Your Title Goes Here

Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.

Client Legal Documents

At Counseling Wellness & Health, PLLC (“CWH”), including services provided through The Sprout Center, we are committed to protecting your privacy and ensuring you understand your rights as a client.

The documents below apply to all services provided by CWH and The Sprout Center, as applicable. You may review them at any time using this page. Paper copies are available upon request.

SECTION 1

NOTICE OF PRIVACY PRACTICES

Effective Date: 01/27/2026
Last Updated: 01/27/2026

NOTICE OF PRIVACY PRACTICES

This Notice describes how medical and personal information about you may be used and disclosed and how you can access this information. Please review it carefully.

OUR LEGAL DUTY

Counseling Wellness & Health, PLLC (“CWH,” “we,” “our,” or “us”), including our programs and service lines operating under The Sprout Center, is required by law to:

  • Maintain the privacy of your protected health information (PHI)

  • Provide you with this Notice of our legal duties and privacy practices

  • Follow the terms of this Notice currently in effect

HOW WE MAY USE AND DISCLOSE YOUR INFORMATION

We may use and disclose your health information for the following purposes:

1. Treatment
To provide, coordinate, or manage your care and services.
Example: sharing information with therapists, psychiatrists, nurses, or other providers involved in your care.

2. Payment
To bill and collect payment from health plans or other payers.
Example: submitting claims to insurance or Medicaid.

3. Health Care Operations
For quality assurance, training, supervision, audits, and administrative purposes.

OTHER PERMITTED USES AND DISCLOSURES

We may also disclose your information:

  • When required by law

  • For public health and safety purposes

  • To comply with court orders or subpoenas

  • To prevent a serious threat to health or safety

  • To coroners, medical examiners, or funeral directors as permitted by law

USES REQUIRING YOUR WRITTEN AUTHORIZATION

We will obtain your written authorization before using or disclosing your information for:

  • Marketing purposes

  • Sale of health information

  • Any use not described in this Notice

You may revoke your authorization at any time in writing.

YOUR RIGHTS

You have the right to:

  • Access your records
    Request a copy of your medical or billing records.

  • Request corrections
    Ask us to amend information you believe is incorrect or incomplete.

  • Request restrictions
    Ask us to limit how we use or share your information.

  • Request confidential communications
    Ask us to contact you in a specific way or location.

  • Receive an accounting of disclosures
    Ask for a list of disclosures made outside treatment, payment, or operations.

  • Receive a paper copy of this Notice
    Even if you agreed to receive it electronically.

COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with:

Counseling Wellness & Health, PLLC
2801 S. Wilmington St.
Raleigh, NC 27603
(919) 307-4552

The Sprout Center
9130 University City Blvd.
Charlotte, NC
(704) 817-7474

Grievance/Complaint Form

You may also file a complaint with the U.S. Department of Health and Human Services.
You will not be retaliated against for filing a complaint.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice.
Any changes will apply to all information we maintain and will be posted on our website.

SECTION 2

CLIENT RIGHTS & RESPONSIBILITIES

Effective Date: 01/27/2026
Last Updated: 01/27/2026

CLIENT RIGHTS

1. Respect and Dignity

You will be treated with courtesy, dignity, and respect for your individuality.
You have the right to receive care in a safe, professional, and considerate environment.

2. Non-Discrimination

You are entitled to receive services free from discrimination based on age, race, color, creed, religion, national origin, sex, marital status, disability, education, sexual orientation, gender identity, or socioeconomic status.

3. Protection from Abuse and Exploitation

You have the right to be free from all forms of abuse, neglect, harassment, and exploitation.
Your well-being and safety are a top priority, and we adhere to all state and federal regulations to protect you.

4. Cultural and Spiritual Consideration

Your cultural values and spiritual beliefs will be respected.
You have the right to access and participate in religious or spiritual services as desired.

5. Emergency and Advocacy Services

You can expect emergency procedures to be implemented without unnecessary delay.
You have the right to access protective and advocacy services as needed.

6. Privacy and Confidentiality

Your personal and health information is protected under state and federal law.
You have the right to receive a copy of our Notice of Privacy Practices and to be informed of how your information is used and disclosed.
Any use of your information for research, program evaluation, or training will only be conducted with your identity removed unless otherwise consented to.

7. Communication and Information

You have the right to receive clear, accurate, and timely information about Counseling Wellness & Health, PLLC and The Sprout Center, including services, policies, and your treatment.
You have the right to know the name and credentials of the professionals responsible for your care.

8. Treatment and Care

You have the right to a comprehensive assessment and an individualized treatment plan.
Your treatment plan will be reviewed periodically and supervised by qualified professionals.
You may include family members or significant others in the planning of your treatment if desired.

9. Right to Refuse Treatment

You have the right to refuse any recommended treatment or care, except as otherwise required by law.
You have the right to an individualized discharge plan with recommendations for continued support, except in cases of abrupt service termination.

10. Medical Records Access and Amendments

You have the right to access and request amendments to your health records within a reasonable timeframe, as permitted by law.

11. Reasonable Accommodations

You have the right to receive services in a manner that accommodates vision, speech, hearing, cognitive, and language impairments.

12. Facility Policies and Conduct

You have the right to be informed of facility rules and policies regarding client conduct.

13. Legal and Personal Consultation

You have the right to consult with legal counsel, private physicians, or mental health professionals at your own expense.
You are permitted to send and receive sealed mail, as applicable.

14. Grievances and Feedback

You have the right to voice concerns, grievances, or suggestions regarding services or staff without retaliation.

You may contact external advocacy organizations, including the Governor’s Advocacy Council for Persons with Disabilities at (800) 821-6922.

You also have the right to file a grievance directly with:

Counseling Wellness & Health, PLLC
2801 S. Wilmington St.
Raleigh, NC 27603
(919) 307-4552

The Sprout Center
9130 University City Blvd.
Charlotte, NC
(704) 817-7474

Grievance/Complaint Form

You will not be retaliated against for filing a complaint.

CLIENT RESPONSIBILITIES

As a client of Counseling Wellness & Health, PLLC and The Sprout Center, you are responsible for:

  • Providing accurate and complete information

  • Following agreed-upon treatment plans

  • Asking questions if you do not understand something

  • Treating staff and other clients with respect

  • Attending scheduled appointments or giving notice if you must cancel

  • Paying for services or copays as required

  • Informing us of changes to insurance or contact information

  • Using services appropriately and safely