Vermont Center for Human Growth and Development
P.O. Box 124
Thetford, VT 05074

NOTICE OF PRIVACY PRACTICES

Vermont Center for Human Growth and Development values your privacy. This document describes how Vermont Center for Human Growth and Development may use and disclose information about you and how you can access this information. If you have any questions about this notice please contact Diana Greywolf at the Vermont Center for Human Growth and Development.

Client Information

Client files are held securely and are accessible only to authorized employees of the practice. The information in each file includes personal information such as name, address, contact phone numbers and other information relevant to the service being provided.
You have the right to review and obtain a copy of health information that may be used to make decisions about your care. This may include both psychotherapy and billing records.

Release of confidential information

All personal information gathered by your psychotherapist will remain confidential and secure except when:
1) it is subpoenaed by a court
2) failure to disclose the information would place you or another person at risk of harm.
3) your prior consent has been obtained in writing to communicate with another professional or agency.

Concerns or Complaints

If you have a concern about how your personal information has been managed, please discuss your concerns with Diana Greywolf. You may file a formal complaint with the Vermont Secretary of State
Office of Professional Regulation, 81 River Street, Montpelier, VT 05609-1104.

Requests for access to client information

At any stage clients may request to see the information about them kept on file. The psychotherapist may discuss the contents with them.

Purpose of holding information

The information is gathered as part of the assessment, diagnosis, and treatment of the client's condition and is seen only by authorized employees of the practice. The information is retained in order to document what happens during sessions, and enables the psychotherapist to provide a relevant and informed service.

This notice was published and becomes effective on January 16, 2007.