Your privacy.
This page has two parts: the Notice of Privacy Practices, which covers the health information of people in my care, and a short policy for this website.
Notice of Privacy Practices
Effective November 10, 2026
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
I am required by law to keep your health information private, to give you this notice of my legal duties and privacy practices, and to follow the terms of the notice currently in effect. Your records are protected by the federal Health Insurance Portability and Accountability Act (HIPAA) and by Maine law. Where Maine law protects your information more strictly than HIPAA does, I follow Maine law.
How I may use and share your health information
- Treatment. To provide and coordinate your care. As a conditionally licensed counselor I practice under clinical supervision, so I may discuss your care with my supervisor.
- Payment. To bill and be paid for services. For example, I send your insurance plan the information it needs to process a claim.
- Health care operations. To run the practice, including record keeping, quality review, and supervision.
When the law allows or requires sharing without your permission
- When a federal or state law requires it.
- To report suspected abuse or neglect of a child, or of an incapacitated or dependent adult.
- To prevent or lessen a serious and imminent threat to someone's health or safety.
- For public health activities and health oversight, such as audits or a licensing board review.
- In response to a court order or other lawful process.
- To law enforcement, a medical examiner, or a government agency in the limited situations the law permits.
- For workers' compensation claims.
Uses that need your written permission
- Most uses and disclosures of psychotherapy notes.
- Marketing, and any sale of your health information. I do neither without your written permission.
- Any other use or disclosure not described in this notice.
If you give permission, you may withdraw it in writing at any time. Withdrawing it does not undo anything already done while it was in effect.
Records of substance use disorder treatment that are covered by federal law (42 CFR Part 2) have additional protections. They will not be used or disclosed in a civil, criminal, administrative, or legislative proceeding against you without your written consent or a court order.
Your rights
- See and get a copy of your record. You may ask for a paper or electronic copy. I will usually provide it within 30 days and may charge a reasonable, cost-based fee.
- Ask for a correction. If you believe something in your record is wrong or incomplete, you may ask me to correct it. If I say no, I will tell you why in writing within 60 days.
- Ask to be contacted a certain way. For example, at a particular phone number or address. I will agree to all reasonable requests.
- Ask me to limit what I use or share. I am not required to agree to every request. If you pay for a service in full yourself, you may ask me not to share information about it with your health insurer, and I will agree unless a law requires me to share it.
- Get a list of disclosures. You may ask for a list of the times I have shared your information in the past six years, other than for treatment, payment, health care operations, or at your request. One list a year is free.
- Get a paper copy of this notice at any time, even if you agreed to receive it electronically.
- Choose someone to act for you. A legal guardian, or a person you have given medical power of attorney, can exercise these rights for you. For a minor, a parent or guardian generally does so, with the exceptions Maine law provides.
- Be told about a breach. I will let you know promptly if a breach may have compromised the privacy or security of your information.
Changes to this notice
I may change this notice, and the changes will apply to all the information I hold about you. The current notice is always available on this page, at my office, and on request.
Questions and complaints
If you have a question about this notice, or believe your privacy rights have been violated, contact me:
Casey McAvoy White, LCPC-C80 Exchange St, Suite 602
Bangor, Maine 04401
caseymcavoywhite@gmail.com
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue SW, Washington, DC 20201, by calling 1-877-696-6775, or at hhs.gov/hipaa/filing-a-complaint. I will not retaliate against you for filing a complaint.
This website
The contact form
When you send the form, the name, email address, phone number, and message you enter are delivered to me so that I can reply. The form is processed by Netlify, the company that hosts this site. I use what you send only to respond to you. I do not sell it or add you to a mailing list.
The form and ordinary email are not secure channels for health information. Please keep private health details out of them. We'll cover those when we talk.
Cookies and tracking
This site does not use cookies, analytics, or advertising trackers. As with any website, the hosting provider may keep standard server logs, and the typefaces load from Google Fonts. Both receive basic technical information such as your IP address.
Not for emergencies
Sending a message does not create a counselor-client relationship, and messages are not monitored around the clock. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline).