HIPAA Privacy Notice
Divine Empowerment Church Counseling Department is committed to protecting your privacy in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Any personal information you share on this form, including health, emotional, or spiritual concerns, will be kept strictly confidential and used solely for the purpose of providing counseling support.
Your information will not be disclosed to anyone outside of our counseling team without your written consent, except as required by law (e.g., cases involving harm to self or others, child abuse, or court order). By submitting this form, you acknowledge that you understand your rights to privacy and confidentiality under HIPAA.
If you have questions about how your information is handled, please contact our counseling department directly.