Policies & Resources

Policies & Resources

  • Notice of Privacy Practices

  • Privacy Policy

  • Terms of Use

  • Good Faith Estimate

  • Crisis Resources

Notice of Privacy Practices

Effective Date: 6/19/2026
Practice Name: Emily Hackenburg, PMHNP/FNP-BC

This Notice describes how your protected health information may be used and disclosed, and how you can access this information.

We are required by law to protect the privacy of your health information and to follow the terms of this Notice.

How We May Use and Disclose Your Information

We may use or disclose your health information for:

Treatment
To provide, coordinate, or manage your care, including communication with other healthcare providers involved in your treatment.

Payment
To bill for services, process payments, verify benefits, or communicate with insurance plans when applicable.

Healthcare Operations
To support practice operations, including scheduling, documentation, quality improvement, compliance, and administrative activities.

We may also use or disclose information when required or permitted by law, including for public health, safety, legal, regulatory, or reporting purposes.

Uses Requiring Written Authorization

Certain uses and disclosures require your written authorization, including certain disclosures of psychotherapy notes, certain marketing communications, and other uses not described in this Notice. You may revoke an authorization in writing at any time, except where we have already relied on it.

Your Rights

You have the right to:

  • Request a copy of your health records

  • Request corrections to your health information

  • Request confidential communications

  • Request restrictions on certain uses or disclosures

  • Request a list of certain disclosures

  • Receive a copy of this Notice

  • File a complaint if you believe your privacy rights have been violated

We will not retaliate against you for filing a complaint.

Contact

For questions about this Notice or your privacy rights, contact:


Privacy Contact:Emily Hackenburg, PMHNP/FNP-BC
Email: emily@emilyhackenburg.com
Address: Telehealth

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Privacy Policy

Effective Date: 6/19/2016
Practice Name: Emily Hackenburg, PMHNP/FNP-BC

This Privacy Policy explains how information may be collected, used, and protected when you visit this website.

Information We May Collect

We may collect information you voluntarily provide, such as your name, email address, phone number, appointment request details, or information submitted through a contact form.

We may also collect limited technical information, such as browser type, device information, IP address, pages visited, and website usage data.

How We Use Information

We may use information to:

  • Respond to inquiries

  • Coordinate scheduling

  • Provide information about services

  • Maintain website security

  • Improve website functionality

  • Support administrative operations

  • Comply with legal and professional obligations

Website Forms and Health Information

Please do not use this website or contact form for emergencies or urgent clinical concerns. Avoid submitting detailed or highly sensitive health information through general website forms.

If you become a patient, use and disclosure of your protected health information will be governed by our Notice of Privacy Practices.

Cookies and Analytics

This website may use cookies or analytics tools to understand website traffic and improve user experience. You may be able to disable cookies through your browser settings.

Third-Party Services

This website may use or link to third-party services, such as scheduling tools, payment processors, forms, hosting services, or analytics platforms. These third parties may have their own privacy practices.

Information Sharing

We do not sell your personal information. We may share information with service providers who help operate the website or support practice operations, as permitted by law and applicable agreements.

Security

We take reasonable steps to protect information submitted through this website. However, no website, email, or electronic communication method can be guaranteed to be fully secure.

Contact

For questions about this Privacy Policy, contact:

Emily Hackenburg, PMHNP/FNP-BC
Email: emily@emilyhackenburg.com

Terms of Use

Effective Date: [Insert Date]
Practice Name: [Insert Practice Name]

By using this website, you agree to these Terms of Use.

Informational Purposes Only

The content on this website is for general informational and educational purposes only. It is not medical advice, mental health advice, diagnosis, or treatment.

No Provider-Patient Relationship

Use of this website, including reading content or submitting a contact form, does not establish a provider-patient relationship. A provider-patient relationship is established only after appropriate clinical review, consent, and acceptance into care.

Emergencies

This website is not intended for emergencies or crisis situations. If you are experiencing a medical or mental health emergency, call 911, call or text 988, or go to the nearest emergency room.

No Guarantee of Outcomes

Information about services, treatment approaches, or conditions is not a guarantee of results. Treatment recommendations are individualized and made after a clinical evaluation.

Website Communication

Do not use this website to communicate urgent or sensitive clinical information. Submitting a form does not guarantee a response or establish care.

Third-Party Links

This website may include links to third-party websites. We are not responsible for the content, policies, or privacy practices of those sites.

Intellectual Property

All content on this website, including text, graphics, logos, images, and design elements, is the property of [Practice Name] unless otherwise noted. Content may not be copied or distributed without written permission.

Limitation of Liability

Use of this website is at your own risk. [Practice Name] is not responsible for damages arising from use of this website or reliance on information provided here.

Contact

For questions about these Terms of Use, contact:

Emily Hackenburg, PMHNP/FNP-BC
Email:emily@emilyhackenburg.com

Good Faith Estimate

Effective Date: 6/19/2026

Under the No Surprises Act, uninsured and self-pay individuals have the right to receive a Good Faith Estimate explaining the expected cost of scheduled healthcare services.

You may request a Good Faith Estimate before scheduling services or at any time during care.

If you receive a bill that is substantially higher than your Good Faith Estimate, you may have the right to dispute the bill.

For questions or to request a Good Faith Estimate, contact:

Emily Hackenburg, PMHNP/FNP-BC
Email: emily@emilyhackenburg.com
Crisis Resources

This website is not intended for emergencies. If you are experiencing a medical or mental health emergency, call 911 or go to the nearest emergency room.

If you are experiencing a mental health crisis or need immediate emotional support, call or text 988 to reach the Suicide & Crisis Lifeline.

Additional support:

  • 988 Suicide & Crisis Lifeline: Call or text 988

  • Crisis Text Line: Text HOME to 741741

  • Emergency services: Call 911 or go to the nearest emergency room

Please do not use this website, email, or contact forms for urgent or emergency concerns.