Tending the Cycle
A PMS & PMDD Intensive — EMDR + Somatic + Herbal Support
There is an older way of understanding the body's rhythm.
Before artificial light flattened the month into sameness, before productivity culture demanded we perform at the same register every day of our lives, people organized their lives around the cycle. The follicular phase mirrored spring. Ovulation was summer. The luteal phase moved toward autumn — a drawing inward. And menstruation was winter — a time of release and renewal, honored in many traditions as a portal to the inner world.
The wheel of the year, the seasons of the land, and the cycle of the body were once understood as the same thing at different scales. Something profound has been lost in the forgetting of that.
For those with PMDD — and for those with PMS significant enough to disrupt their lives — the luteal phase is not just uncomfortable. It can feel like a different self entirely: flooded, raw, without defense. That experience deserves more than symptom management. It deserves to be understood at the root.
This is what Tending the Cycle is for.
What Is PMDD?
Premenstrual Dysphoric Disorder is characterized by significant emotional and psychological symptoms in the luteal phase — the week or two before menstruation — that resolve once the period begins. It is distinct from PMS in the severity of its impact on daily functioning and relationships.
PMDD is real, it is recognized, and it is not a character flaw. It is also not simply a hormonal problem with a hormonal solution. This is where psychology, somatics, and nervous system work become essential.
The Lens This Work Uses
The luteal phase doesn't create what surfaces — it reveals it. What floods through in the days before your period is often material that lives in the nervous system year-round, held at bay during the regulated phases of the cycle and amplified when the window closes.
This intensive works with what the cycle is pointing toward — not just the symptoms, but what is underneath them. It combines:
Psychoeducation on the neuroscience and psychology of PMDD and the cycle
Somatic EMDR targeting the attachment and relational material underneath
Herbal ally recommendations to explore with your physician or naturopath
Cycle mapping and planning so you leave with tools for tending each phase
This offering is intentionally mapped onto your cycle.
Each session corresponds to a phase, so the work moves with your body's own rhythm.
Session 1 — Follicular Phase (55 minutes, phone or in person)
The opening. Spring.
Your intake session, held when the nervous system is most regulated and receptive. We build shared language, gather history, orient to the work ahead, and begin cycle tracking together. You will leave with a “Luteal Phase Wellness Guide” including herbal ally recommendations to explore with your physician or naturopath before your luteal cycle.
Session 2 — Ovulatory Phase (90 minutes, in person)
The fullness. Summer.
An extended session with two purposes: installing safe internal resources you can access during and after the intensive, and mapping the attachment material we will bring into the deep work. You arrive at your intensive with a reprocessing plan already in place.
Session 3 — Luteal Phase (30 minutes, phone only)
The turning. Autumn.
A brief grounding check-in before or as symptoms peak. An opportunity to observe what is arising with new eyes — as information — and orient toward the intensive ahead. If you were able to implement any herbal allies from your “Luteal Phase Wellness Guide” with the support of your physician or naturopath, we will also take time to notice whether anything has shifted — however subtly — in your symptom patterns this cycle.
Session 4 — Menstrual Phase (4 hours, in person)
The shedding. Winter.
The intensive itself. Four hours of somatic EMDR, held during menstruation so that the body's own release process and the psychological work move in the same direction. Plan to take the following day off if you are able.
A complimentary 10-minute grounding call is available any time you need it before your scheduled integration session.
Session 5 — Early Follicular Phase (55 minutes, phone or in person)
The return. The rising.
Integration, held as the nervous system begins to lift. What moved, what is different, cycle planning on how to tend the cycle going forward. We may also do a future template — orienting your nervous system toward who you are becoming on the other side of this work.
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Integration is not an afterthought — it is a phase of the work in its own right, and it is built directly into every intensive package at Soul Invitation Counseling.
Your final session is dedicated entirely to integration: making meaning of what moved, orienting to what has changed, and planning how to tend what emerged in the weeks ahead. You will also receive an integration care guide to take with you — a curated resource that includes reminders of the resourcing and regulation skills we built together in prep, daily mental hygiene practices to support the nervous system in the weeks following the intensive, cleansing and ritual practices for the integration period, and a nervous system care herbal support guide to bring to your physician or naturopath.
