Notice of Privacy Practices

Effective Date: October 1, 2025
Provider: Anne Lisciotto, LCSW
Licensed Clinical Social Worker – State of New Jersey

1. Purpose of This Notice

This Notice of Privacy Practices (“Notice”) describes how your health information may be used and disclosed, and how you can access your information. This Notice applies to the practice of Anne Lisciotto, LCSW (“we,” “us,” or “our”) and is provided in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable New Jersey state laws.

Your privacy and the confidentiality of your health information are extremely important to us. Please read this Notice carefully.

2. Your Rights

You have the right to:

  • Access your records. You may request to see or receive a copy of your health and billing records.

  • Request corrections. You may ask to correct information that you believe is inaccurate or incomplete.

  • Request confidential communications. You can ask to be contacted in a specific way (for example, at home or by mail).

  • Request restrictions. You can ask us not to use or share certain information for treatment, payment, or operations, though we are not always required to agree.

  • Obtain a list of disclosures. You may request a record of certain disclosures made of your information.

  • Receive a paper copy of this Notice. You can request a printed version at any time, even if you agreed to receive it electronically.

  • File a complaint. You may file a complaint if you believe your privacy rights have been violated. We will not retaliate against you for filing a complaint.

To exercise any of these rights, please contact us at the email or phone number listed at the end of this Notice.

3. How We May Use and Disclose Your Health Information

We may use and share your health information for the following purposes, as permitted by law:

a. Treatment

To provide, coordinate, or manage your care. For example, information may be shared with other health professionals involved in your treatment (e.g., psychiatrists, primary care providers) with your consent.

b. Payment

To obtain payment for services provided to you (for example, submitting billing information to your insurance provider if applicable).

c. Healthcare Operations

To manage our business and improve services, such as internal quality assessment, supervision, training, or legal compliance.

4. Other Uses and Disclosures

We may also use or disclose your information:

  • When required by law.

  • To prevent or lessen a serious threat to your health or safety or that of others.

  • For public health or mandated reporting (e.g., suspected abuse or neglect of a child, elderly, or disabled person).

  • In response to a court order or legal proceeding.

  • For workers’ compensation claims.

  • To a coroner or medical examiner, if required.

  • For health oversight activities authorized by law.

All other uses and disclosures of your information will require your written authorization. You may revoke this authorization at any time in writing, except to the extent that action has already been taken.

5. Telehealth Services

If you participate in telehealth sessions, the same HIPAA privacy and confidentiality protections apply as with in-person sessions.

We use only HIPAA-compliant, encrypted telehealth platforms to conduct sessions. However, clients should understand that no method of electronic transmission is entirely risk-free. You are encouraged to ensure privacy on your end by:

  • Using a secure internet connection (not public Wi-Fi),

  • Holding sessions in a private location, and

  • Using password-protected devices.

By engaging in telehealth sessions, you acknowledge that you understand these limitations and consent to the use of electronic communication for your care.

6. Confidentiality and Exceptions

Your information is kept strictly confidential. However, confidentiality has the following legal exceptions where disclosure may be required:

  • If you are in imminent danger of harming yourself or others.

  • If there is reasonable suspicion of child, elder, or dependent adult abuse or neglect.

  • If ordered by a court of law.

7. Our Responsibilities

We are required by law to:

  • Maintain the privacy and security of your protected health information (PHI).

  • Notify you promptly if a breach occurs that may have compromised your information.

  • Follow the duties and privacy practices described in this Notice.

  • Provide you with a copy of this Notice upon request.

We will not use or share your information other than as described here without your written permission.

8. Changes to This Notice

We reserve the right to update or change this Notice at any time. The revised Notice will apply to all health information we maintain. A copy of the most current Notice will be available on our website or by request.

9. Questions

If you have questions about this Notice please contact:

Anne Lisciotto, LCSW
Licensed Clinical Social Worker – State of New Jersey
Email: anne@annelisciottotherapy.com
Phone: (201) 300-7427
Address: 24 Godwin Ave. B7, Midland Park, NJ 07432