Privacy Policy & HIPAA Notice of Privacy Practices

Effective Date: January 03, 2026

Summary Privacy Policy

At Rooted in Serenity Behavioral Health LLC, your privacy is deeply important to us. We are committed to protecting your personal and health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA), as well as applicable federal and Connecticut state laws.

We collect and use health information only as needed to provide psychiatric care, process payments, and meet legal and regulatory requirements. We do not sell your information.

You have the right to:

Request access to your medical records
Request corrections or updates to your information
Request limits on certain uses or disclosures
Request a copy of this notice at any time

If you have questions about your privacy, please contact us at tsalazar@rootedinserenity.org or (203) 208-9474.

Notice of Privacy Practices (HIPAA)

Rooted in Serenity Behavioral Health LLC
Middlebury, Connecticut
Phone: (203) 208-9474
Email: tsalazar@rootedinserenity.org
Effective Date: January 03, 2026

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

This notice applies to Rooted in Serenity Behavioral Health LLC and to Tannia Salazar, APRN, the independent practitioner responsible for your care.

I. Our Commitment to Your Privacy

We understand that information about you and your health is personal. We are committed to protecting your protected health information (PHI). We create and maintain records of the care and services you receive to provide quality care and comply with legal requirements.

We maintain the privacy of your PHI
We provide you with this notice of our legal duties and privacy practices
We follow the terms of the notice currently in effect

II. How We May Use and Disclose Health Information

Treatment, Payment, and Health Care Operations: We may use or disclose PHI without written authorization to provide treatment, obtain payment, and operate our practice. This may include consultation with other providers involved in your care.

Legal Requirements: We may disclose PHI as required by law, court order, or administrative process, and in compliance with applicable legal safeguards.

III. Uses and Disclosures Requiring Authorization

Psychotherapy Notes: Psychotherapy notes are afforded special protection and will not be disclosed without your written authorization, except as permitted by law.

Marketing and Sale of PHI: We do not use or disclose your PHI for marketing purposes, and we do not sell your PHI.

IV. Uses and Disclosures That Do Not Require Authorization

As required by federal or state law
Public health and safety activities
Health oversight activities, audits, and investigations
Judicial or administrative proceedings
Law enforcement purposes
Coroners or medical examiners
Research activities as permitted by law
Specialized government functions
Workers’ compensation claims
Appointment reminders and treatment alternatives

V. Uses and Disclosures With Opportunity to Object

We may share PHI with family members or others involved in your care or payment unless you object. In emergency situations, consent may be obtained retroactively when appropriate.

VI. Your Rights Regarding Health Information

Request Restrictions: You may request limits on certain uses or disclosures of PHI.
Confidential Communications: You may request how or where we contact you.
Access and Copies: You may request electronic or paper copies of your medical record.
Accounting of Disclosures: You may request a list of certain disclosures.
Amendments: You may request corrections to your medical record.
Copy of This Notice: You may request a copy of this notice at any time.

Acknowledgement of Receipt

By engaging in care with Rooted in Serenity Behavioral Health LLC, you acknowledge receipt of this Notice of Privacy Practices.