Professional Disclosures

Notice of Privacy Practices

Effective August 2026

3:16 Behavioral Health & Wellness, PLLC — NOTICE OF PRIVACY PRACTICES. THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Effective Date: August 18, 2026. 3:16 Behavioral Health & Wellness, PLLC — 111 S. 1st Street, Muleshoe, Texas 79347 — Phone: (806) 848-7316 — General Email: info@316behavioralhealth.com — Privacy/Legal Email: Legal@316behavioralhealth.com — Website: www.316behavioralhealth.com

Your information. Your rights. Our responsibilities.

This Notice of Privacy Practices describes how 3:16 Behavioral Health & Wellness, PLLC ("3:16," "the Practice," "we," "us," or "our") may use and disclose your Protected Health Information ("PHI"), how you may access and control your health information, and our responsibilities for protecting your information.

Protected Health Information includes information that identifies you and relates to your past, present, or future physical or mental health condition, healthcare services, or payment for healthcare. Because mental health information is particularly sensitive, we take the confidentiality, privacy, and security of your information seriously.

Your rights

You have certain rights regarding your health information. This section explains those rights and how you may exercise them.

Obtain an electronic or paper copy of your records

You may ask to inspect or obtain an electronic or paper copy of health information maintained about you.
We generally will provide access or a copy within the time required by applicable law.
We may charge a reasonable, cost-based fee when permitted by law.
In limited circumstances, we may deny access to certain information as permitted by federal or state law. If access is denied, you may have the right to request review of that decision.
Psychotherapy notes receive special protection under federal law and may be treated differently from other portions of your clinical record.

Ask us to correct your health information

If you believe information in your record is incorrect or incomplete, you may ask us in writing to amend or correct it.
We may deny your request under certain circumstances, but we will provide an explanation when required by law.

Request confidential communications

You may ask us to communicate with you about your health information in a particular way or at a particular location.
For example, you may request that we contact you only through a particular telephone number, email address, mailing address, or other reasonable method.
We will accommodate reasonable requests as required by law.

Ask us to limit what we use or share

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.
We are generally not required to agree to every requested restriction.
However, if you pay for a healthcare service in full out-of-pocket, you may ask us not to disclose information about that service to your health plan for payment or healthcare operations purposes. We will honor that request unless disclosure is required by law.

Obtain an accounting of disclosures

You may request a list, known as an accounting of disclosures, identifying certain disclosures we have made of your health information.
The accounting generally covers disclosures made during the six years preceding your request.
Certain disclosures are not included, such as disclosures for treatment, payment, healthcare operations, disclosures you specifically authorized, and certain other disclosures excluded by law.
We will provide one accounting during a 12-month period without charge. Additional requests may be subject to a reasonable, cost-based fee when permitted by law.

Obtain a copy of this notice

You may request a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
An electronic copy may also be made available through the Practice's website or client portal.

Choose someone to act for you

If you have given someone legal authority to act on your behalf, such as through legal guardianship, healthcare power of attorney, or another legally recognized arrangement, that individual may exercise certain privacy rights on your behalf.
We may verify the individual's legal authority before taking action.
Special requirements may apply to parents, guardians, minors, custody arrangements, and other legally authorized representatives.

File a privacy complaint

You have the right to file a complaint if you believe your privacy rights have been violated.
You may file a complaint directly with the Privacy Officer: 3:16 Behavioral Health & Wellness, PLLC, 111 S. 1st Street, Muleshoe, Texas 79347 — Phone: (806) 848-7316 — Email: Legal@316behavioralhealth.com.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue, S.W., Washington, D.C. 20201 — Phone: 1-877-696-6775.
3:16 Behavioral Health & Wellness, PLLC will not retaliate against you for filing a complaint or exercising your privacy rights.

Your choices

For certain health information, you may tell us your preferences regarding what we share.

Family members, friends, and others involved in your care

You may tell us whether we may share relevant information with family members, friends, caregivers, or others involved in your care or payment for your care.
When you are unable to communicate your preference, such as during an emergency, we may disclose limited information when permitted by law and when we reasonably believe doing so is in your best interest.

Disaster relief

We may share limited information with organizations assisting with disaster-relief efforts when permitted by law.
You may tell us your preferences regarding such disclosures when circumstances permit.

Marketing

We generally must obtain your written authorization before using or disclosing your PHI for marketing purposes when authorization is required by law.
We will not sell your PHI without your written authorization when authorization is required by law.

Fundraising

3:16 Behavioral Health & Wellness, PLLC does not use your clinical information to solicit charitable contributions or fundraising on behalf of the Practice.

How we may use and disclose your information

Federal and state law permit or require us to use and disclose your health information under certain circumstances.

Treatment

We may use or disclose your health information to provide, coordinate, or manage your healthcare.
For example, your Provider may communicate with another healthcare professional involved in your treatment when appropriate and legally permitted.
For Texas clients receiving counseling services from a Licensed Professional Counselor Associate, information necessary for clinical supervision may be discussed with the Provider's Texas-approved clinical supervisor as permitted by applicable law and professional requirements.

