Policies

Notice of Privacy Practices

Effective October 6, 2026

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.

Path to Rise Therapy LLC (Yvette Ramos, LCSW) is required by law to protect the privacy of your health information, to give you this notice of my legal duties and privacy practices, and to follow the notice currently in effect. In this notice, "I" means Yvette Ramos, LCSW and Path to Rise Therapy LLC.

Your rights

When it comes to your health information, you have the right to:

See or get a copy of your records

Ask to see or get an electronic or paper copy of your records. I'll respond within 30 days and may charge a reasonable, cost-based fee. In rare cases allowed by law, I may deny part of a request and will explain why in writing.

Ask me to correct your records

Ask me to correct information you think is incorrect or incomplete. I may say no, but I'll tell you why in writing within 60 days.

Choose how I contact you

Ask me to contact you in a specific way, such as a certain phone number, or to send mail to a different address. I'll say yes to all reasonable requests.

Ask me to limit what I use or share

Ask me not to use or share certain information for treatment, payment or my operations. I'm not required to agree if it would affect your care. If you pay for a service in full out of pocket, you can ask me not to share that information with your health insurer, and I will say yes unless a law requires me to share it.

Get a list of who I've shared information with

Ask for a list of the times I've shared your information for six years before your request, who I shared it with, and why. The list won't include disclosures for treatment, payment or operations, or ones you asked me to make. One list a year is free. I may charge a reasonable, cost-based fee if you ask for another within 12 months.

Get a copy of this notice

Ask for a paper copy at any time, even if you agreed to receive it electronically.

Choose someone to act for you

If you've given someone medical power of attorney, or someone is your legal guardian, that person can use your rights and make choices about your health information. I'll confirm they have that authority first.

File a complaint

If you feel your rights have been violated, you can contact me using the details at the end of this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by mail at 200 Independence Avenue S.W., Washington, D.C. 20201, by phone at 1‑877‑696‑6775, or online at www.hhs.gov/ocr/complaints. I will not retaliate against you for filing a complaint.

Your choices

For some information, you can tell me your choices about what I share. Tell me what you want, and I'll follow your instructions. You have both the right and the choice to tell me to:

• Share information with family, close friends or others involved in your care or paying for it.
• Share information in a disaster relief situation.

If you can't tell me your preference, for example if you're unconscious, I may share information if I believe it's in your best interest. I may also share information when needed to lessen a serious and imminent threat to health or safety.

I will never share your information in these cases unless you give me written permission:

• Marketing purposes.
• Sale of your information.
• Most sharing of psychotherapy notes.

Psychotherapy notes

Psychotherapy notes are any separate notes I may keep about the content of our sessions, apart from your main record. They get extra protection. I won't share them without your written permission, except in the narrow cases the law allows, such as defending myself in a legal action you bring, a review by government health oversight of my practice, or preventing a serious and imminent threat to someone's health or safety.

How I typically use or share your information

Treatment

I use your information to provide therapy, and I may share it with other professionals who are treating you, such as your doctor or psychiatrist, when it helps coordinate your care.

Payment

I use and share information to bill and get paid by you or your health plan. For example, I give your insurer information it needs to pay for your sessions.

Running my practice

I use your information to run my practice, improve care and contact you when needed. For example, I may send appointment reminders by text, email or phone in the way you choose.

Business associates

Some services are provided by companies and people who help me run the practice, such as my secure practice management and telehealth platform and billing support. They must sign a written agreement to protect your information and may use it only for the work I've asked them to do.

Other ways I may use or share your information

I'm allowed or required to share your information in other ways, usually ones that contribute to the public good. I have to meet many conditions in the law before I can share it for these purposes.

• Preventing harm and reporting abuse. I'm required to report suspected abuse or neglect of a child, and of an elder or vulnerable adult, as state law requires. If you make a serious threat of violence against an identifiable person, or I believe you're at imminent risk of seriously harming yourself, I may take steps to protect you or others, as state law requires or allows.
• Public health. To prevent disease or help with public health activities, as the law allows.
• Health oversight. For audits, investigations, licensing and other activities authorized by law, including by my state licensing boards.
• Lawsuits and legal actions. In response to a court or administrative order, or to a subpoena with the protections the law requires. Many communications with a licensed social worker are privileged under state law, and I'll protect that privilege as far as the law allows.
• Law enforcement. For law enforcement purposes when the law requires it, or with a valid court order.
• Workers' compensation and government requests. For workers' compensation claims, and for special government functions such as military, national security and presidential protective services.
• Medical examiners and funeral directors. When an individual dies, as the law allows.
• Research. Only with your written permission or as the law strictly allows.
• Complying with the law. Including with the Department of Health and Human Services if it wants to confirm I'm following federal privacy law.

Substance use disorder records

To the extent that I have your substance use disorder patient records, subject to 42 CFR part 2, I will not share that information for investigations or legal proceedings against you without (1) your written consent or (2) a court order and a subpoena.

State law

I'm licensed in New Jersey, North Carolina and Florida. When a state law gives your information more protection than federal law, such as rules for communications with a licensed clinical social worker, HIV information, or substance use and mental health records, I follow the stricter law.

My responsibilities

• I'm required by law to keep your health information private and secure.
• I'll let you know promptly if a breach happens that may have compromised the privacy or security of your information.
• I must follow the duties and privacy practices described in this notice and give you a copy of it.
• I won't use or share your information in ways not described here unless you tell me I can in writing. You can change your mind at any time by letting me know in writing, except where I've already acted on your permission.

Changes to this notice

I can change the terms of this notice, and the changes will apply to all information I have about you. The new notice will be available on request, in my client portal, and on this website.

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