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LET’S CONNECT.
If you’re feeling stuck, anxious, or just want someone to talk to who gets it—reach out. I offer a free 15-minute consultation to see if therapy with me feels like a good fit.
In person sessions will be $240 and offered for 50-minute sessions.
Haase Therapy Notice of Privacy Practices
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Haase Therapy is committed to protecting the privacy and confidentiality of your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the California Confidentiality of Medical Information Act (CMIA).
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How Your Information May Be used
Your protected health information (PHI) may be used or disclosed for:
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Treatment – To provide therapy services and coordinate care when appropriate
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Payment – To obtain payment for services, if applicable
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Health Care Operations – For practice administration and legal compliance
We may also disclose information when required by law, including mandated reporting obligations, court orders, or public health requirements.
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Telehealth Privacy
When services are provided via telehealth, secure and HIPAA-compliant platforms are used when reasonably available. While reasonable safeguards are taken to protect your information, electronic communication carries some inherent risks. Clients are encouraged to participate from a private location.
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Minor Confidentiality
(California Law)
California law allows minors (generally age 12 and older) to consent to certain mental health services. When minors consent to their own treatment, they generally control access to their health information, subject to specific legal exceptions.
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Your Privacy Rights
You have the right to:
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Request access to your records (excluding psychotherapy notes)
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Request corrections to your records
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Request limits on certain disclosures
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Receive a list of certain disclosures of your information
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Request confidential communications
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File a complaint if you believe your privacy rights have been violated
You will not be retaliated against for filing a complaint.
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Full Notice of Privacy Practices
A complete Notice of Privacy Practices describing how your information may be used and disclosed is available upon request and is provided to all clients at the start of services.
You may also request a copy at any time by contacting Haase Therapy, Inc.
GOOD FAITH ESTIMATE NOTICE
Under the No Surprises Act, you have the right to receive a Good Faith Estimate that outlines the expected costs of your medical or mental health care services. If you are uninsured or not using insurance, you may request an estimate of services at any time before scheduling. Please contact Haase Therapy for more information. ​
YOUR RIGHTS UNDER THE NO SURPRISES ACT
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You have the right to request a Good Faith Estimate before receiving services.
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If your final bill is $400 or more above the estimate, you have the right to dispute the charges.
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You may contact the U.S. Department of Health and Human Services (HHS) to initiate a dispute.
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You are not obligated to receive all estimated services and may decline or modify treatment at any time.
For questions or to request a formal Good Faith Estimate in writing, please contact Haase Therapy
