NOTICE OF ELECTRONIC DISCLOSURE OF PROTECTED HEALTH INFORMATION

We create, receive, maintain, and sometimes disclosure your protected health information (PHI) in electronic form.

Except for disclosures that are only for your treatment or our health-care operations (such as training or quality assurance purposes) or are otherwise required or permitted by law, your specific, written (or documented oral) authorization is required each time we electronically disclose your PHI.

If you have questions, please contact:
Julia Bickerstaff, MS, LPC, NCC
JB Counseling & Wellness, PLLC
3101 W. 6th St., #470003
Fort Worth, Texas 76147
julia@jbcounselingwellness.com
P: (817) 580–472