These practices are not optional extras. Small, consistent acts of tending have outsized impact in the weeks after deep reprocessing work — this is when the nervous system is most plastic and most receptive to new patterns.
If you have an existing therapist, I encourage coordination between us. Your regular therapist is often your best integration support, and I am happy to communicate with them directly if that feels helpful.
It is important to be honest about the scope of what I can offer: true integration after deep reprocessing unfolds over weeks and months — longer than the intensive container itself. My role is to set you up well for that process, not to see you through all of it. This is one reason I recommend that intensive clients have or establish ongoing therapeutic support, whether with me in individual sessions or with another provider.
After any intensive, a complimentary 10-minute grounding phone call is available if you need it. If you find yourself feeling unsettled before your scheduled integration session, you can reach out and we'll get on the phone for a brief guided grounding exercise to help you find your footing. This isn't a therapy session — it's simply a hand extended across the space between sessions, because deep work deserves that kind of care.
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A psychoeducation handout is available upon request for male-bodied partners of people with PMDD — covering what is actually happening in the luteal phase and evidence-based ways to show up supportively. Research consistently shows that informed, attuned partnership meaningfully reduces PMDD symptom severity.
This resource was co-developed with Matthew Fisher, MA — who also happens to be my partner in life. As two therapists who navigate this together in real life, we know something about what actually helps. It is offered as a complimentary bonus for clients who would like their partner to have a framework for this work. Female-bodied partners are welcome to request it too — I simply find that lived cycle experience often means less translation is needed.
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I am completing a community herbalism certificate and bring that lens into this work. While I am not an herbalist or a medical provider — and do not provide physical herbs — I offer a “luteal phase wellness guide” as part of this intensive: a written resource covering herbal allies, key nutrients, and local apothecary recommendations, tailored to your pattern and history. We review it together in session, and you take it with you to explore further with your physician or naturopath.
Do you want to come alive through accessing your embodied self?
Are you willing to explore your shadows to find your power?
You’re in the right place.
So let's get cozy, grab a cup of tea , and start this magical journey into the unknown.
Is This Right for You?
This offering may be a good fit if you:
Experience significant mood disruption in the week or two before your period that resolves once menstruation begins
Feel like a different person in the luteal phase — flooded, without access to your regulated self
Have tried hormonal or other medical approaches and want to address the psychological and nervous system layer
Are curious about the connection between your cycle and your history
Feel drawn to a holistic, body-centered, and spiritually open approach to healing
This offering is not a substitute for medical care. I work alongside your existing providers, not instead of them.
A note on diagnosis: If you would like a formal PMDD diagnosis from me, we begin the required cycle tracking together in your first session or you may bring cycle data to your first session that includes mood tracking. See the FAQs below for more on billing and HSA/FSA reimbursement.
You are worth investing in, and that journey starts here.
Investment
Session 1 — Intake and Foundation (55 min) · $185
Session 2 — Resourcing and Mapping (90 min) · $277
Session 3 — Luteal Session (30 min) · $92
4-hour EMDR Intensive · $1,111
Session 5 — Integration (55 min) · $185
Total · $1,850
Sessions 1, 3, and 5 may be held by phone or in person at my downtown Boulder office. Session 2 and the intensive are held in person.
This offering is not billed directly to insurance. A superbill can be provided with a qualifying diagnosis. See more on billing under Intensive FAQs at the bottom of the page.
If cost is a barrier, please say so. A financial assistance discount is available upon request for those who need it. I would rather work with you than not.
How Booking Works
Every intensive begins with a free consultation call. Because this intensive is mapped onto your cycle, we will also use that call to orient to your cycle timing and identify the right entry point.
If we decide to move forward, a non-refundable deposit of $462 is collected to secure your first two sessions. The remaining balance is due before the intensive.
After your second preparation session, the remaining balance is due in full before we proceed to the intensive.
