Notice of Privacy Practices

Vervain Wellness
Effective Date: June 2025

This notice describes how your mental health information may be used and disclosed, and how you can access this information. Please review it carefully.

Your Privacy Is Important

At Vervain Wellness, I am committed to protecting your privacy. All information shared in therapy is confidential and protected by federal and state law, including the Health Insurance Portability and Accountability Act (HIPAA). This notice explains how your protected health information (PHI) may be used, shared, and how you can access it.

Uses and Disclosures of Your Information

For Treatment

I may use or share your information to coordinate your care—for example, to consult with another provider at your request.

For Payment

I may use your information to verify insurance benefits or to submit claims for reimbursement, if applicable.

For Scheduling and Reminders

You may be contacted by phone, email, or text message to confirm appointments or share information related to services.

With Your Written Authorization

Any other disclosures—such as for sharing notes or records with third parties—will only occur with your written consent. You may revoke this authorization at any time in writing.

Disclosures Allowed Without Your Authorization

As required by law, your information may be disclosed in the following situations:

• To report abuse or neglect of a child, elder, or dependent adult
  
  

• To prevent serious harm to yourself or others
  
  

• For legal proceedings if ordered by a court
  
  

• To comply with oversight or licensing requirements
  

Your Rights

You have the right to:

• Request a copy of this notice
  
  

• Ask to see or get a copy of your records, with some legal exceptions
  
  

• Request corrections to your records
  
  

• Limit how your information is shared (though some requests may not be granted)
  
  

• Choose how and where you’re contacted
  
  

• Receive an accounting of disclosures (a record of certain times your information was shared)
  
  

All requests must be made in writing. I will respond within the timeframes required by law.

Changes to This Notice

Vervain Wellness reserves the right to update this Notice. Any significant changes will be posted on my website and made available upon request.

Contact Information

If you have questions about this notice or believe your rights have been violated, please contact:

Kim Rollins
Vervain Wellness
Email: kim@vervainwellness.com
Location: Asheville, NC