Payment

We may use or disclose your health information to obtain payment for services.
For example, we may provide information to your health insurance company or another payer so that it can process a claim for counseling services.
Information disclosed for payment will be limited as required by applicable law.

Healthcare operations

We may use and disclose your information to operate the Practice, improve services, conduct quality assessment, perform administrative functions, meet legal and regulatory requirements, and support appropriate business operations.
For example, we may review clinical documentation for quality assurance, compliance, billing, credentialing, supervision, or practice-management purposes.

Business associates

We may use outside individuals or organizations to perform services on our behalf that involve access to PHI.
These may include electronic health record providers, billing services, payment processors, secure technology providers, consultants, accountants, attorneys, or other vendors.
When required by HIPAA, these organizations are considered Business Associates and must enter into agreements requiring them to appropriately safeguard your PHI.

Public health and safety

We may disclose information when permitted or required by law for public-health or safety purposes, including circumstances involving:
Reporting certain diseases or conditions;
Reporting adverse reactions to medications or products;
Preventing or reducing a serious threat to health or safety;
Reporting suspected abuse, neglect, or exploitation;
Complying with applicable mandatory-reporting laws; or
Other legally authorized public-health activities.

Abuse, neglect, or exploitation

Mental health professionals are subject to mandatory-reporting requirements under certain circumstances. We may disclose information when required by applicable law concerning suspected abuse, neglect, exploitation, or other legally reportable circumstances involving children, elderly persons, vulnerable adults, or other protected individuals.

Serious threats to health or safety

When permitted or required by law, we may disclose information reasonably necessary to prevent or lessen a serious and imminent or otherwise legally recognized threat to your health or safety or the health or safety of another person.

Legal proceedings and court orders

We may disclose health information in response to a valid court order, subpoena, administrative order, or other lawful legal process when disclosure is required or permitted by applicable law. Mental health records may receive additional protections under Texas, New Mexico, or federal law. We will apply those protections when applicable.

Health oversight activities

We may disclose information to legally authorized health-oversight agencies for activities such as audits, investigations, inspections, credentialing, licensure, or disciplinary proceedings when permitted or required by law.

Workers' compensation

We may disclose health information as authorized by and to the extent necessary to comply with applicable workers' compensation laws or similar programs.

Law enforcement

We may disclose information to law-enforcement authorities under limited circumstances when required or expressly permitted by law.

Coroners, medical examiners, and funeral directors

We may disclose health information to coroners, medical examiners, or funeral directors when authorized or required by applicable law.

Research

We will use or disclose PHI for research only when the applicable legal requirements for authorization, waiver of authorization, or another lawful basis have been satisfied.

Mental health information

Mental health records may receive protections beyond those applicable to ordinary health information.
3:16 Behavioral Health & Wellness, PLLC will protect mental health information in accordance with HIPAA and applicable Texas and New Mexico laws.
When applicable state law provides greater privacy protection than federal HIPAA requirements, the Practice will follow the more protective applicable requirement.
We generally will not disclose confidential mental health treatment information without your authorization unless the disclosure is otherwise permitted or required by applicable law.

Psychotherapy notes

HIPAA provides additional protection for psychotherapy notes, as that term is specifically defined under federal law.
Psychotherapy notes are distinct from the general clinical record and do not include information such as medication information, session start and stop times, modalities and frequencies of treatment, clinical test results, diagnoses, functional status, treatment plans, symptoms, prognosis, or progress to date.
When psychotherapy notes exist, most uses and disclosures require your specific written authorization except for certain uses and disclosures permitted by law.

Substance use disorder records

Certain records relating to substance use disorder diagnosis, treatment, or referral for treatment may receive additional protections under federal law, including 42 CFR Part 2, when those requirements apply.
When 3:16 Behavioral Health & Wellness, PLLC creates, receives, or maintains records protected by 42 CFR Part 2, those records will be used and disclosed in accordance with applicable federal requirements.
Part 2-protected records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or an appropriate court order when required by federal law.
Where applicable, you may have additional rights regarding the use and disclosure of Part 2 records.

Reproductive healthcare information

Federal privacy law provides additional protections concerning certain reproductive healthcare information. When applicable, we will not use or disclose PHI for purposes prohibited by federal law and will obtain any required attestation before making disclosures in circumstances for which federal law requires one.

Minors and personal representatives

Privacy rights involving minors depend upon applicable federal and state law, the circumstances under which treatment was provided, the authority under which consent for treatment was obtained, and applicable custody or guardianship arrangements.
Parents or legal guardians generally may exercise certain rights on behalf of a minor when legally authorized to do so.
However, there are circumstances in which a minor may have independent confidentiality or privacy rights.
The Practice may request custody orders, divorce decrees, guardianship documents, court orders, powers of attorney, or other legal documentation before releasing information or recognizing an individual as a personal representative.

Electronic health information & TherapyNotes

3:16 Behavioral Health & Wellness, PLLC maintains clinical information using an electronic health record system.
The Practice uses TherapyNotes and TherapyPortal for functions that may include clinical documentation, scheduling, secure client communications, electronic forms, billing, payment processing, telehealth, and access to certain health information.
Electronic health information is protected using administrative, technical, and physical safeguards designed to maintain privacy and security.
Although reasonable safeguards are maintained, no electronic system or method of communication can be guaranteed to be completely secure.