If, during our preparation sessions, I determine clinically that you aren't quite ready for intensive processing, we will pause, cancel the intensive without additional charge, and talk honestly about what would serve you better — most likely beginning with regular therapy first, with the option to return to an intensive when the time is right.
Is This Right for You?
This offering is best suited for adults who:
Have a menstrual cycle and experience PMS or PMDD symptoms
Are not currently in acute psychiatric crisis
Are ready to commit to the full container across one complete cycle
Feel drawn to a body-centered, holistically informed approach to healing
Already working with a therapist? This intensive can complement your existing therapeutic relationship. I am happy to coordinate with your therapist if that feels helpful.
Ready to Begin?
Intensive FAQs
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No. You do not need a prior diagnosis to begin. If you would like a formal diagnosis from me, I require three months of cycle tracking data that includes mood fluctuations. If you already track your cycle on an app, you may already have much of what is needed — bring it. If not, we begin together in your first session. If you do not qualify for a clinical diagnosis, we can still treat the symptoms of PMS with this intensive, but I cannot provide a superbill.
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What if my cycle is irregular?
Irregular cycles do not preclude this work. We work with your actual cycle as it unfolds, which may mean some flexibility in session spacing. We can discuss this on your consultation call.
What if I am currently on hormonal contraception or other treatment?
This is worth discussing on your consultation call. Hormonal contraception affects cycle phase and symptoms differently for different people, and we will assess together how best to map the session structure to your situation.
Can I use this work alongside medical treatment for PMDD?
Yes. This work is designed to complement, not replace, medical care. I am happy to coordinate with your existing providers if that feels supportive.
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This offering is not billed directly to insurance. However there are several ways your benefits may offset the cost.
Because EMDR is a widely recognized, evidence-based treatment for a variety of mental health conditions, HSA/FSA benefit accounts usually fully cover the intensive provided you have a mental health diagnosis that can be treated with EMDR. PMDD (F32.81) is a recognized DSM-5 diagnosis — if you carry that diagnosis from a prior provider, or if we establish it through cycle tracking, a superbill can be provided for potential reimbursement. Coverage cannot be guaranteed and varies by plan.
A superbill can be provided for all sessions, including the intensive, for HSA/FSA reimbursement or to keep on file for your taxes. If you don’t have an HSA/FSA, you still may be able to deduct the intensive on your taxes if you itemize and qualify—please consult with a tax accountant to do so.
Superbills are available for all clients with a diagnosable mental health condition. Coverage cannot be guaranteed and varies by plan.
If you have out-of-network benefits and a mental health diagnosis, your sessions may be partially reimbursable through your plan. All sessions are billed as standard psychotherapy with appropriate CPT codes and a superbill can be provided upon request.
Sessions lasting over an hour do not currently have an insurance billing pathway to add on that time, and must be billed using the CPT code 90837 (53+ minute psychotherapy session) and as such are usually only reimbursed for the single CPT code at your plan’s hourly reimbursement.
We recommend contacting your insurance provider and HSA administrator, or tax accountant if needed, to understand your specific benefits before beginning.
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EMDR — Eye Movement Desensitization and Reprocessing — is an evidence-based therapy originally developed for PTSD and now widely used for a range of trauma and distress-related concerns. It is endorsed by the American Psychological Association, the World Health Organization, and the U.S. Department of Veterans Affairs as an effective treatment for trauma.
Rather than requiring you to talk through your experiences in detail, EMDR works by activating a memory or belief while simultaneously engaging bilateral stimulation — typically eye movements or handheld tappers that alternate left and right. This process appears to mimic what the brain does naturally during REM sleep, allowing stuck or unprocessed material to move through the nervous system and integrate. What was once overwhelming often becomes something you can recall without being flooded by it.
In this intensive format, EMDR is held somatically throughout — meaning we don't wait for the body scan at the end of a processing sequence. We listen to the body the entire way through, using it as a compass when the work gets complex.
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Yes, with some consideration. An intensive does not require you to have an existing therapist, and many people come to this work specifically because they want a focused, contained experience rather than ongoing weekly therapy.
