HIPPA Notice of Privacy Practices

Lorrie Ogren Integrative Therapy

Lorrie Ogren, MA, LPC, LPCC

Licensed Trauma Therapist

Wisconsin License: LPC

Minnesota License: LPCC

Phone: 1-715-333-3446

Last Updated: September 12th, 2025

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.

Your Information. Your Rights. Our Responsibilities.

We understand that your health information is personal and confidential. We are committed to protecting the privacy of your Protected Health Information (PHI) and are required by law to maintain the privacy of PHI and to provide individuals with this notice of our legal duties and privacy practices with respect to PHI.

"Protected Health Information" (PHI) is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services.

How We May Use and Disclose Your Health Information

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

Treatment

We will use and disclose your PHI to provide, coordinate, or manage your health care and related services. This includes:

  • Providing trauma therapy and mental health treatment services
  • Coordinating care with other healthcare professionals (with your consent)
  • Consulting with other licensed mental health professionals about your treatment
  • Referring you to other healthcare providers when necessary
  • Emergency treatment situations where immediate care is required

Example: We may share information about your treatment with another therapist if you move or if we refer you to a specialist for additional services.

Payment

We may use and disclose PHI to obtain payment for services provided to you. Since our practice does not accept insurance, payment-related uses are limited but may include:

  • Providing Good Faith Estimates as required by federal law
  • Creating invoices and billing statements
  • Collection activities for unpaid fees
  • Providing superbills for insurance reimbursement if requested

Wisconsin State Law Notice: Wisconsin law may require your written consent to disclose information from your mental health treatment records for payment purposes.

Minnesota State Law Notice: Minnesota law requires your written consent to disclose information outside of our practice for payment purposes.

Health Care Operations

We may use and disclose PHI for our health care operations, which include:

  • Quality assurance and improvement activities
  • Professional training and supervision (with information de-identified when possible)
  • Business planning and administrative activities
  • Compliance with legal and regulatory requirements
  • Risk management and practice improvement activities

Other Permitted Uses and Disclosures

Without Your Authorization, we may use or disclose PHI in the following situations:

When Required by Law

We will disclose PHI when required by federal, state, or local laws, including court orders and subpoenas.

Public Health Activities

We may disclose PHI for public health activities including:

  • Reporting communicable diseases as required by law
  • Reporting suspected abuse, neglect, or domestic violence as required by law
  • Reporting to public health authorities as required

Health Oversight Activities

We may disclose PHI to health oversight agencies for activities authorized by law, including audits, investigations, and inspections.

Law Enforcement

We may disclose limited PHI for law enforcement purposes as required by law or court order.

To Avert a Serious Threat to Health or Safety

We may disclose PHI if we believe it is necessary to prevent a serious and imminent threat to your health and safety or the health and safety of the public or another person. This includes situations where:

  • You pose a credible threat of serious harm to yourself or others
  • We need to alert police, family members, or others who may be able to prevent harm
  • Emergency intervention is necessary for your safety

Wisconsin State Law: Wisconsin has specific requirements for disclosure to prevent harm.

Minnesota State Law: Minnesota law provides specific protections and requirements for mental health information disclosure.

Uses and Disclosures Requiring Your Written Authorization

The following uses and disclosures will only be made with your written authorization:

Psychotherapy Notes

Most uses and disclosures of psychotherapy notes (our private process notes) require your written authorization. These notes are kept separate from your medical record and receive special protection under HIPAA.

Marketing Communications

Any use or disclosure for marketing purposes requires your written authorization.

Sale of PHI

We will never sell your PHI. Any disclosure that constitutes a sale requires authorization.

Other Uses Not Listed

Any other uses and disclosures not described in this notice will only be made with your written authorization.

You may revoke your authorization at any time by providing written notice to our practice. The revocation will not affect any action we took in reliance on the authorization before we received your revocation.

