NOTICE OF PRIVACY PRACTICES & COMMUNICATION POLICY
Effective Date: 5/4/2026
Practice Name: Lexi Madle, LCSW, PLLC
Address: 2020 E Joyce Blvd Ste #1, Fayetteville, AR 72703
Phone: (479) 324-5962
Email: lexi@leximadle.com
Website: www.leximadle.com
THIS NOTICE DESCRIBES HOW YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
You may have additional rights under state law. If you have questions about your rights, you may wish to consult a licensed attorney.
1. My Commitment to Protecting Your Privacy
I understand that your health information is personal and confidential. I create and maintain records of the care and services you receive to provide quality treatment and to comply with legal requirements.
I am required by law to:
Maintain the privacy of your Protected Health Information (PHI)
Provide you with this Notice of my legal duties and privacy practices
Follow the terms of the Notice currently in effect
I reserve the right to update this Notice at any time. Any changes will apply to all information I maintain and will be available on my website and upon request.
2. Information Collected (Including Website Use)
Information You Provide
When you contact me through my website or otherwise, I may collect:
Name
Phone number
Email address
Insurance type or private pay status
Message content
If this information relates to your care, it may be considered PHI.
Automatically Collected Information
When you visit the website, certain technical data may be collected, such as:
IP address
Browser/device type
Pages visited
3. How I Use and Disclose Your Information
Treatment, Payment, and Healthcare Operations
I may use and disclose your PHI without your written authorization for:
Providing therapy and related services
Coordinating care with other healthcare providers
Billing, scheduling, and administrative purposes
This may include consultation with other professionals to support your care.
4. Uses and Disclosures Requiring Your Authorization
Your written authorization is required for:
Psychotherapy Notes
Psychotherapy notes are kept separately and will not be disclosed without your written permission except where permitted by law (e.g., for treatment, legal defense, or required oversight).
Marketing
I will not use your information for marketing purposes without your explicit written authorization. This includes testimonials or reviews that could identify you.
Other Uses
Any use not described in this Notice will require your written authorization. You may revoke authorization at any time in writing.
5. Uses and Disclosures That May Occur Without Authorization
I may disclose your PHI without your authorization when permitted or required by law, including:
To comply with federal or state laws
For public health and safety (including abuse or neglect reporting)
For health oversight activities (audits, investigations)
In response to court orders, subpoenas, or legal proceedings
For law enforcement purposes
To coroners or medical examiners
For approved research purposes
For workers’ compensation claims
For specialized government functions (e.g., military, national security)
To prevent or reduce a serious threat to health or safety
6. Disclosures Where You Have a Choice
You have the right to approve or object to disclosures involving:
Family members or others involved in your care
Emergency or disaster situations
When possible, I will obtain your consent before making these disclosures.
7. Website, Email, and Text Communication Risks
Please be aware:
Website contact forms, email, and text messaging are not fully secure
These methods may be vulnerable to unauthorized access
By using these communication methods, you acknowledge and accept these risks
You are encouraged not to share highly sensitive or urgent clinical information through these channels.
If you are in crisis, call 911 or go to the nearest emergency room.
8. Client Portal and Electronic Records
If you are provided access to a secure client portal:
You are responsible for maintaining the confidentiality of your login credentials
While reasonable safeguards are used, no system can guarantee complete security
9. Mobile SMS Messaging Policy and Consent
By providing your mobile phone number, you consent to receive text messages related to:
Appointment reminders
Scheduling updates
Billing or administrative communications
Important Details:
Message frequency may vary
Message and data rates may apply
You may opt out at any time by replying “STOP”
For assistance, reply “HELP” or contact me directly
Providing your phone number is optional and will not affect your ability to receive services.
Privacy of SMS Data
Your mobile information will not be sold or shared for marketing purposes
Text messaging may not be secure, and confidentiality cannot be guaranteed
10. Your Rights Regarding Your Information
You have the right to:
Request restrictions on certain uses or disclosures (though not all requests must be granted)
Request confidential communication methods (e.g., different phone/email)
Access and obtain copies of your records (within 30 days, with possible fees)
Request corrections to your records
Receive a list of disclosures made (up to the past 6 years)
Receive a paper or electronic copy of this Notice
Designate someone to act on your behalf (with proper legal authority)
Revoke prior authorizations
File a complaint without fear of retaliation
To file a complaint, you may contact me directly or the U.S. Department of Health & Human Services.
11. Data Security
I use reasonable administrative, technical, and physical safeguards to protect your information. However, no method of transmission or storage is completely secure.
12. Changes to This Notice
I reserve the right to modify this Notice at any time. Updates will be posted on my website and available upon request.
13. Contact Information
If you have questions about this Notice or your privacy rights, please contact:
Practice Name: Lexi Madle, LCSW, PLLC
Address: 2020 E Joyce Blvd Ste #1, Fayetteville, AR 72703
Phone: (479) 324-5962
Email: lexi@leximadle.com
Website: www.leximadle.com