Effective Date: 12-21-2025

This Notice describes how your Protected Health Information (PHI) may be used and disclosed, and how you can access it.

Our Legal Duties

Ahava Shalom Family Counseling Center:

• Maintains confidentiality of PHI

• Provides notice of privacy practices

• Notifies individuals of breaches

• Abides by this Notice

Permitted Uses

PHI may be used for:

• Treatment

• Payment

• Healthcare operations

• Legal compliance

Your HIPAA Rights

You have the right to:

• Access and obtain copies of records

• Request corrections

• Request confidential communications

• Receive an accounting of disclosures

• File complaints

Complaints

You may file a complaint with:

• Ahava Shalom Family Counseling Center

• U.S. Department of Health and Human Services (HHS)

No retaliation will occur for filing a complain