Privacy Policy

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Dynamic Growth Counseling LLC (the “Practice”) is committed to protecting your privacy. The Practice is required by federal law to maintain the privacy of Protected Health Information (“PHI”), which is information that identifies or could be used to identify you. The Practice is required to provide you with this Notice of Privacy Practices (this “Notice”), which explains the Practice's legal duties and privacy practices and your rights regarding PHI that we collect and maintain.

Your rights regarding PHI are explained below. To exercise these rights, please submit a written request to the Practice at the address noted below.

• You can ask for an electronic or paper copy of PHI. The Practice may charge you a reasonable fee.
• The Practice may deny your request if it believes the disclosure will endanger your life or another person's life. You may have a right to have this decision reviewed.

• You can ask to correct PHI you believe is incorrect or incomplete. The Practice may require you to make your request in writing and provide a reason for the request.
• The Practice may deny your request. The Practice will send a written explanation for the denial and allow you to submit a written statement of disagreement.

• You can ask the Practice to contact you in a specific way. The Practice will say “yes” to all reasonable requests.

• You can ask the Practice not to use or share PHI for treatment, payment, or business operations. The Practice is not required to agree if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask the Practice not to share PHI with your health insurer.
• You can ask for the Practice not to share your PHI with family members or friends by stating the specific restriction requested and to whom you want the restriction to apply.

• You can ask for a list, called an accounting, of the times your health information has been shared. You can receive one accounting every 12 months at no charge, but you may be charged a reasonable fee if you ask for one more frequently.

• You can ask for a paper copy of this Notice, even if you agreed to receive the Notice electronically.

• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights.

• You can file a complaint by contacting the Practice.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
• The Practice will not retaliate against you for filing a complaint.

• The Practice may contact you for fundraising efforts, but you can ask not to be contacted again.

Dynamic Growth Counseling LLC
521 East State Road 124
Wabash, IN 46992

Joel Allen Makin, MA, LMHC, LCAC, LPCC, LPC
Phone: 260-377-9662

The Practice is permitted under federal law to use and disclose PHI, without your written authorization, for certain routine uses and disclosures, such as those made for treatment, payment, and the operation of our business. The Practice typically uses or shares your health information in the following ways:

• The Practice can use and share PHI with other professionals who are treating you.
• Example: Your primary care doctor asks about your mental health treatment.

• The Practice can use and share PHI to run the business, improve your care, and contact you.
• Example: The Practice uses PHI to send you appointment reminders if you choose.

• The Practice can use and share PHI to bill and get payment from health plans or other entities.
• Example: The Practice gives PHI to your health insurance plan so it will pay for your services.

The Practice may use or disclose PHI without your authorization or an opportunity for you to object, including:

• Public health: To prevent the spread of disease, assist in product recalls, and report adverse reactions to medication.
• Required by the Secretary of Health and Human Services: We may be required to disclose your PHI to the Secretary of Health and Human Services to investigate or determine our compliance with HIPAA regulations.
• Health oversight: For audits, investigations, and inspections by government agencies.
• Serious threat to health or safety: To prevent a serious and imminent threat.
• Abuse or Neglect: To report abuse, neglect, or domestic violence.

• Required by law: If required by federal, state or local law.
• Judicial and administrative proceedings: To respond to a court order, subpoena, or discovery request.
• Law enforcement: To help locate and identify you or disclose information about a victim of a crime.
• Specialized Government Functions: For military or national security concerns.
• National security and intelligence activities.
• Workers' Compensation: To comply with workers' compensation laws.

• Coroners and Funeral Directors: To perform their legally authorized duties.
• Organ Donation: For organ donation or transplantation.
• Research: For research approved by an institutional review board.
• Inmates: When PHI is created or received in the course of providing care to someone in custody.
• Business Associates: To organizations that perform functions or services on our behalf.

Unless you object, the Practice may disclose PHI:

• To your family, friends, or others if PHI directly relates to that person's involvement in your care.
• If it is in your best interest because you are unable to state your preference.

The Practice must obtain your written authorization to use and/or disclose PHI for the following purposes:

• Marketing
• Sale of PHI
• Psychotherapy notes

(A) If applicable, your substance use disorder (“SUD”) records are protected by federal law under 42 C.F.R. Part 2 (“Part 2”). This law provides extra confidentiality protections and requires a separate patient consent for the use and disclosure of SUD counseling notes.

Each disclosure made with patient consent must include a copy of the consent or a clear explanation of the scope of the consent and must be accompanied by a written notice containing the language in 42 CFR Part 2.32(a).

Disclosure of these records requires your explicit written consent except in limited circumstances such as:

• Medical emergencies
• Reporting crimes on program premises
• Child abuse reporting to appropriate state or local authorities
• Fundraising (with the opportunity to decline such communications)

You may revoke this consent at any time.

(B) Prohibitions on Use and Disclosure of Part 2 Records

SUD records received from programs subject to Part 2, or testimony relaying the content of such records, shall not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless based on your written consent or a court order issued in accordance with Part 2.

If SUD records are disclosed to the Practice or our business associates pursuant to your written consent for treatment, payment, or healthcare operations, we or our business associates may further use and disclose such health information as permitted under HIPAA and consistent with this Notice.

You may revoke your authorization at any time by contacting the Practice in writing.

The Practice will not use or share PHI other than as described in this Notice unless you give permission in writing.

• The Practice is required by law to maintain the privacy and security of PHI.
• The Practice is required to abide by the terms of this Notice currently in effect.
• Where more stringent state or federal law governs PHI, the Practice will follow the more stringent law.
• The Practice reserves the right to amend this Notice. All changes will apply to PHI collected and maintained by the Practice.
• If changes are made, you may obtain a revised Notice by requesting a copy from the Practice or by viewing it on our website:

www.dynamicgrowthcounseling.org

• The Practice will inform you if PHI is compromised in a breach.

This Notice is effective on: February 25, 2026