That said, the integration period after an intensive — the weeks and months following the deep work — can bring continued unfolding. Having ongoing therapeutic support during that time is genuinely valuable. If you don't currently have a therapist and would like one, I'm happy to help you find someone who feels like a good fit before or after we work together.
The one exception is complex PTSD — if you are working with layered relational or developmental trauma, I strongly recommend having an established therapist in place before beginning an intensive. See below for more on that.
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Complex PTSD is absolutely workable in an intensive format — and EMDR is one of the most effective tools available for it. However the depth and scope of C-PTSD means that what gets opened in an intensive can continue reverberating for weeks afterward, and ongoing support matters more, not less.
For that reason I request that clients working with complex or relational trauma have an established relationship with a regular therapist before we begin. Your weekly therapy can hold the ongoing unfolding while the intensive does the focused deep work. If you don't yet have that support in place I'm happy to help you find someone before we proceed.
This isn't a barrier — it's part of making sure you're held well through the process.
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The consultation call is free and typically around 20 minutes. It's a chance for us to get a sense of each other — you can ask any questions you have, and I'll ask a few things to understand what's bringing you to this work and whether an intensive is a good clinical fit for where you are right now.
I take the consultation seriously. Not everyone is best served by intensive work, and if I don't think the timing or format is right for you I'll tell you honestly — and often I can point you toward something that would serve you better. If we both feel good about moving forward we'll talk through next steps and scheduling.
There is no obligation on either side coming out of the consultation call.
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Everyone's experience is different, and there is no single right way to feel after deep processing work. Some people feel immediately lighter, clear, and relieved. Others feel tired, emotionally tender, or notice that things continue to shift and settle over the following days. Both are normal and both are part of the process.
This is why I recommend taking the day after your intensive off if at all possible — not because something will be wrong, but because what moves in this kind of work deserves spaciousness. Gentle activity, time in nature, rest, and nourishing food are all supportive. Avoid scheduling anything demanding or emotionally taxing immediately after if you can help it.
You will have a 30-minute check-in call within four days of your intensive, and a complimentary 10-minute grounding call is available any time you need it before then. You will not be left without support.
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I don't guarantee specific outcomes, and I'd encourage you to be cautious of any practitioner who does. Trauma healing is not linear, and every nervous system is different.
What I can tell you honestly is that many people who complete an intensive experience meaningful and sometimes transformative shifts — in how they relate to a memory, a belief about themselves, a pattern that has followed them for years. Some describe it as the most significant therapeutic work they have ever done. Others find that one layer moves and reveals another beneath it, which becomes the next thing to work with. That too is healing, even when it doesn't feel like a clean resolution.
What I commit to is a rigorously prepared, somatically attuned, clinically thoughtful container for your process. What moves within that container is yours — and I will be with you every step of the way.
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At any point before your final integration session you can add a second 4-hour intensive to your package. Many people find that one intensive moves a significant amount and feel complete. Others find that the first intensive clears the surface and they want to go deeper.
If you decide during your post-intensive check-in call — or at any point before your final session — that you'd like to continue, we'll schedule a second intensive before your integration session so that the final session can hold and integrate the work of both. A 30-minute check-in call after the second intensive is included if desired.
The add-on investment is $1,111.
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Once the remaining balance is paid following your second preparation session, the intensive package is non-refundable. Individual sessions within the package may be rescheduled with at least 48 hours notice.
Rescheduling within 48 hours of a scheduled session will be charged the full session rate, with the exception of genuine medical or family emergencies — in those cases, you will be offered the next available date before any fee is applied.
The deposit is non-refundable under all circumstances.
Because this intensive is cycle-mapped, rescheduling the intensive itself may require waiting for the following cycle. We will navigate this with as much flexibility as the clinical situation allows.
In the rare event that I need to cancel or reschedule, you will be offered priority booking at the next available date.
