Effective Date: June 2026

This notice describes how your protected health information may be used and disclosed and how you can get access to this information. Please review it carefully.

OUR LEGAL DUTY

Lefler Psychological Corporation is required by federal and state law to maintain the privacy of your protected health information (PHI). We are also required to give you this Notice of Privacy Practices that describes our legal duties and privacy practices concerning your PHI. We are required to follow the terms of this Notice currently in effect. We reserve the right to change the terms of this Notice and to make new provisions effective for all PHI that we maintain. Any revised Notice will be posted in our office and made available upon request.

HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION

We may use and disclose your PHI for treatment, payment, and health care operations (TPO) without your written authorization. Examples include:

•  Treatment: We may disclose PHI to physicians, nurses, psychologists, or other health care providers who are involved in your care.

•  Payment: We may use and disclose PHI so that services rendered can be billed and payment collected.

•  Health Care Operations: We may use and disclose PHI for our internal operations, such as quality improvement, training, and compliance activities.

USES AND DISCLOSURES THAT DO NOT REQUIRE YOUR AUTHORIZATION

We may use or disclose your PHI without your authorization in the following situations (this list is not exhaustive):

•  Public health activities (e.g., reporting communicable diseases, child/elder abuse or neglect)

•  Health oversight activities (e.g., audits, investigations, licensure)

•  Judicial and administrative proceedings (in response to court orders, subpoenas, or discovery requests, with appropriate safeguards)

•  Law enforcement purposes (as required or permitted by law)

•  To avert a serious threat to health or safety

•  Military and veterans’ activities, national security, and intelligence activities

•  Workers’ compensation or similar programs

•  As otherwise required or permitted by law

JUDICIAL AND ADMINISTRATIVE PROCEEDINGS

If you are involved in a court proceeding or administrative proceeding, we may disclose your PHI in response to a court order, subpoena, or other lawful process. We will make reasonable efforts to notify you or obtain your consent when required by law.

YOUR RIGHTS REGARDING YOUR PROTECTED HEALTH INFORMATION

You have the following rights concerning your PHI:

•  Right to inspect and copy your records (with limited exceptions)

•  Right to request an amendment to your records

•  Right to request restrictions on certain uses and disclosures

•  Right to request confidential communications

•  Right to receive an accounting of disclosures

•  Right to receive a paper copy of this Notice

•  Right to file a complaint if you believe your privacy rights have been violated

BUSINESS ASSOCIATES AND AI TOOLS

We may share limited PHI with trusted business associates who perform services on our behalf (such as billing, legal, or administrative support). All business associates are required by contract to protect the privacy and security of your PHI. We use secure, HIPAA-compliant platforms, including AI-assisted documentation tools (such as mdhub), to support clinical documentation and report writing. These tools are bound by Business Associate Agreements and are required to safeguard your information in accordance with HIPAA.

TELEHEALTH SERVICES

When we provide services via telehealth, your PHI is subject to the same privacy protections as in-person services. We use secure, encrypted platforms for telehealth. You may revoke consent for telehealth at any time. Technical limitations of telehealth may affect the quality or delivery of services.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice at any time. Any changes will apply to all PHI we maintain, including PHI created or received before the effective date of the revised Notice. The current Notice will always be posted in our office and available upon request. The effective date of this Notice is June 2026.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

To file a complaint with Lefler Psychological Corporation, contact:

Joshua Lefler, Psy.D.  

Lefler Psychological Corporation  

4900 California Ave. #210B  

Bakersfield, CA 93309  

Phone: (661) 379-0787

To file a complaint with the federal government:

Secretary of the U.S. Department of Health and Human Services

200 Independence Avenue, S.W.

Washington, D.C. 20201

Toll-Free: 1-877-696-6775

Website: www.hhs.gov/ocr

You may also contact the California Board of Psychology if your complaint involves professional conduct.

CONTACT INFORMATION

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

Joshua Lefler, Psy.D.

Lefler Psychological Corporation

4900 California Ave. #210B

Bakersfield, CA 93309

Phone: (661) 379-0787

ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES

I acknowledge that I have received a copy of Lefler Psychological Corporation’s Notice of Privacy Practices. I understand that this Notice describes how my protected health information may be used and disclosed, and how I can access this information. I understand that services may be provided by Dr. Lefler or by other qualified professionals associated with Lefler Psychological Corporation, and that this Notice applies to all such services.