Lumen Hearts Center LLC | Effective date: September 26, 2026
This notice explains how information about your psychotherapy care may be used or shared and how you can see or obtain that information. Please read it carefully. It applies to Lumen Hearts Center LLC and Nathan Rehm, LCSW, in providing psychotherapy. It does not cover the separate coaching business or course, The Fear Clinic.
Your rights
Access and copies. You may ask to inspect or obtain an electronic or paper copy of your health record and other protected health information we maintain about you, subject to legal exceptions. Psychotherapy notes kept separately from the medical record have special rules. We generally respond within 30 days and may charge a reasonable fee allowed by law.
Corrections. You may ask us to amend information you believe is wrong or incomplete. We may deny a request in circumstances allowed by law and will explain a denial in writing, generally within 60 days.
Private communications. You may ask us to contact you in a particular way or at a different address. We will accommodate reasonable requests.
Limits on sharing. You may request limits on our use or disclosure for treatment, payment, or health care operations. We do not have to agree to every request. If you pay in full out of pocket for a particular service and ask us not to disclose information about that service to your health plan for payment or operations, we will honor the request unless disclosure is required by law.
Accounting of disclosures. You may request an accounting of certain disclosures made in the six years before your request. Some disclosures, including many for treatment, payment, and operations, are excluded by law. One accounting in a 12-month period is free; a reasonable fee may apply to additional requests.
Notice and representation. You may request a paper copy of this notice even if you received it electronically. An authorized personal representative may act for you after we verify their authority, subject to applicable law.
Complaints. You may complain to us using the contact information below or to the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/hipaa/filing-a-complaint, 1-877-696-6775, or 200 Independence Avenue SW, Washington, DC 20201. We will not retaliate against you for a complaint.
Your choices and written authorization
You may tell us whether to share relevant information with family, friends, or others involved in your care or payment, or for disaster relief. We ordinarily follow your stated preference. When you cannot tell us, the law may allow a limited disclosure in your best interest or to reduce a serious and imminent threat.
We generally need your written authorization for uses or disclosures that are not described in this notice, for most uses or disclosures of separately maintained psychotherapy notes, for marketing when authorization is required, and for any sale of protected health information. We do not sell client health information or use it for fundraising. You may revoke an authorization in writing; the revocation does not undo an action already taken in reliance on it.
How we use and share health information
Treatment. We may use your information to provide psychotherapy and share relevant information with another professional involved in your care, as permitted by law. For example, with appropriate authority we may coordinate with another treating clinician.
Payment. We may use and share information to bill, obtain payment, verify benefits, or process claims. For example, an insurer may receive a diagnosis and service information needed to process a claim. Alma, Headway, or another platform may participate when used for your care or billing.
Practice operations. We may use and share information to run the practice, manage records and quality, contact you, and work with vendors that perform services for us under required privacy agreements when applicable.
The law also permits or requires disclosures in particular circumstances, subject to its conditions and any stricter state protections. These can include public health reporting; reporting suspected abuse or neglect; preventing or lessening a serious threat to health or safety; health oversight; compliance with a law; certain law enforcement and government requests; workers’ compensation; research with required safeguards; medical examiners or funeral directors; and court or administrative proceedings. We assess the legal basis and scope before making a disclosure. We do not treat a subpoena alone as an automatic instruction to release a complete therapy record.
Special protections for mental health and substance use records
Psychotherapy notes, when separately maintained and meeting the legal definition, have additional protection. Most uses or disclosures of those notes require your written authorization, apart from limited legal exceptions. Other mental health records may receive greater protection under applicable state law. We follow the rule that gives your information greater protection when it applies.
If we create, receive, or maintain substance use disorder patient records subject to 42 CFR Part 2, additional federal protections apply. Those records generally cannot be used or disclosed in a civil, criminal, administrative, or legislative investigation or proceeding against you without your written consent or a qualifying court order and subpoena. Additional Part 2 consent and redisclosure rules may apply. We will give any further notice or choice required by Part 2 before using those records for fundraising; our current practice is not to use client information for fundraising.
Our responsibilities
We must protect the privacy and security of your protected health information, give you this notice, and follow the practices described here. We will notify you as required by law if a breach compromises unsecured protected health information. We will not use or share your information outside this notice unless you authorize it in writing or the law permits or requires it.
We may change this notice and make the revised terms apply to information we already hold. A current copy will be available on our website and on request. We will provide the notice at the time required for care and make reasonable efforts to obtain acknowledgment of receipt as required by HIPAA.
Questions and requests
Privacy contact: Nathan Rehm, LCSW, Lumen Hearts Center LLC. Email: lumenhearts@gmail.com. Phone: (602) 456-0497. Mailing address: 229 Silver Breeze Ct, Harvest, AL 35749. For record requests, please contact us to arrange an appropriate secure method; ordinary email is not the preferred way to send detailed clinical records.
For website visits and initial inquiries, see our Website Privacy Policy.