NOTICE OF PRIVACY PRACTICES
 

SOULRAEZ

Effective Date: June 06, 2025

Last Updated: September 04, 2026
 

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

At SOULRAEZ, we respect your privacy and are committed to protecting the confidentiality of your health information.

This Notice of Privacy Practices ("Notice") describes how we may use and disclose your Protected Health Information ("PHI"), your rights regarding your PHI, and our legal obligations concerning your health information.

We are required by law to maintain the privacy of PHI, provide you with this Notice describing our legal duties and privacy practices, comply with the terms of the Notice currently in effect, and notify affected individuals following a breach of unsecured PHI when required by law.

This Notice applies to PHI created, received, maintained, or transmitted by SOULRAEZ in connection with providing services to you.

YOUR RIGHTS

You have certain rights regarding your health information.

1. RIGHT TO ACCESS YOUR HEALTH INFORMATION

You generally have the right to inspect and obtain a copy of health information that may be used to make decisions about your care, subject to applicable legal limitations.

You may request access to your records by contacting:

DR. D. PARKER
PRAYZEWORTHY@GMAIL.COM
281-939-5342

We may charge reasonable, cost-based fees where permitted by law.

Certain information, including psychotherapy notes maintained separately from the medical record, may be subject to additional protections.

2. RIGHT TO REQUEST AN AMENDMENT

If you believe information in your records is incorrect or incomplete, you may request that we amend the information.

Your request must be submitted in writing and explain why you believe the information should be amended.

We may deny a request in certain circumstances permitted by law. If we deny your request, you may have the right to submit a written statement of disagreement.

3. RIGHT TO REQUEST CONFIDENTIAL COMMUNICATIONS

You may request that we communicate with you about your health information using a particular method or at a particular location.

For example, you may request that we contact you only by email, telephone, or through a particular mailing address.

We will consider reasonable requests and will comply with requests when required by applicable law.

4. RIGHT TO REQUEST RESTRICTIONS

You may request restrictions on how we use or disclose your PHI.

We are not required to agree to every restriction request.

However, if you request that information not be disclosed to a health plan for payment or health care operations purposes when the information relates solely to an item or service that you have paid for in full out of pocket, we will comply with the request when required by HIPAA.

5. RIGHT TO RECEIVE A PAPER OR ELECTRONIC COPY OF THIS NOTICE

You may request a paper copy of this Notice at any time.

You may also obtain an electronic copy by contacting our office or visiting our website.

Our current Notice of Privacy Practices will be prominently available on our website.

HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION

The following categories describe common ways we may use or disclose your PHI.

1. FOR TREATMENT

We may use or disclose your PHI to provide, coordinate, or manage your mental health care.

For example, we may communicate with another health care professional involved in your treatment when permitted by law.

2. FOR PAYMENT

We may use or disclose your PHI to obtain payment for services.

This may include submitting claims to insurance companies, communicating with third-party payers, verifying eligibility, or responding to payment-related requests.

3. FOR HEALTH CARE OPERATIONS

We may use or disclose PHI for activities necessary to operate our practice and maintain quality of care.

These activities may include quality assessment, administrative activities, compliance, audits, credentialing, and practice management.

4. WHEN REQUIRED BY LAW

We may use or disclose your PHI when federal, state, or local law requires us to do so.

5. ABUSE, NEGLECT, OR DOMESTIC VIOLENCE

We may disclose PHI when required or permitted by law to report suspected abuse, neglect, or domestic violence.

6. SERIOUS THREATS TO HEALTH OR SAFETY

We may disclose PHI when necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public, when permitted by applicable law.

7. JUDICIAL AND ADMINISTRATIVE PROCEEDINGS

We may disclose PHI in response to appropriate legal processes, including certain court orders, administrative proceedings, subpoenas, or other lawful requests, when the disclosure is permitted or required by law.

We will seek to protect your privacy to the extent permitted by applicable law.

8. LAW ENFORCEMENT

We may disclose PHI to law enforcement when authorized or required by law and under circumstances permitted by HIPAA and applicable Texas law.

9. PUBLIC HEALTH ACTIVITIES

We may disclose PHI for certain public health activities when permitted or required by law.

10. HEALTH OVERSIGHT ACTIVITIES

We may disclose PHI to governmental agencies authorized to conduct oversight activities involving health care systems, programs, or compliance.

11. WORKERS' COMPENSATION

We may disclose PHI as necessary to comply with workers' compensation laws and other similar programs established by law.

