PATIENT NOTICES

Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

Nili Psychological Services Inc.
Parissa Nili, PsyD · Licensed Clinical Psychologist · CA PSY 30223
22287 Mulholland Hwy #124, Calabasas, CA 91302
424-444-5117 · contact@drparissanili.com

Effective date: November 2, 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.

This notice applies to health information created or received by Nili Psychological Services Inc. in connection with psychological services provided by Parissa Nili, PsyD.

Your rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this. We will provide a copy or a summary of your health information, generally within 30 days of your request, or sooner where California law requires (see California protections). We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we will tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way (for example, a particular phone number or email address) or to send mail to a different address. We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, and we may say “no” if it would affect your care. If you pay for a service or health care item out of pocket in full, you can ask us not to share that information with your health insurer for payment or our operations. We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free but may charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive it electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us using the information at the end of this notice. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/hipaa/filing-a-complaint, by calling 1-877-696-6775, or by writing to 200 Independence Avenue, S.W., Washington, D.C. 20201. We will not retaliate against you for filing a complaint.

Your choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care or payment for your care

  • Share information in a disaster relief situation

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

  • Marketing purposes

  • Sale of your information

  • Most sharing of psychotherapy notes

You may revoke a written authorization at any time in writing, except to the extent we have already relied on it.

We do not sell your health information, use it for marketing, or use it for fundraising.

Our uses and disclosures

Treat you

We can use your health information and share it with other professionals who are treating you, as permitted by law. Example: with your permission where required, consulting with your physician about your care.

Run our practice

We can use and share your health information to run our practice, improve your care, and contact you when necessary, including appointment reminders.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities, such as submitting claims to your insurance plan.

How else can we use or share your health information?

We are allowed or required to share your information in other ways, usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law, including any stricter California requirements, before we can share your information for these purposes.

  • Help with public health and safety issues, such as preventing disease, reporting suspected abuse, neglect, or domestic violence, and preventing or reducing a serious threat to anyone’s health or safety

  • Do research, under the conditions the law requires

  • Comply with the law, including sharing information with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law

  • Respond to organ and tissue donation requests and work with a medical examiner or funeral director

  • Address workers’ compensation, law enforcement, and other government requests, including health oversight activities and special government functions such as military, national security, and presidential protective services

  • Respond to lawsuits and legal actions, such as in response to a court or administrative order, or in response to a subpoena, subject to the protections described below


Psychotherapy notes

Federal law gives additional protection to psychotherapy notes: notes a mental health professional keeps separately from the rest of the record to document or analyze the contents of a counseling session. Most uses or disclosures of psychotherapy notes require your written authorization, with limited exceptions permitted by law.


California protections

California law sometimes gives mental health information more protection than federal law. When California law is more protective, we follow it. For example:

  • Authorization. Under the California Confidentiality of Medical Information Act (Civil Code §56 and following), we generally need your written authorization before disclosing your medical information, except where the law permits or requires disclosure.

  • Privilege. Confidential communications between you and your psychotherapist are generally protected from disclosure in legal proceedings by the psychotherapist–patient privilege (Evidence Code §1014), with exceptions defined by law.

  • Access to records. You may generally inspect your records within 5 working days and receive copies within 15 days of a written request (Health and Safety Code §123110). In limited circumstances, access to mental health records may be declined if there is a substantial risk of significant adverse or detrimental consequences to you; if so, you may ask that a licensed professional you choose review the records (Health and Safety Code §123115). You may also submit a written addendum to your record if you believe it is incomplete or incorrect.

  • Required disclosures. California law requires or permits certain disclosures, such as reporting suspected child abuse or neglect, reporting suspected elder or dependent adult abuse, and taking protective steps when a patient communicates a serious threat of physical violence against a reasonably identifiable victim (Civil Code §43.92).

Special protection for substance use disorder records

Some records of substance use disorder treatment from federally assisted programs are protected by federal law at 42 CFR Part 2. If we receive or maintain records protected by Part 2, we apply the additional protections the law requires. We will not use or share those records, or testimony about their contents, in any civil, criminal, administrative, or legislative investigation or proceeding against you unless you give written consent, or a court issues an order after notice and an opportunity to be heard, accompanied by a subpoena or other legal requirement compelling disclosure. We do not use Part 2 records for fundraising.

This section does not mean that this practice operates a Part 2 program.

Our responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.

  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.

  • We must follow the duties and privacy practices described in this notice and give you a copy of it.

  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

Changes to the terms of this notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request and on our website.

Questions, requests, and complaints

Privacy contact: Parissa Nili, PsyD
Nili Psychological Services Inc.
Calabasas, CA 91302
424-444-5117 · contact@drparissanili.com

We will not retaliate against you for filing a privacy complaint.

Effective November 2, 2026. Based on the U.S. Department of Health and Human Services model notice for health care providers (revised February 2026).