Effective Date: December 7, 2025
Practice Name: WhatIf Therapy
Provider: Matthew Baker, LCSW
Contact: matt@whatiftherapy.com

This Notice describes how your protected health information (PHI) may be used and disclosed, and how you can access your information. Please review it carefully.
You have the right to ask questions at any time.

• You may request a copy of your PHI.
• We will provide it to you within 30 days, or let you know if more time is needed.
• Reasonable copying and mailing fees may apply.
   

If you believe something in your record is incorrect or incomplete, you may request an amendment.

• We may decline if the information is correct as-is, but we will explain why in writing.
   

You may request that we contact you through a specific method (email, phone) or at a specific location.

You may ask us not to share your information for certain purposes.

• We will consider your request but are not required to agree unless it involves a service you paid for fully out-of-pocket.
   

You may request a list of when your information was shared for purposes other than treatment, payment, or healthcare operations.

If you pay out-of-pocket in full for a service, you may request that we not disclose that service to your insurance.

Even if you agreed to receive it electronically.

If you believe your privacy rights were violated, you may file a complaint with:

• WhatIf Therapy (contact info above), or
• The U.S. Department of Health and Human Services, Office for Civil Rights.
• Board of Behavioral Sciences
   

No retaliation will occur.

We are permitted or required to use your PHI in the following ways:

We may use your information to provide, coordinate, or manage your care.

Examples:

• Speaking with another provider with your written permission
• Consulting with clinical supervisors when necessary
• Creating treatment plans
   

We may use and disclose PHI to obtain payment for services.
Examples:

• Billing your insurance
• Providing required documentation for reimbursement
• Verifying benefits
   

Used for quality improvement and administrative purposes.
Examples:

• Supervisory review
• Licensing audits
• Internal record management
   

We may also share your information in the following circumstances as permitted or required by law:

Examples: court orders, mandated reporting.

If there is credible threat of serious harm to yourself or others.

We are required to report:

• Suspected child abuse
• Suspected elder or dependent adult abuse
• Certain threats of violence (Tarasoff duty to protect)
   

If applicable (rare in therapy).

When legally obligated.

Examples: preventing disease, reporting adverse reactions.

We will not use or disclose your PHI without your written permission for:

• Marketing
• Sale of your information
• Most uses of psychotherapy notes
• Release of information to third parties not involved in your care
• Sharing information with family members (unless permitted under HIPAA and you consent verbally)

You may revoke authorization at any time.

We are required to:

• Maintain the privacy and security of your PHI
• Notify you of any breach of your unsecured health information
• Provide a Notice of Privacy Practices
• Follow the terms of this Notice
   

WhatIf Therapy uses HIPAA-compliant platforms, including SimplePractice for records and telehealth.

WhatIf Therapy provides therapy exclusively through telehealth.
We are required to inform you that:

• All sessions are conducted through secure, encrypted, HIPAA-compliant video
• No sessions are recorded without your explicit written consent
• You must be physically located in California during each session
• Technology disruptions may occur; alternative arrangements may be made if needed
   

We may update this Notice at any time. The revised Notice will be:

• Available on our website
• Provided to you upon request
• Applied to all existing and future PHI
   

If you have questions, want to make a request, or wish to file a complaint, contact:

WhatIf Therapy
Attn: Privacy Officer
Email: matt@whatiftherapy.com
Website: www.whatiftherapy.com