Notice of Privacy Practices

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.

That sentence is required by federal law, word for word. The rest is me.

"Your information" here means anything about you that I hold because you're my client. Your name, your birthday, what we talked about, what your insurance paid, all of it.

Effective October 28, 2026.

Who this is from

Elizabeth Wooten, LPC, Enlitens LLC, 10000 Watson Rd, Suite 2S, St. Louis, MO 63126. That's me. Call or text me at (314) 246-0480 about anything in here.

What I do with it without asking each time

To treat you. For example, I read last week's note before we meet.

To get paid. If you use insurance, the claim for a Tuesday session goes to your plan through Stedi, a billing service I have a signed agreement with, carrying your name, your date of birth, the date, a service code, and a diagnosis code.

To run the practice. For example, at the end of the month I check my notes against my calendar to make sure every session has one.

Other times the law lets me, or makes me, share it

• When a law requires it, such as reporting suspected abuse or neglect of a child or a vulnerable adult.
• When a court orders it.
• When someone is in serious and immediate danger and telling the right person can stop it.
• When a health oversight agency with legal authority audits or investigates a practice.
• To a public health authority, for what the law has it track, like a disease or an injury.
• To law enforcement, only in the narrow cases the law allows, like a warrant.
• If a client dies, to a coroner or medical examiner doing their job, or to a funeral director.
• To an organ or tissue donation organization, when the law allows it.
• For research, only under the federal rules that protect your privacy, like a review board's approval.
• For government work the law names, like the military's rules for its own service members, or national security.
• For workers' compensation, as far as that law allows.
• In an emergency, to the emergency contact you gave me, only the part they need.
• To the companies that run the systems this practice uses, each under a signed agreement that binds them to the same rules I follow.

Missouri also makes what you tell me privileged, so without your consent I can't be made to testify about it. The one exception the law writes in is when it's about breaking the criminal law.

Anything shared under one of these may be shared onward by whoever receives it, and my rules stop protecting it once it leaves my hands.

Things that need your written permission first

• My psychotherapy notes, the private ones I keep apart from your chart. They never go to an insurer.
• Anything for marketing.
• Selling your information. I will never do this.
• Anything not named in this notice.

You can take a permission back in writing any time. What went out before you took it back stays out. Nothing further goes.

I don't fundraise, so you'll never hear from me about that.

Your rights, and how to use each one

• Ask me to limit what I share. Tell me in writing what to hold back and from whom. I don't have to agree, except for one: if you pay for a session yourself, in full, you can tell me not to send that session to your plan, and I won't.
• Ask me to reach you a certain way. Text only, one email, one address. Say the word.
• See your chart and get a copy. Ask me. My psychotherapy notes are the one exception.
• Ask me to correct something. Put it in writing. If I disagree, I'll tell you why in writing, and your statement sits in the chart beside mine.
• Ask who I've told. I'll give you the list of the times I shared your information for anything other than treatment, payment, or running the practice.
• Get a paper copy of this notice, even if you read it on a screen. Ask.

If the client is under 18, the parent with legal custody holds these rights for them, and the informed consent says what stays between me and the kid. A parent's own details on the intake are held under this notice too.

What I owe you

• The law requires me to keep your information private.
• I have to give you this notice and follow the one in effect now.
• If your information is ever exposed in a breach, I have to tell you.
• I can change this notice. A change applies from its effective date forward, to everything I hold. If I change it, I post the new one on my website and give it to you at your next session or by email.

If you think I got this wrong

Tell me. Call or text (314) 246-0480, or write to me at 10000 Watson Rd, Suite 2S, St. Louis, MO 63126. You can also complain to the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/complaints. You can complain to them without telling me first, and you can complain to both.

Filing a complaint costs you nothing here. I will not retaliate against you for it, I will not drop you as a client over it, and it will not change how I treat you.