by law following a person’s death.
Military, National Security, and Government Functions
When authorized or required by applicable law.
Workers’ Compensation
When permitted for workers’ compensation claims or similar programs.
Research
Under limited circumstances and only when appropriate privacy safeguards have been approved and implemented.
5. Uses Requiring Your Written Authorization
Any use or disclosure not specifically described in this Notice will require your written authorization.
You may revoke your authorization at any time by submitting a written request, except to the extent we have already relied upon that authorization.
Psychotherapy Notes
If psychotherapy notes are maintained separately from your medical record, they receive additional protection under HIPAA.
With limited exceptions permitted by law, psychotherapy notes will not be disclosed without your written authorization.
Exceptions may include:
- Your treatment
- Certain training activities
- Legal defense initiated by you
- Health oversight investigations
- Preventing a serious threat to health or safety
- Other situations required by law
Incidental Uses and Disclosures
Despite our best efforts to protect your privacy, HIPAA recognizes that limited incidental disclosures may occasionally occur as part of otherwise lawful and appropriate uses of PHI.
Wildflower & Stone Therapy employs reasonable administrative, physical, and technical safeguards to minimize these situations and limit disclosures to the minimum necessary.
Marketing and Sale of PHI
Wildflower & Stone Therapy will never:
- Sell your Protected Health Information.
- Use your PHI for marketing purposes without your written authorization, except where specifically permitted by law.
Your Rights Regarding Your PHI
You have important rights regarding your health information.
Right to Inspect and Receive Copies
You may inspect and obtain a copy of your health records maintained by our practice.
Reasonable, cost-based fees may apply for copies where permitted by law.
Right to Request Amendments
If you believe information in your record is inaccurate or incomplete, you may request that it be amended.
If your request is denied, you may submit a written statement of disagreement that becomes part of your record.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your PHI made during the previous six (6) years, excluding disclosures for:
- Treatment
- Payment
- Health care operations
- Disclosures made directly to you
- Certain other legally exempt disclosures
Right to Request Restrictions
You may request restrictions on how we use or disclose your PHI.
While we will consider every request, we are not required to agree to all requested restrictions.
If you pay for a service completely out-of-pocket, you may request that information regarding that service not be disclosed to your health plan, unless disclosure is required by law.
Right to Request Confidential Communications
You may request that we communicate with you using alternative methods or at alternate locations, such as:
- A different mailing address
- An alternate phone number
- Secure email when appropriate
We will accommodate all reasonable requests whenever possible.
Right to Receive a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
Right to Be Notified of a Breach
You have the right to receive notification if your unsecured PHI has been compromised in a reportable data breach.
Electronic Communications
While we make every effort to safeguard electronic communications, email, text messaging, and online communication platforms may not always be completely secure.
If you choose to communicate electronically with Wildflower & Stone Therapy, you acknowledge and accept the inherent privacy risks associated with these methods.
Complaints
If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
You may contact:
Wildflower & Stone Therapy
306 N Rock Road, Suite 30
Wichita, KS 67206
Telephone: 316-512-1096
You may also file a complaint directly with:
U.S. Department of Health and Human Services
Office for Civil Rights
Filing a complaint will not affect your treatment or services in any way.
No Retaliation
Wildflower & Stone Therapy will never retaliate against you for exercising your privacy rights or filing a complaint.
Effective Date
This Notice of Privacy Practices is effective July 23, 2026 and remains in effect until replaced by a revised version.