Notice of privacy practices

5 for 8 Counseling & Consulting PLLC

Effective Date: November 2025

OUR COMMITMENT TO YOUR PRIVACY

At 5 for 8 Counseling & Consulting PLLC, we understand that your health information is personal. We are committed to protecting your privacy and complying with HIPAA. This Notice explains how we use and disclose your protected health information (PHI), your rights, and our responsibilities.

HOW WE MAY USE AND DISCLOSE YOUR INFORMATION:

Treatment: We may use and share information with other providers involved in your care.

Payment: We may use information to bill and collect payment for services.

Healthcare Operations: Used for quality improvement, supervision, audits, and licensing compliance.

Required by Law: Includes reporting abuse/neglect, court orders, serious threats, or public health obligations.

With Your Authorization: Any other disclosures require your written permission.

YOUR RIGHTS

• Right to inspect and get a copy of your record

• Right to request restrictions

• Right to request confidential communication

• Right to amend your record

• Right to request a list of disclosures

• Right to receive a copy of this Notice

OUR RESPONSIBILITIES

We must maintain the privacy of your information, notify you of breaches, follow this Notice, and provide updates if practices change.

TELEHEALTH & VIRTUAL PRACTICE

5 for 8 Counseling & Consulting PLLC is a virtual-only practice using HIPAA-compliant platforms for telehealth and electronic communication.

QUESTIONS OR COMPLAINTS

Phone: (980) 385-8111

Email: antonique@5for8.com

Address: 5 for 8 Counseling & Consulting PLLC

475 Jake Alexander Blvd W, STE 102, PMB 184

Salisbury, NC 28147

Complaints may also be filed with the U.S. Department of Health and Human Services – Office for Civil Rights. You will not be penalized for filing a complaint.

CHANGES TO THIS NOTICE

We may update this Notice at any time, and updates will be posted on our website.