Other Information
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NOTICE OF PRIVACY PRACTICES (HIPPA)
“Protected Health Information” (PHI) refers to any information that we create or receive, and relates to an individual’s past, present, or future physical or mental health or conditions and related care services or the past, present, or future payment for the provision of health care to an individual; and identifies the individual or there is a reasonable basis to believe the information can be used to identify the individual. PHI includes any such information described above that we transmit or maintain in any form, this includes Psychotherapy Notes. HIPAA and federal law regulate the use and disclosure of PHI when transmitted electronically.
This Notice of Privacy Practices describes how Soul Invitation Counseling LLC may use and disclose your medical PHI to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your PHI, as well as certain obligations Soul Invitation Counseling LLC has regarding the use and disclosure of your health information. We understand that health information about you and your health care is personal and are committed to protecting health information about you. Soul Invitation Counseling LLC and its employees create a record of the care and services you receive as we need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by Soul Invitation Counseling LLC.
1. GENERAL POLICIES AND HIPPA
Soul Invitation Counseling LLC believes it may be a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) and thus provides its clients with this Notice of Practices and complies with the procedures and protocols listed herein. If Soul Invitation Counseling LLC is determined not to be a covered entity under HIPAA, it will still follow this Notice of Privacy Practices regarding use and disclosure of PHI; however, the client may not be entitled to the rights set forth in the “Your Rights as a Client” section.
It is Soul Invitation Counseling LLC’s policy to:
· Fully comply with the requirements of the HIPAA General Administrative Requirements, the Privacy and Security Rules
· Make sure that PHI that identifies you is kept private.
· Provide every client this notice of my legal duties and privacy practices with respect to health information called the Notice of Privacy Practices.
· Follow the terms of the notice that is currently in effect, noting that I can change this notice and the new notice is effective once provided to the client.
· Obtain from each client an informed Authorization for Release of Protected Health Information form when required.
Soul Invitation Counseling LLC is required to follow all state and federal statutes and regulations governing testing for and reporting of TB, HIV AIDS, Hepatitis, and other infectious diseases, and maintaining the confidentiality of PHI.
2. USES AND DISCLOSURES OF PHI
Your PHI may be used and disclosed by Soul Invitation Counseling LLC and employees including your therapist, office staff and others outside of our office who are involved in your care and treatment for the purpose of providing health care services to you. Soul Invitation Counseling LLC may use and disclose PHI, without an individual’s written authorization, for the following purposes:
· Treatment: using and disclosing your PHI to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with another provider including other physicians who may be treating you. This includes consultation with clinical supervisors or other treatment team members and for coverage arrangements during your therapist’s absence, and for sending appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
· Payment: using and disclosing your PHI to as needed, to obtain payment for your health care services provided by us. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you such as: deciding eligibility or coverage for insurance benefits, reviewing services provided to you for medical necessity, and undertaking utilization review activities.
· Health Care Operations: using and disclosing your PHI to as needed to support the business activities of Soul Invitation Counseling LLC. We will share your PHI with third party business associates that perform various activities (for example, billing or transcription services) for our practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your PHI, we will have a written contract that contains terms that will protect the privacy of your PHI.
3. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION
Other permitted and required uses and disclosures that may be made without your authorization or opportunity to agree or object. These situations include:
· In Compliance with State and/or Federal Laws and Regulations: Soul Invitation Counseling LLC may use or disclose your PHI to the extent that the use or disclosure is required by law. The use or disclosure will be made in compliance with the law and will be limited to the relevant requirements of the law. You will be notified, if required by law, of any such uses or disclosures.
o Criminal Activity: Consistent with applicable federal and state laws, Soul Invitation Counseling LLC may disclose your PHI, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. Soul Invitation Counseling LLC may also disclose PHI if it is necessary for law enforcement authorities to identify or apprehend an individual. Also, when reporting crimes occurring on business premises.
o Health Oversight: Soul Invitation Counseling LLC may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.
o Abuse or Neglect: Soul Invitation Counseling LLC may disclose your PHI to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your PHI if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity authorized to receive such information.
o Legal Proceedings: Soul Invitation Counseling LLC may disclose PHI in the course of any judicial or administrative proceeding, in response to an order of a court or administrative tribunal (to the extent such disclosure is expressly authorized), or in certain conditions in response to a subpoena, discovery request or other lawful process.
