Notice of Privacy Practices
Graceful Self-Help Counseling
Christina F. Reed, M.Ed., MPA
Marriage and Family Therapy Associate
Psychotherapy provided under clinical supervision.
Effective Date: September 8, 2026
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical and mental health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Privacy Contact
You have the right to a copy of this Notice in paper or electronic form and may contact Graceful Self-Help Counseling if you have questions about this Notice or the privacy of your health information.
Privacy Contact: Christina F. Reed
Graceful Self-Help Counseling
Christina F. Reed, M.Ed., MPA
Marriage and Family Therapy Associate
Mailing Address:
1619 Bypass Road, PMB 256
Winchester, KY 40391
Phone: 859-536-0416
Email:
gracefulselfhelpcounseling@gmail.com
The address above is a mailing address only. Graceful Self-Help Counseling is a telehealth-based practice, and clients are not seen at this location.
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an Electronic or Paper Copy of Your Record
- You may ask to see or obtain an electronic or paper copy of your health record and other health information we maintain about you.
- We will provide a copy or summary of your health information, usually within 30 days of your request, as required by applicable law.
- We may charge a reasonable, cost-based fee when permitted by law.
Ask Us to Correct Your Record
- You may ask us to correct health information that you believe is incorrect or incomplete.
- We may deny a request in circumstances permitted by law. If we deny your request, we will provide an explanation in writing as required by law.
Request Confidential Communications
- You may ask us to contact you in a particular way, such as at a particular telephone number, or to send correspondence to a different address.
- We will accommodate reasonable requests as required by law.
Ask Us to Limit What We Use or Share
- You may ask us not to use or disclose certain health information for treatment, payment, or health care operations.
- We generally are not required to agree to every requested restriction, although we will comply with restrictions when required by law.
- If you pay for a health care service entirely out-of-pocket, you may ask us not to disclose information about that service to your health plan for payment or health care operations. We will honor that request unless disclosure is required by law.
Get a List of Certain Disclosures
- You may request an accounting of certain disclosures of your health information made during the six years before your request.
- The accounting does not include certain disclosures, including many disclosures for treatment, payment, or health care operations and certain disclosures you specifically authorized.
- We will provide one accounting in a 12-month period without charge. A reasonable, cost-based fee may apply to additional requests within that period when permitted by law.
Get a Copy of This Notice
You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
Choose Someone to Act for You
If another person has legal authority to act on your behalf, such as a legal guardian, health care representative, or person holding an appropriate power of attorney, that person may exercise your privacy rights when legally authorized to do so. We may verify that person's authority before taking action.
File a Complaint
You may file a complaint if you believe your privacy rights have been violated. You may contact Graceful Self-Help Counseling using the Privacy Contact information provided in this Notice.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
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
Graceful Self-Help Counseling will not retaliate against you for filing a privacy complaint.
Your Choices
For certain health information, you have choices about what information we share. If you have a clear preference about how we share your information in the circumstances described below, tell us what you want us to do.
Family, Friends, and Others Involved in Your Care
You may tell us whether we may share relevant information with family members, close friends, or others involved in your care or payment for your care.
If you are unable to communicate your preference, we may share information when permitted by law and when we determine that disclosure is in your best interest. Information may also be disclosed when permitted or required to prevent or lessen a serious and imminent threat to health or safety.
Written Authorization Generally Required
Except as otherwise permitted or required by law, your written authorization is generally required for:
- Most uses and disclosures of psychotherapy notes;
- Uses and disclosures for marketing purposes when authorization is required by HIPAA; and
- The sale of protected health information.
If you provide written authorization, you may revoke that authorization in writing at any time, except to the extent action has already been taken in reliance on it.
How We May Use and Disclose Your Health Information
Treatment
We may use your health information and disclose it to other health care professionals involved in your treatment when permitted by law.
Example: With appropriate legal authority, information may be shared with another professional involved in coordinating your care.
Health Care Operations
We may use and disclose health information as permitted by law to operate the practice, manage services, improve quality, conduct administrative activities, and contact you when necessary.
Payment
We may use or disclose health information as permitted by law for billing, payment, collection, or other payment-related activities.
Graceful Self-Help Counseling currently operates on a self-pay basis. This does not eliminate HIPAA-permitted payment-related uses or disclosures that may otherwise apply.
Public Health and Safety
When permitted or required by law, we may disclose health information for certain public health and safety purposes, which may include:
- Preventing or controlling disease;
- Reporting certain injuries or health conditions when required by law;
- Reporting suspected abuse, neglect, or domestic violence when permitted or required by law; and
- Preventing or reducing a serious threat to health or safety when disclosure is legally permitted.
Comply With the Law
We may disclose health information when state or federal law requires us to do so, including disclosures to the U.S. Department of Health and Human Services for purposes of determining compliance with federal privacy law.
Health Oversight Activities
We may disclose information to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, licensing, or disciplinary activities.
Workers' Compensation and Government Requests
When permitted by law, health information may be used or disclosed for workers' compensation matters, certain law-enforcement purposes, health oversight activities, and certain specialized government functions.
Legal Proceedings
We may disclose health information in response to a valid court or administrative order or other lawful legal process when HIPAA and other applicable laws permit or require the disclosure.
Research
Health information may be used or disclosed for research only when permitted under applicable privacy law and all applicable requirements have been satisfied.
After Death
When permitted by law, health information may be disclosed to a coroner, medical examiner, funeral director, or organ procurement organization for legally authorized purposes.
Mental Health Information & Psychotherapy Notes
Because Graceful Self-Help Counseling provides mental health services, your records may contain sensitive mental health information. Applicable federal and state laws may provide additional protections for certain information beyond the protections generally provided by HIPAA.
Psychotherapy notes, as specifically defined by HIPAA, receive additional protection. Most uses and disclosures of psychotherapy notes require your written authorization unless an exception under applicable law applies.
Substance Use Disorder Records
Certain substance use disorder patient records may receive additional confidentiality protections under federal law, including 42 CFR Part 2.
To the extent Graceful Self-Help Counseling receives, creates, or maintains substance use disorder patient records that are subject to 42 CFR Part 2, those records will be used and disclosed in accordance with applicable federal requirements.
Part 2-protected records generally may not be used or disclosed in civil, criminal, administrative, or legislative investigations or proceedings against a patient based on the content of those records except as permitted by applicable law, including when the required patient consent or appropriate court authorization and legal process have been obtained.
Telehealth, Client Portal & Electronic Communication
Graceful Self-Help Counseling is a telehealth-based practice and may use electronic systems for telehealth, scheduling, documentation, client communications, forms, payment processing, and other practice operations.
Reasonable administrative, technical, and physical safeguards are used as required by applicable law to protect health information.
Clients should use secure communication methods provided by the practice for sensitive clinical information whenever available and should avoid sending highly sensitive health information through public website forms or social media.
Our Responsibilities
- We are required by law to maintain the privacy and security of protected health information.
- We will notify affected individuals as required by law if a breach occurs that may have compromised the privacy or security of their information.
- We must follow the duties and privacy practices described in the Notice that is currently in effect.
- We will make this Notice available to you as required by law.
- We will not use or disclose your health information other than as described in this Notice unless you authorize us in writing or another use or disclosure is permitted or required by law.
- If you authorize a use or disclosure, you generally may revoke that authorization in writing as permitted by law.
Changes to This Notice
Graceful Self-Help Counseling may change the terms of this Notice and may make the revised Notice effective for health information already maintained as well as information received in the future. If the Notice is materially revised, the current Notice will be made available as required by law, including through the Graceful Self-Help Counseling website.
Psychotherapy & Wellness Coaching
Psychotherapy is a clinical mental health service provided by Christina F. Reed, M.Ed., MPA, Marriage and Family Therapy Associate, under clinical supervision and subject to applicable professional and jurisdictional requirements.
Wellness Coaching is a separate non-clinical, educational, supportive, and goal-focused service. Wellness Coaching is not psychotherapy and does not include mental health diagnosis, clinical assessment, clinical treatment, medical treatment, medication management, or crisis intervention. This HIPAA Notice of Privacy Practices primarily concerns protected health information associated with covered health care activities.
Questions, Privacy Requests or Complaints
Graceful Self-Help Counseling
Privacy Contact: Christina F. Reed
Christina F. Reed, M.Ed., MPA
Marriage and Family Therapy Associate
Mailing Address:
1619 Bypass Road, PMB 256
Winchester, KY 40391
Phone: 859-536-0416
Email:
gracefulselfhelpcounseling@gmail.com
Mailing address only. Graceful Self-Help Counseling is a telehealth-based practice. Clients are not seen at this location.
Graceful Self-Help Counseling does not provide emergency or crisis-response services through the website, standard email, public contact forms, social media, Wellness Coaching, or routine Client Portal messaging.
If you are experiencing an immediate emergency or believe you or someone else is in danger, call 911 or go to the nearest emergency department. In the United States, you may call or text 988 for the Suicide & Crisis Lifeline.
Graceful Self-Help Counseling
Christina F. Reed, M.Ed., MPA
Marriage and Family Therapy Associate
Psychotherapy provided under clinical supervision.
Telehealth-based practice
Mailing Address
1619 Bypass Road, PMB 256
Winchester, KY 40391
Mailing address only • No in-person services at this location