THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

At Torchlight Integrative Psychotherapy, your privacy matters. Information about your mental health and treatment is personal and sensitive, and I am committed to protecting your protected health information (“PHI”).

This Notice explains how your health information may be used or disclosed, your rights regarding that information, and my legal responsibilities for protecting it.

My Responsibilities

I am required by law to:

• Maintain the privacy and security of your protected health information.

• Provide this Notice of privacy practices.

• Follow the terms of the Notice currently in effect.

• Notify you if a breach occurs that may compromise the privacy or security of your information.

I may update this Notice from time to time. Any updated version will be available on this website and upon request.

How Your Information May Be Used or Disclosed

I may use or disclose your protected health information for treatment, payment, and health care operations.

This may include:

• Providing therapy services

• Coordinating care with another health care provider

• Consulting with another licensed professional

• Billing and collecting payment for services

• Managing administrative and practice operations

I may also disclose information when required or permitted by law, including situations involving court orders, suspected abuse or neglect, serious threats to safety, health oversight activities, workers’ compensation claims, or other legal requirements.

Uses Requiring Your Authorization

Certain uses and disclosures require your written authorization, including most uses or disclosures of psychotherapy notes, marketing uses, or any sale of protected health information.

Torchlight Integrative Psychotherapy does not sell protected health information.

Your Rights

You have the right to:

• Request limits on certain uses or disclosures of your health information.

• Request confidential communication by a specific method or at a specific location.

• Access or request a copy of your health record, excluding psychotherapy notes.

• Request corrections to your health record.

• Request a list of certain disclosures of your health information.

• Receive a paper or electronic copy of this Notice.

Questions or Concerns

If you have questions about this Notice or believe your privacy rights have been violated, you may contact:

Torchlight Integrative Psychotherapy
Steve Borchardt, MSW, LICSW
32 10th Avenue South, Suite 212
Hopkins, MN 55343
612-554-3737
info@torchlightpsychotherapy.com

You have the right to file a complaint with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Effective Date: 05/26/2026