Your Individual Rights Under HIPPA

Right to Access Your Health Information

  • You have the right to inspect and obtain a copy of your PHI that we maintain in your medical record
  • How to exercise this right: Submit a written request to our office
  • Timeframe: We will provide access within 30 days of your request
  • Fees: We may charge a reasonable, cost-based fee for copying, mailing, or other supplies

Right to Request Amendment

  • You have the right to request that we amend PHI that you believe is incorrect or incomplete
  • How to exercise this right: Submit a written request specifying what information you want amended and why
  • Our response: We may accept or deny your request. If denied, you have the right to submit a statement of disagreement

Right to Request Restrictions

  • You have the right to request restrictions on how we use or disclose your PHI
  • How to exercise this right: Submit a written request describing what information you want restricted and to whom the restriction applies
  • Our response: We are not required to agree to your request, but if we do agree, we will honor the restriction unless the information is needed for emergency treatment

Right to Request Confidential Communications

  • You have the right to request that we communicate with you about your PHI by alternative means or at alternative locations
  • How to exercise this right: Submit a written request specifying how and where you want to be contacted
  • Our response: We will accommodate reasonable requests

Right to an Accounting of Disclosures

  • You have the right to receive a list of disclosures of your PHI that we have made, except for disclosures for treatment, payment, healthcare operations, and certain other disclosures
  • How to exercise this right: Submit a written request
  • Timeframe: The first accounting each year is free; additional requests may incur a fee

Right to a Copy of This Notice

You have the right to receive a paper copy of this Notice of Privacy Practices upon request

Right to Choose a Personal Representative

  • You have the right to choose someone to act for you regarding your health information
  • Requirements: We must verify the person's authority to act on your behalf

Right to File a Complaint

  • You have the right to file a complaint if you believe your privacy rights have been violated
  • How to file: Contact our Privacy Officer (information below) or file directly with the U.S. Department of Health and Human Services
  • No retaliation: We will not retaliate against you for filing a complaint

State-Specific Privacy Protections

Wisconsin Privacy Laws

Wisconsin law provides additional protections for mental health information:

  • Written consent required for most disclosures of mental health records outside our practice
  • Enhanced protections for substance use disorder treatment records
  • Specific requirements for disclosure in non-emergency situations
  • Additional patient rights beyond HIPAA minimum requirements

Minnesota Privacy Laws

Minnesota law provides enhanced privacy protections:

  • Written consent required for disclosure of mental health information outside our practice
  • Stricter requirements for disclosure to family members or others
  • Enhanced protections for psychiatric and psychological treatment records
  • Specific procedures for emergency disclosures

When state law provides stronger protections than HIPAA, we will follow the more restrictive state law requirements.

Our Responsibilities

We Are Required To:

  • Maintain the privacy of your PHI
  • Provide you with this notice of our legal duties and privacy practices
  • Follow the terms of this notice currently in effect
  • Notify you if we are unable to agree to a requested restriction
  • Notify you in the event of a breach of your unsecured PHI

We Reserve the Right To:

  • Change our privacy practices and the terms of this notice
  • Make changes effective for PHI we already have about you as well as any information we receive in the future
  • Provide you with a new notice if we make material changes to our privacy practices

Breach Notification

If a breach of your unsecured PHI occurs, we will notify you in accordance with federal requirements. This includes:

  • Written notification within 60 days of discovering the breach
  • Description of what happened and what information was involved
  • Steps we are taking to investigate and address the breach
  • Steps you can take to protect yourself from potential harm

Contact Information

Privacy Officer

If you have questions about this notice or need to exercise any of your rights, please contact:

Lorrie Ogren Integrative Therapy

Lorrie Ogren, MA, LPC, LPCC

Licensed in Wisconsin and Minnesota

Phone: 1-715-333-3446

Website: https://lorrieogren.com

Filing Complaints

You may file a complaint about our privacy practices by contacting:

Our Practice:
[Same contact information as above]

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
Website: www.hhs.gov/ocr/privacy/hipaa/complaints/

Emergency Situations

This practice is not intended for emergency mental health services. In case of a mental health emergency, please:

  • Call 911 Immediately
  • National Suicide Prevention Lifeline: 988
  • Crisis Text Line: Text HOME to 741741

Wisconsin Crisis Resources:

  • Wisconsin Crisis Line: 1-800-985-5990
  • Text "TALK" to 741741

Minnesota Crisis Resources:

  • Minnesota Crisis Line: 988
  • Text "MN" to 741741

Telehealth Privacy Considerations

When receiving services via telehealth, additional privacy considerations apply:

  • Secure platforms: We use HIPAA-compliant telehealth platforms
  • Your responsibility: Ensure privacy of your location during sessions
  • Technology risks: Understand that technology may present additional privacy risks
  • Recording: Sessions will not be recorded without explicit written consent

For complete telehealth information, please refer to our Telehealth Informed Consent Information document.

This Notice of Privacy Practices was last updated on September 12th, 2025 and is effective as of September 12th, 2025. We reserve the right to change this notice. A current version will always be available on our website at lorrieogren.com/hippa-compliance-notice.