Mental Clarity & Wellness, LLC

1. Information We Collect

We may collect the following types of information:

  • Personal identifying information (name, date of birth, address)
  • Contact details (phone, email)
  • Health and mental health history
  • Insurance information
  • Intake and consent forms
  • Telehealth session details
  • Website or scheduling portal interactions

We do not sell or trade your information.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

2. How Your Information Is Used

We use your information to:

  • Provide clinical and telehealth services
  • Schedule appointments
  • Maintain medical records
  • Process payments
  • Communicate with you about care
  • Fulfill legal and regulatory requirements
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

3. Confidentiality & HIPAA Standards

Your health information is strictly confidential.

We follow all HIPAA guidelines related to:

  • Secure electronic storage
  • Encryption
  • Limited access controls
  • Compliance audits
  • Protection against unauthorized disclosure
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

4. Your Rights Under HIPAA

You have the right to:

  • Access your medical record
  • Request corrections
  • Request limits on disclosures
  • Receive a list of disclosures
  • Request confidential communication methods
  • Revoke consent at any time

Requests must be submitted in writing.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

5. Telehealth Privacy

Telehealth services are delivered through secure, encrypted platforms.

You agree to:

  • Use a private location during sessions
  • Avoid recording sessions unless mutually agreed upon

We do not permit unauthorized recording of telehealth sessions.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

6. When We May Disclose Information

We may release information only when permitted or required by law, including:

  • Danger to self or others
  • Child or elder abuse
  • Court orders
  • Insurance billing
  • Medical emergencies

We do not disclose information for marketing purposes.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

7. Data Protection & Security

We use:

  • Encrypted telehealth platforms
  • Secure servers
  • Firewalls
  • Password-protected systems
  • Regular data integrity checks

However, no digital system can guarantee 100% security.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

1. Appointment Payments

Payments for telehealth or in-person appointments are due at the time of service unless otherwise stated by your insurance plan.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

2. Refunds for Clinical Services

We use your information to:

  • Provide clinical and telehealth services
  • Schedule appointments
  • Maintain medical records
  • Process payments
  • Communicate with you about care
  • Fulfill legal and regulatory requirements
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

3. No-Show & Late Cancellation Policy

To respect provider time and maintain scheduling availability:

  • Cancellations must be made at least 48 hours in advance
  • No-shows or late cancellations may result in a full-service fee
  • Insurance does not cover no-show fees
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

4. Refunds for Prepaid Services

If applicable:

  • Unused prepaid services may be refunded upon request
  • Used services are non-refundable
  • Refunds take 7–10 business days to process
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

5. Refunds for Digital Products

Digital downloads (PDFs, guides, brochures) are non-refundable once delivered.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

6. Billing Questions

Reach out anytime for billing support:

info@mentalclarityandwellness.com

+(630) 528-1427

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

1. Your Rights as a Client

You have the right to:

  • Be treated with dignity and respect
  • Receive culturally sensitive care
  • Participate in your treatment plan
  • Ask questions about your diagnosis or treatment
  • Decline any service
  • Request referrals
  • Review your medical record
  • Confidentiality and HIPAA protection
  • A safe, non-discriminatory therapeutic environment
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

2. Your Responsibilities

Clients are responsible for:

  • Providing accurate information about health history
  • Informing your provider about changes in medication or symptoms
  • Attending scheduled appointments on time
  • Following the agreed-upon treatment plan
  • Communicating openly and honestly
  • Paying fees at the time of service
  • Treating staff with courtesy and respect
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

3. Confidentiality Rights

Your provider will:

  • Keep your information private
  • Store records securely
  • Release information only with your written consent or when required by law

Exceptions include safety concerns or mandatory reporting.

Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

4. Participation in Treatment

You have the right to:

  • Be involved in decisions about your care
  • Set personal goals
  • Request modifications to your treatment plan
  • Discontinue care at any time (with appropriate referrals)
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

5. Provider Responsibilities

Your provider is responsible for:

  • Delivering ethical, evidence-based care
  • Offering culturally responsive, trauma-informed treatment
  • Maintaining professional licensure
  • Providing clarity on diagnosis, treatment options, and risks
  • Keeping all interactions confidential
Mental Clarity & Wellness, LLC

Mental Clarity & Wellness, LLC

6. How to Report Concerns

Reach out anytime for billing support:

info@mentalclarityandwellness.com

+(630) 528-1427

You may also contact the Illinois Department of Financial & Professional Regulation (IDFPR) for formal complaints.
Mental Clarity & Wellness, LLC