THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

Effective date: October 12, 2026

This Notice applies to Knot Therapy, Ltd., doing business as Connected Brain Neurofeedback, and its clinicians and staff. Connected Brain Neurofeedback is a trade name of Knot Therapy, Ltd., a Colorado limited liability company.

Our pledge

Information about you and your health care is personal. We create a record of the care and services you receive, and we need it to provide quality care and meet legal requirements. We are required by law to keep your protected health information (PHI) private, to give you this Notice of our legal duties and privacy practices, to follow the terms of the Notice currently in effect, and to tell you if there is a breach of your unsecured PHI. You may ask for a paper or emailed copy at any time. We may change this Notice, and the new terms will apply to all PHI we keep. The current version is always available on our website and in our office.

How we may use and disclose your PHI

For treatment, payment and health care operations

Treatment: to provide, coordinate or manage your care, including consulting with other health care providers involved in your care, with your permission when required by law.
Payment: to bill and collect payment, including from you or a person responsible for your bill.
Health care operations: for quality review, training, licensing and the business activities that keep our practice running.

Other permitted uses and disclosures without your authorization

The law allows or requires us to share PHI without your authorization in limited situations, including:

when required by federal, state or local law, including court orders;
for public health activities and to report suspected child, elder or dependent adult abuse or neglect;
for health oversight activities such as audits and investigations;
in lawsuits and disputes, in response to a court or administrative order or other lawful process;
for law enforcement purposes as required by law;
to a coroner or medical examiner;
to prevent or lessen a serious and imminent threat to the health or safety of a person or the public;
for specialized government functions and for workers’ compensation as permitted by law;
to remind you of appointments and to tell you about services we offer.

When we use or share PHI, we make reasonable efforts to limit it to the minimum necessary, except where the law says otherwise.

Uses and disclosures that need your written authorization

Any use or disclosure of notes kept separate from the rest of your record, as defined in 45 CFR § 164.501, other than the limited uses the law allows.
Marketing. We do not use or share your PHI for marketing without your authorization.
Sale of PHI. We do not sell your PHI.
Any other use or disclosure not described in this Notice. You may cancel an authorization in writing at any time, except where we have already acted on it.

Disclosures where you have an opportunity to object

With your permission, we may share relevant PHI with a family member, friend or other person you identify who is involved in your care or its payment. You may object, and in an emergency we may use our professional judgment.

Your rights

Request restrictions on how we use or share your PHI. We may decline, except that we must agree to your request not to share PHI with a health plan for payment or operations if you have paid for the item or service in full out of pocket.
Request confidential communications, for example by a particular phone number or address. We will accommodate reasonable requests.
Get a copy of your record in paper or electronic form, with limited exceptions. We will respond within 30 days and may charge a reasonable cost-based fee.
Ask for an accounting of disclosures we made for reasons other than treatment, payment, operations or your authorization, going back up to six years.
Ask us to correct information you believe is wrong or incomplete. We may deny the request in writing within 60 days and explain why.
Get a paper copy of this Notice, even if you agreed to receive it electronically.
Be notified if there is a breach of your unsecured PHI.

Email, text and web forms

Regular email, standard text messages and website forms may not be secure. If you choose to communicate with us that way, there is a risk that your information could be seen by others. You may ask to communicate by a more secure method.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us by contacting our Privacy Officer at the address and phone number below, or with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.

Privacy Officer

Privacy Officer, Knot Therapy, Ltd. d/b/a Connected Brain Neurofeedback
12211 W Alameda Pkwy, Suite 104, Lakewood, CO 80228
Phone: (720) 634-3004
Email: [email protected]

Notice of Privacy Practices