Notice of Privacy Practices
Julie Cox, LCSW, PLLC
Phone: (914) 962-2021
Email: info@juliecox.org
Effective date: September 18, 2026
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, HOW YOU MAY OBTAIN ACCESS TO THIS INFORMATION, AND THE PRIVACY RIGHTS AVAILABLE TO YOU. PLEASE REVIEW IT CAREFULLY.
Julie Cox, LCSW, PLLC provides telehealth services to clients who are physically located in New York, Connecticut, Florida, or Delaware at the time of service.
Federal law and the law of the state in which you are physically located may apply to your care. When state and federal privacy laws differ, I will follow the law that provides greater protection or otherwise controls under the circumstances.
My Responsibilities
I am required to:
Maintain the privacy and security of your protected health information, or PHI.
Provide you with this Notice explaining my legal duties and privacy practices.
Follow the privacy practices described in the Notice currently in effect.
Notify you if a breach occurs that may have compromised the privacy or security of your unsecured PHI.
I may change the terms of this Notice and apply the revised terms to PHI I already maintain, as well as information I receive in the future.
If I make a material change, I will make the revised Notice available electronically, provide it upon request, and post it on any website where I am required to make it available.
How I May Use and Disclose Your Information
The following categories describe common ways I may use or disclose PHI without obtaining a separate written authorization. Not every possible use or disclosure is listed.
Treatment
I may use and disclose PHI to provide, coordinate, or manage your treatment and related services. This may include consultation or coordination with another healthcare provider when permitted by law.
Payment
I may use and disclose PHI to bill for services, process payments, verify benefits, or address billing and collection matters.
Healthcare Operations
I may use and disclose PHI for activities needed to operate my practice, such as quality assessment, licensing, legal or auditing services, business planning, and reviewing services.
Business Associates
I may share the minimum necessary PHI with service providers that perform functions for my practice. When required, those providers enter into business associate agreements requiring them to safeguard PHI.
Required by Law
I may use or disclose PHI when federal, state, or local law requires it.
Public Health and Safety
I may disclose PHI for legally authorized public-health activities or to prevent or lessen a serious and imminent threat to health or safety, consistent with applicable law and professional ethical standards.
Health Oversight
I may disclose PHI to an authorized health-oversight agency for activities such as audits, investigations, inspections, or licensing proceedings.
Judicial and Administrative Proceedings
I may disclose PHI in response to a valid court or administrative order or, when legally permitted, in response to a subpoena, discovery request, or other lawful process.
I will assert applicable privileges and protections when appropriate.
Law Enforcement
I may disclose PHI to law enforcement when permitted or required by law.
Workers’ Compensation
I may disclose PHI as authorized by, and to the extent necessary to comply with, workers’ compensation or similar laws.
Defense of Claims
If you bring a complaint, legal action, or professional proceeding against me, I may disclose information reasonably necessary to respond or defend myself, as permitted by law.
Limits on Confidentiality and Mandatory Disclosures
Communications between a client and a licensed clinical social worker are generally confidential. However, I may be required or permitted to disclose confidential information without your authorization.
The applicable requirements may depend on the state in which you are physically located when services are provided.
Suspected Child Abuse, Abandonment, or Neglect
If I know or have reasonable cause to suspect that a child has been abused, abandoned, or neglected, I may be required to report the information to the appropriate child-protection agency, abuse hotline, or law-enforcement agency.
Florida law includes mandatory reporting to the Florida Abuse Hotline in circumstances described by Florida law.
Suspected Abuse, Neglect, or Exploitation of a Vulnerable Adult
If I know or have reasonable cause to suspect that a vulnerable adult has been abused, neglected, or exploited, I may be required to report the information to the appropriate protective-services agency or abuse hotline.
Florida law requires specified reports to the Florida Abuse Hotline.
Serious Threats or Risk of Harm
If I believe that you present a serious and imminent risk of physical harm to yourself or another person, or another circumstance requiring protective action exists under applicable law, I may disclose information necessary to help protect you or another person.
Protective actions may include contacting:
An identified potential victim.
A family member or other support person.
Emergency services.
Law enforcement.
A healthcare facility or professional to arrange an emergency evaluation or hospitalization.
When a disclosure is required or permitted, I will limit the disclosure to the information reasonably necessary for its purpose and follow the law applicable to the circumstances.
Uses and Disclosures Requiring Written Authorization
Uses and disclosures of PHI not described in this Notice generally require your written authorization.
Most uses and disclosures of psychotherapy notes, uses of PHI for marketing, and disclosures that constitute a sale of PHI require authorization, subject to exceptions under applicable law.
I do not sell your PHI.
You may revoke an authorization in writing at any time.
Revocation will not affect actions already taken in reliance on the authorization or circumstances in which the authorization was obtained as a condition of coverage and the insurer has a legal right to contest the coverage.
Your Privacy Rights
Inspect and Obtain a Copy
You may ask to inspect or receive an electronic or paper copy of PHI maintained in a designated record set.
I will respond within the time required by law. In limited circumstances, I may deny access, and some denials may be reviewed.
If a fee applies, it will be a reasonable, cost-based fee permitted by law. I will explain the fee in advance when applicable.
Request an Amendment
If you believe your PHI is incorrect or incomplete, you may request an amendment in writing and explain why you believe it should be changed.
I may deny the request in certain circumstances and will provide a written explanation as required by law.
Request Confidential Communications
You may ask me to contact you in a specific way or at a specific location. I will accommodate reasonable requests.
Request Restrictions
You may ask me not to use or disclose certain PHI for treatment, payment, or healthcare operations. I am generally not required to agree to such a request.
If you pay in full out of pocket for a service and ask me not to disclose information about that service to your health plan for payment or healthcare operations, I will agree unless disclosure is required by law.
Receive an Accounting of Disclosures
You may request a list of certain disclosures of your PHI made during the six years before your request.
The accounting will not include every type of disclosure, such as most disclosures for treatment, payment, or healthcare operations.
Receive a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time, even if you previously agreed to receive it electronically.
Choose Someone to Act for You
If another person has legal authority to act for you, such as a healthcare agent or legal guardian, that person may exercise your privacy rights.
I will verify that person’s authority before taking action.
File a Complaint
You may file a complaint if you believe your privacy rights have been violated.
You will not be retaliated against or penalized for filing a complaint.
Communications About Services
I may contact you about appointments, treatment, care coordination, health-related services, or practice information as permitted by law.
I will obtain authorization when required. You may tell me if you do not want to receive optional communications.
Questions and Complaints
For questions about this Notice, to exercise a privacy right, or to make a complaint directly to the Practice, contact:
Julie Cox, LCSW, Privacy Contact
Julie Cox, LCSW, PLLC
2025 Crompond Road
Yorktown Heights, NY 10598
Phone: (914) 962-2021
Email: info@juliecox.org
You may also file a privacy complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
Website: www.hhs.gov/ocr/privacy/hipaa/complaints
Telephone: 1-877-696-6775
A complaint may also be submitted by mail using the instructions provided by the Office for Civil Rights.
You may contact the professional licensing or regulatory authority in the state in which you received services. This may include:
The New York State Education Department.
The Connecticut Department of Public Health.
The Florida Department of Health.
The Delaware Division of Professional Regulation.
You will not be retaliated against or penalized for filing a complaint.