§ Responding to lawsuit and legal actions (Disclosure by a court order, in response to a complaint filed against Soul Invitation Counseling LLC, etc. This does not include a request by you or another party for your records).
§ For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.
o Military Activity and National Security: When the appropriate conditions apply, we may use or disclose PHI of individuals who are Armed Forces personnel (1) for activities deemed necessary by appropriate military command authorities; (2) for the purpose of a determination by the Department of Veterans Affairs of your eligibility for benefits.
§ Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counterintelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
o Workers’ Compensation: We may disclose your PHI as authorized to comply with workers’ compensation laws and other similar legally-established programs.
o Medical purposes: to coroners or medical examiners, when such individuals are performing duties authorized by law or to respond to organ and tissue donation requests.
· Business Associates: Soul Invitation Counseling LLC may enter into contracts with business associates to provide billing, legal, auditing, and practice management services that are outside entities. In those situations, protected health information will be provided to those contractors as is needed to perform their contracted tasks. Business associates are required to enter into a confidentiality agreement maintaining the privacy of the protected health information released to them.
4. SPECIAL AUTHORIZATIONS
Based upon your written authorization, known as a Release of Information (ROI) other uses and disclosures of your PHI can be made beyond those required by law. You may revoke this authorization in writing at any time. If you revoke your authorization, Soul Invitation Counseling LLC will no longer use or disclose your PHI for the reasons covered by your written authorization. Soul Invitation Counseling LLC and its employees are unable to take back any disclosures already made with your authorization.
· Emergency Contact(s): Soul Invitation Counseling LLC and its employees may provide your PHI to a family member, friend, or other person that you indicate as an emergency contact. By providing the contact, you consent to this person being contacted in emergency situations and minimal necessary release of PHI. Whenever possible, a Release of Information (ROI) will be obtained to specify the information provided, however, the opportunity to consent may be obtained retroactively in emergency situations. Soul Invitation Counseling LLC and its employees are unable to take back any disclosures already made in emergency situations.
Certain categories of information have extra protections by law, and thus require special written authorizations for disclosures.
· Psychotherapy Notes: Soul Invitation Counseling LLC may keep and maintain “Psychotherapy Notes”, which may include but are not limited to notes Soul Invitation Counseling LLC makes about your conversation during a private, group, joint, or family counseling session, which is kept separately from the rest of your record. These notes are given a greater degree of protection than PHI. These are not considered part of your “client record.” Soul Invitation Counseling LLC will obtain a special authorization before releasing your Psychotherapy Notes.
· HIV Information: Special legal protections apply to HIV/AIDS related information. Soul Invitation Counseling LLC will obtain a special written authorization from you before releasing information related to HIV/AIDS.
· Alcohol and Drug Use Information: Special legal protections apply to information related to alcohol and drug use and treatment. Soul Invitation Counseling LLC will obtain a special written authorization from you before releasing information related to alcohol and/or drug use/treatment.
· You may revoke all such authorizations to release information (PHI, Psychotherapy Notes, HIV information, and/or Alcohol and Drug Use Information) at any time, provided each revocation is in writing, signed by you, and signed by a witness. You may not revoke an authorization to the extent that (1) Soul Invitation Counseling LLC has relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, the law provides the insurer the right to contest the claim under the policy.
5. YOUR RIGHTS
Following is a statement of your rights with respect to your PHI and a brief description of how you may exercise these rights.
· You have the right to inspect and obtain a copy your PHI. This means you may inspect and obtain a copy of your records about you for so long as we maintain the PHI which is no more than seven years. You may obtain your medical and billing records and any other records that we use for making decisions about you.
o As permitted by federal or state law, we may charge you a reasonable copy fee for a copy of your records. Soul Invitation Counseling LLC will provide you with a summary of your health information usually within 30 days of your written request.
o Under federal law, however, you may not inspect or copy the following records: psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding; and laboratory results that are subject to law that prohibits access to PHI. Depending on the circumstances, a decision to deny access may be reviewable. In some circumstances, you may have a right to have this decision reviewed. Please contact our Privacy Officer (Casey Dunne, LPCC, casey@soulinvitationcounselingllc.com) if you have questions about access to your medical record.
