HIPAA Notice of Privacy Practices

Effective Date: 7/29/25

This HIPAA Notice explains how Jack Norrell, LCSW uses and protects your Protected Health Information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA).

1. Your Health Information Rights

You have the right to:
    •    Request a copy of your records.
    •    Ask us to correct or amend information in your records.
    •    Request limits on how your PHI is used or shared.
    •    Receive a list of disclosures of your information.
    •    Request confidential communication (e.g., via phone or email).
    •    File a complaint if you believe your privacy rights have been violated.

2. How We Use and Share Your PHI

We may use or share your PHI for:
    •    Treatment: To coordinate care with other health providers.
    •    Payment: To bill and process insurance claims.
    •    Healthcare Operations: To improve quality and manage operations.
    •    Legal Requirements: If required by law, court order, or for public safety.

3. Confidentiality & Security

We maintain physical, electronic, and administrative safeguards to protect your PHI. We will not use or share your PHI for any purposes not covered by this notice without your written authorization.

4. Questions or Complaints

If you have any questions about this notice or believe your rights have been violated, contact:

Jack Norrell, LCSW
Phone: 580-536-3900
Email: jacknorrell@gmail.com
Address: 2701 SW ‘A’ Avenue, Lawton, Oklahoma 73505