CHIME Therapy’s Notice of Privacy Practices for Members

Effective Date: January 26, 2024


CHIME Therapy LLC (henceforth, “CHIME Therapy”) keeps a record of medical information that you provide to us and medical information related to the health care services we provide to you. Medical information means any information that (1) identifies you and (2) relates to your past, present, or future physical or mental health, treatment, or payment for treatment. Medical information includes your medical history, diagnoses, treatments, current medical condition, and use of prescription medications.

Most CHIME Therapy clients receive therapeutic services from our network of independently contracted licensed therapists (“Providers”), in which case CHIME Therapy acts as a Business Associate under HIPAA, by providing platform and other services on behalf of a Provider, pursuant to a written agreement called a Business Associate Agreement. Some CHIME Therapy clients may receive therapeutic services directly from a CHIME Therapy employee, in which case CHIME Therapy acts in the role of a Covered Entity, under HIPAA. This Notice of Privacy Practices outlines our responsibilities, and your rights and options, when we are acting in either capacity.

If you have any questions about this Notice, please contact us using the contact information listed below.

1. Our Responsibilities

We are required by law to:

2. Our Uses and Disclosures

Pursuant to HIPAA, CHIME Therapy typically uses or shares your medical information for the following purposes, without your written authorization:

We may share your medical information in other ways as permitted by HIPAA. For example, we may also use and disclose your medical information without your written authorization as follows:

Uses and disclosures of medical information that are not discussed by this Notice or required by law will only be made with your written permission. CHIME Therapy will not sell your medical information to others.

If you provide us authorization to use or disclose your medical information, you may revoke that authorization in writing at any time by sending a revocation request to the address listed at the end of this Notice. If you revoke your authorization, we will no longer use or disclose your medical information about you for the reasons covered by your written authorization except to the extent that we have already acted in reliance on your authorization.

3. Your Rights

When it comes to your medical information, you have certain rights. This section explains your rights and some of CHIME Therapy’s responsibilities to help you.

Inspect or get an electronic or paper copy of your medical record
You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. If you would like, we also can send this information in either paper or electronic form to another person you identify in your request.

Some of your information is available directly to you through the Service itself. Please if you need technical support to navigate these features or functions.

For more information, or to request a copy of your information, please send your request to

We will provide a copy, or a summary of your health record designated record set, usually within 30 days of your request. We may charge a reasonable, cost-based fee for the costs of copying, mailing or other supplies and services associated with your request.

We may deny your request to inspect or obtain a copy in certain circumstances (e.g., we may deny access if your provider believes it will be harmful to your health or could cause a threat to others). If this occurs, you may request that the denial be reviewed, if permitted by law. If such a review is agreed upon, another licensed health care professional, chosen by CHIME Therapy, may review your request and we will comply with the outcome of that review.

Ask CHIME Therapy to correct your medical record

You can ask us to correct health information about you that you think is incorrect or incomplete. You can request a correction for as long as the information is kept by us. Your request must be in writing and include a reason for your request.

We may say “no” to your request, if the request is not in writing or is incomplete. We may also deny your request if the information to be corrected was not created by CHIME Therapy, is no longer held by CHIME Therapy, is not part of the information you would be permitted to inspect or copy, or the information is accurate and complete. We will respond to your request within 60 days. If we say “no” to your request, you may submit a statement disagreeing with us, or you may ask that your request for correction and our denial be included anytime we share the information you requested us to change.

To request a correction, contact

Request confidential communications

You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.

We will say “yes” to all reasonable requests.

To request we contact you in a specific way, contact

Ask CHIME Therapy to limit what we use or share with others

You can ask us not to use or share certain health information for treatment, payment, or CHIME Therapy operations. We are not required to agree to your request, and we may say “no” if it would be harmful or compromise your care.

If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.

To request that we restrict certain information, contact us at

Get a list of those with whom we’ve shared information
You can ask for a list (accounting) of the times we have shared your health information for six years prior to the date you ask, who we shared it with, and why.

We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We will provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

To request an accounting, contact us at

Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. CHIME Therapy will provide you with a paper copy promptly.

Choose someone to act for you
If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us at

You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by:

Sending a letter: 200 Independence Avenue, S.W., Washington, D.C. 20201

Calling: 1-877-696-6775


We will not retaliate against you for filing a complaint.

4. Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

In the following cases we never share your protected health information unless you give us written permission:

CHIME Therapy does not sell or rent our clients’ names or addresses to any organization outside of CHIME Therapy.

5. Changes to the Terms of This Notice

CHIME Therapy can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available on our web site at

6. Contact Information

If you want to file a complaint, express concerns, or further inquire about CHIME Therapy’s use or disclosure of health information, please contact the CHIME Therapy Privacy Officer by sending an email to

This document was last updated on January 26, 2024. CHIME Therapy’s policies may be created, eliminated, changed or amended from time to time, and at any time, at the sole discretion of CHIME Therapy.