12. BUSINESS ASSOCIATES

We may disclose PHI to third-party service providers that perform services for our practice when those services require access to PHI.

When required by HIPAA, we will obtain a Business Associate Agreement requiring appropriate safeguards for PHI.

13. OTHER USES AND DISCLOSURES

Other uses and disclosures of PHI not described in this Notice will generally require your written authorization when required by law.

You may revoke an authorization in writing at any time, except to the extent we have already relied upon it.

PSYCHOTHERAPY NOTES

Psychotherapy notes are notes maintained separately from the medical record that document the content of a mental health professional's private counseling session.

When applicable, psychotherapy notes receive special protections under HIPAA.

Most uses and disclosures of psychotherapy notes require your written authorization, subject to limited exceptions provided by law.

SUBSTANCE USE DISORDER RECORDS

Certain records relating to substance use disorder treatment may receive additional federal confidentiality protections under 42 CFR Part 2.

When applicable, such records will be handled in accordance with the requirements governing Part 2 records and other applicable federal and state law.

If your records are subject to Part 2 protections, additional restrictions may apply to their use and disclosure.

TEXAS CONFIDENTIALITY PROTECTIONS

Texas law provides additional confidentiality protections for certain mental health records and communications.

Texas Health and Safety Code Chapter 611 generally provides that confidential communications and mental health records may not be disclosed except as authorized by law.

Nothing in this Notice is intended to reduce confidentiality protections that apply under Texas law.

Where federal and state privacy requirements differ, the practice will apply the requirements governing the particular disclosure and will comply with applicable law.

FAMILY, COUPLES, AND GROUP SERVICES

When services involve couples, families, or groups, confidentiality applies to information received by the therapist within the professional relationship.

However, the practice cannot guarantee that another participant in family, couples, or group therapy will maintain confidentiality.

At the beginning of services, participants will be informed about confidentiality expectations and applicable limitations.

MINORS

When services are provided to a minor, confidentiality, consent, and access to records will be determined according to applicable federal and Texas law.

Parents, legal guardians, and minors may have different rights depending on the circumstances.

The practice will explain applicable confidentiality expectations during the intake process.

ELECTRONIC COMMUNICATION AND TELEHEALTH

We may use electronic systems to provide services, communicate with clients, schedule appointments, maintain records, and perform administrative functions.

We take reasonable administrative, physical, and technical safeguards to protect PHI.

However, no electronic communication system can be guaranteed to be completely secure.

You may request confidential communication through a specific method or location as described above.

Telehealth services will be provided through designated platforms and in accordance with applicable professional, legal, and privacy requirements.

SOCIAL MEDIA AND PUBLIC COMMUNICATION

We do not disclose identifying client information through social media, public websites, marketing materials, or educational content without appropriate authorization.

Please do not use social media or public website communications to share confidential health information with the practice.

Following, liking, commenting on, or interacting with the practice's social media accounts does not establish a therapeutic relationship.

YOUR RIGHT TO RECEIVE A NOTICE OF A BREACH

If a breach of unsecured PHI occurs that requires notification under applicable law, we will provide notification as required by federal and state law.

OUR RESPONSIBILITIES

We are required by law to:

• Maintain the privacy of your PHI

• Provide you with this Notice describing our legal duties and privacy practices

• Follow the terms of the Notice currently in effect

• Notify affected individuals following a breach of unsecured PHI when required by law

• Comply with applicable federal and Texas privacy requirements

We reserve the right to change our privacy practices and this Notice.

If we make a material change to our privacy practices, we will update this Notice and make the revised Notice available as required by law.

QUESTIONS OR PRIVACY CONCERNS

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

SOULRAEZ
Privacy Officer/Contact: DR. D. PARKER
Phone: 281-939-5342
Email: PRAYZEWORTHY@GMAIL.COM
Mailing Address: 2713 EAGLE ST, HOUSTON, TX 77584

You may also file a complaint with the:

U.S. Department of Health and Human Services
Office for Civil Rights

You will not be retaliated against for filing a complaint.

ACKNOWLEDGMENT OF RECEIPT

You will be asked to acknowledge that you received or were offered a copy of this Notice of Privacy Practices.

Your acknowledgment does not mean that you have waived any privacy rights.

You may request a copy of this Notice at any time.

SOULRAEZ
ALLIA "SOULLIAA" FOLEY, LCSW
2713 EAGLE ST, HOUSTON, TX 77584
281-939-5342
PRAYZEWORTHY@GMAIL.COM
 

Effective Date: June 06, 2025

Last Updated: September 04, 2026