Email, text messages & electronic communications

Ordinary email and SMS/text messaging may not provide the same degree of privacy and security as secure healthcare communications.
We generally recommend limiting ordinary email and text messaging to scheduling and routine administrative matters.
Sensitive clinical information should preferably be communicated during a counseling session or through an approved secure communication method.
Electronic communications should not be used for emergencies or urgent mental health needs.

Health information exchanges

If the Practice participates in a health information exchange, electronic data exchange, or similar healthcare-information network, information may be exchanged as permitted by applicable law.
Where applicable, you may have rights to restrict or opt out of certain exchanges.
The Practice will provide additional information if participation in such an exchange materially affects how your information is used or disclosed.

Our responsibilities

3:16 Behavioral Health & Wellness, PLLC is required to maintain the privacy and security of your Protected Health Information;
Follow applicable federal and state privacy laws;
Provide you with this Notice describing our legal duties and privacy practices;
Follow the terms of the Notice currently in effect;
Notify affected individuals as required by law if a breach occurs that may have compromised the privacy or security of their information;
Provide you with access to your health information as required by law;
Honor applicable restrictions and authorizations;
Maintain reasonable safeguards to protect your information; and
Apply additional privacy protections when required by Texas, New Mexico, or federal law.

We will not use or disclose your information other than as described in this Notice or as otherwise permitted or required by law unless you authorize us to do so in writing. When your written authorization is required, you may generally revoke that authorization in writing at any time. Revocation will not affect actions already taken in reliance upon a valid authorization before it was revoked.

Record retention & continuity

3:16 Behavioral Health & Wellness, PLLC maintains clinical and administrative records related to services provided. Records are maintained electronically through a secure electronic health record system and are protected using reasonable administrative, technical, and physical safeguards designed to preserve confidentiality and prevent unauthorized access.
Client records will be retained for at least the minimum period required by applicable federal and state law and professional licensing requirements. When laws or regulations impose different retention periods, the Practice will retain records for the longer applicable period.
3:16 Behavioral Health & Wellness, PLLC maintains a written records-continuity plan addressing the custody, security, retention, transfer, and appropriate disposition of client records in the event that the Provider dies, becomes incapacitated, terminates practice, or is otherwise unable to maintain responsibility for the records.
In such circumstances, records will remain confidential and will be maintained, transferred, released, or ultimately destroyed in accordance with applicable law. A designated records custodian, personal representative, or other legally authorized individual or entity will administer the records-continuity plan and facilitate lawful client access to records when necessary.
Clients will be provided reasonable notice and instructions for requesting records or arranging continuity of care whenever circumstances permit.

Questions or routine requests concerning records may be directed to: 3:16 Behavioral Health & Wellness, PLLC, 111 S. 1st Street, Muleshoe, Texas 79347 — Phone: (806) 848-7316 — Email: info@316behavioralhealth.com.

Legal requests, subpoenas, privacy complaints, or other legal or compliance-related communications should be directed to: Privacy Officer / Legal & Compliance, 3:16 Behavioral Health & Wellness, PLLC — Email: Legal@316behavioralhealth.com.

Changes to this notice

We reserve the right to change the terms of this Notice and our privacy practices as permitted by law.
Changes may apply to health information we already maintain as well as information created or received after the revised Notice becomes effective.
When this Notice is materially revised, the updated Notice will be made available as required by law, including through the Practice's office, website, and/or electronic client portal as applicable.
You may request the current Notice at any time.

Questions, legal notices & privacy complaints

For questions regarding this Notice, exercising your privacy rights, submitting a privacy complaint, reporting a privacy concern, or other matters involving the privacy or legal handling of your Protected Health Information, contact: Privacy Officer / Legal & Compliance, 3:16 Behavioral Health & Wellness, PLLC, 111 S. 1st Street, Muleshoe, Texas 79347 — Phone: (806) 848-7316 — Email: Legal@316behavioralhealth.com.

For routine scheduling, administrative, or general practice inquiries: Email: info@316behavioralhealth.com. You may also submit a privacy complaint to the U.S. Department of Health and Human Services, Office for Civil Rights. 3:16 Behavioral Health & Wellness, PLLC will not retaliate against you for filing a complaint, exercising a privacy right, or contacting a regulatory agency.

Acknowledgment of receipt

I acknowledge that I have received or been provided electronic access to the 3:16 Behavioral Health & Wellness, PLLC Notice of Privacy Practices.
I understand that this acknowledgment confirms receipt or availability of the Notice and does not constitute authorization for any use or disclosure of my health information beyond what is permitted or required by applicable law.
I understand that I may request a paper copy of this Notice at any time.
I understand that I may contact the Practice's Privacy Officer at Legal@316behavioralhealth.com if I have questions or concerns regarding my privacy rights or the handling of my Protected Health Information.

Effective Date: August 18, 2026. Privacy Officer / Legal & Compliance Contact: Legal@316behavioralhealth.com. 3:16 Behavioral Health & Wellness, PLLC