Notice of Privacy Practices

Effective date: November 2, 2026 · Last revised: November 2, 2026

This notice describes how health information about your child may be used and disclosed and how you can get access to this information. Please review it carefully.

This notice applies to Growing Minds Pediatric Therapy PLLC, which serves families in Charlotte, Cornelius, Davidson, Denver, Huntersville and Mooresville, NC. It explains how we protect the health information of the children we serve, called protected health information. “You” means the parent, legal guardian or other personal representative of a child we serve. “Your child” means our client.

Our responsibilities

We are required by law to:

• Keep your child’s health information private and secure
• Give you this notice of our legal duties and privacy practices
• Follow the terms of the notice currently in effect
• Tell you promptly if a breach occurs that may have compromised the privacy or security of your child’s information

We may change this notice, and the change will apply to all information we hold. The current notice is posted at our office and on our website, and you may ask for a copy at any time.

How we may use and share your child’s information

We may use and share health information without your written permission for these purposes.

• Treatment. We share information among our therapists and with other providers involved in your child’s care. For example, we may send a progress report to your child’s pediatrician, or talk with a teacher or another therapist when you have agreed to it.
• Payment. We use and share information to bill and collect payment, for example by sending claims to your insurance plan, checking your benefits, or providing documentation for reimbursement.
• Health care operations. We use information to run our practice, for example for quality reviews, training, scheduling, record keeping and business planning.

We may also use your contact information to remind you of appointments and to tell you about our services that relate to your child’s care. Reminders may be sent by text message or email. You can opt out at any time by calling or texting the appropriate office: Speech Therapy at 980-224-3894 or Occupational Therapy at 704-816-9982.

Other uses and disclosures allowed or required by law

We may share health information without your authorization in limited situations the law allows or requires, including:

• When required by law, including court orders and subpoenas, as the law permits
• Public health, such as reporting certain diseases or injuries
• Reporting suspected child abuse or neglect, which we are required to report
• Health oversight, such as audits and licensing board reviews
• Preventing a serious threat to the health or safety of a person or the public
• Law enforcement, as the law permits
• Workers’ compensation, coroners and funeral directors, and specialized government functions, when applicable
• Business associates, which are companies that help us run our practice and have agreed in writing to protect your child’s information

When we need your written authorization

We will get your written authorization before we:

• Use or share your child’s information for marketing, including using photos, videos or testimonials (see our separate media and testimonial authorization forms)
• Sell your child’s health information
• Use or share psychotherapy notes, if we keep any
• Share information in any other way not described in this notice

You may cancel an authorization in writing at any time. Cancelling it will not undo anything we already did while it was in effect.

Your rights

As the parent or legal guardian of a child we serve, you have the right to:

• See and get a copy of your child’s health records. We will respond within the time the law allows and may charge a reasonable, cost-based fee.
• Ask us to correct information you believe is wrong or incomplete. We may deny the request in some cases, and we will explain why in writing.
• Ask for confidential communications, such as being contacted at a different phone number, address or email.
• Ask us to limit how we use or share information. We are not required to agree, except that we must agree if you ask us not to share information with your health plan about a service you paid for in full out of pocket.
• Get a list of certain disclosures we made of your child’s information over the past six years.
• Get a paper copy of this notice, even if you agreed to receive it electronically.
• Be notified if a breach affects your child’s information.

To use any of these rights, contact us using the details below.

Complaints

If you believe your child’s privacy rights were violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

• With us: Amanda Pirtle, Co-Owner and Speech-Language Pathologist, 980-224-3894 (Speech Therapy) or 704-816-9982 (Occupational Therapy), info@growingmindsnc.com
• With HHS: visit hhs.gov/ocr/complaints, or write to the Office for Civil Rights, U.S. Department of Health and Human Services, 200 Independence Avenue SW, Washington, DC 20201, or call 1-877-696-6775.

Contact and effective date

Privacy contact: Amanda Pirtle, Co-Owner and Speech-Language Pathologist, Growing Minds Pediatric Therapy PLLC
Phone: Speech Therapy 980-224-3894 · Occupational Therapy 704-816-9982 · Fax: 704-476-1076
Email: info@growingmindsnc.com

Effective date: November 2, 2026. Last revised: November 2, 2026.

We may change this notice and the changes will apply to information we already hold. We will post the new notice at our office and on our website, and give you a copy on request.