· You have the right to ask us to correct your mental health record. You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we’ll tell you why in writing within 60 days.
· You have the right to request a restriction of your PHI. This means you may ask us not to use or disclose any part of your PHI for the purposes of treatment, payment or health care operations if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full. Your request must state the specific restriction requested and to whom you want the restriction to apply.
· You have the right to request confidential communications/choose how Soul Invitation Counseling LLC sends PHI to you. You have the right to ask Soul Invitation Counseling LLC to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and we will agree to all reasonable requests.
· You have the right to receive an accounting of certain disclosures we have made, if any, of your PHI. This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Notice of Privacy Practices. It excludes disclosures we may have made to you if you authorized us to make the disclosure, to family members or friends involved in your care, or for notification purposes, for national security or intelligence, to law enforcement (as provided in the privacy rule) or as part of a limited data set disclosure. You have the right to receive specific information regarding these disclosures that occur after January 1, 2009. The right to receive this information is subject to certain exceptions, restrictions and limitations. We will charge a reasonable, cost-based fee for this request.
· You have the right to get a paper and/or electronic copy of this Notice.
· You have the right to choose someone to act for you. If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
6. COMPLAINTS
You can complain if you feel we have violated your rights by contacting us using the information on this form. You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. • We will not retaliate against you for filing a complaint. You may also file a complaint with the local regulatory agency that oversees the license of your therapist. Please note that these regulatory agencies may direct you to file your complaint with the U.S. Department of Health and Human Services Office for Civil Rights listed above and may not be able to take any action on your behalf.
7. SAFEGUARDS OF PHI
As a covered entity under the Privacy and Security Rules, Soul Invitation Counseling LLC is required to reasonably safeguard PHI from impermissible uses and disclosures. Safeguards may include, but are not limited to the following:
· Not leaving test results or records unattended where third parties without a need to know can view them.
· Any PHI received as an employee of Soul Invitation Counseling LLC about a client or potential client, may not be used or disclosed to unauthorized individuals. Soul Invitation Counseling LLC may only use and disclose such PHI as described above.
· When speaking with a client about their PHI where third parties could possibly overhear, the conversation will be moved to a private area.
· Seeking legal counsel or clinical supervision in uncertain situations and/or incidences.
· Obtaining a Business Associates Agreement with those third-parties that have access to and/or store client information. Some of the functions of the practice may be provided by contracts with business associates. For example, some of the billing, legal, auditing, and practice management services may be provided by contracting with outside entities to perform those services.
· Obtaining your verbal or written consent prior to sending any PHI by unsecure electronic transmissions.
· Providing information on Soul Invitation Counseling LLC’s electronic record-keeping.
· Cyber security protection including two passwords (i.e device and EHP site) and/or dual factor authentication to access records.
7. CHANGES TO THIS NOTICE
Soul Invitation Counseling LLC can change the terms of this notice, and the changes will apply to all information Soul Invitation Counseling LLC has about you. The new notice will be available upon request. -
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive upon request a “Good Faith Estimate” explaining how much your medical and mental health care will cost. You have the right to receive upon request a Good Faith Estimate for the total expected cost of any non- emergency healthcare services, including psychotherapy services. You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
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For mental health emergencies call 988. Services available in the United States 24/7/365.Colorado Crisis Line: 1-844-493-8255 or text “TALK” to 38255
LGBTQ National Hotline: (888) 843-4564
Trevor Project (LGBTQ+ youth): text START to 678-678
National Alliance on Mental Illness (NAMI) HelpLine: (800) 950-NAMI (6264)
National Domestic Violence Hotline: (800) 799-7233
Self Harm Crisis Line: Text HOME to 741741
Mental Health Partners Crisis Line: (303) 447-1665.
National Sexual Assault Telephone Hotline: (800) 656-HOPE (4673)
For life threatening emergencies, call 911.