Effective Date: August 10, 2025
 

Jeffrey Thoelen Counseling, LLC (“we,” “our,” or “the Practice”) is committed to protecting your privacy and complying with all federal and New Jersey state regulations concerning mental health services. This policy explains how we collect, use, protect, and disclose personal information in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and New Jersey laws governing professional counseling.

1. Information We Collect

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When you engage in counseling services, we may collect the following types of personal and health information:

• Your name, date of birth, contact information

• Insurance information, billing and payment details

• Medical and mental health history, treatment notes, and session details

• Any information you provide via email, intake forms, or our contact form

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2. How We Use Your Information

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Your information is used for the following purposes:

• To provide psychotherapy and counseling services

• To communicate with you (e.g., appointment reminders)

• To process payments and coordinate insurance claims

• To comply with state and federal recordkeeping laws

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3. Confidentiality & HIPAA Compliance

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All health information is maintained in accordance with HIPAA and New Jersey Administrative Code (NJAC) Title 13, Chapter 34, which governs professional counselor conduct. Your personal health information will not be shared without your written consent, except as required by law (e.g., threat of harm to self or others, court order, suspected abuse).

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4. Use of Third-Party Tools

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We may use secure third-party platforms (e.g., encrypted telehealth platforms, email providers, billing software) that comply with HIPAA standards to facilitate care.

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5. Your Rights

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You have the right to:

• Access and request a copy of your health records

• Request corrections to inaccurate information

• Receive a notice if your data is breached

• File a complaint if you believe your privacy rights have been violated

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To exercise these rights, please contact us at:
📧 jeffreythoelencounselingllc@gmail.com 
📞 862-299-6402