At Prism Psychotherapy, your privacy, safety, autonomy, and ability to make informed decisions about your care are important.
The information below explains general practice policies, telehealth expectations, communication practices, confidentiality, and your privacy rights.
Prism Psychotherapy provides psychotherapy through telehealth to clients who are physically located in states where Dr. Catherine T. Revak is legally authorized to practice, including Florida and Pennsylvania.
Appointments
Standard psychotherapy appointments are approximately 50 minutes unless a different session length has been arranged in advance.
Your appointment time is reserved specifically for you. Please arrive or log in on time whenever possible. If you arrive late, the session will generally still end at the originally scheduled time.
Cancellations & Rescheduling
Please provide at least 24 hours' notice if you need to cancel or reschedule an appointment.
Appointments canceled or rescheduled with less than 24 hours' notice may be charged the full session fee, except when otherwise required by law, contract, insurance requirements, or circumstances discussed with your therapist.
If you experience an emergency or unexpected circumstance, please contact Prism Psychotherapy as soon as you reasonably can.
Between-Session Communication
You may contact Prism Psychotherapy by phone, voicemail, text, or email for administrative matters such as:
scheduling
cancellations
appointment questions
billing questions
other brief administrative needs
Electronic communication should not be used for emergencies or urgent mental health concerns.
Because ordinary email and text messaging may have privacy and security limitations, please avoid sending detailed clinical, medical, or highly sensitive information through unsecured messages whenever possible.
Messages are reviewed as availability allows and should not be considered an immediate-response service.
Telehealth Services
Prism Psychotherapy is a virtual psychotherapy practice.
Telehealth allows therapy to take place when the therapist and client are in different physical locations using secure electronic communication technology.
Telehealth psychotherapy is subject to the same professional and clinical standards of care that apply to psychotherapy provided in person.
Where You May Attend a Session
Your physical location at the time of each appointment matters.
Dr. Catherine T. Revak may provide psychotherapy only when you are physically located in a jurisdiction where she is legally authorized to practice.
Clients should inform Prism Psychotherapy if they:
move to another state;
are traveling outside Florida or Pennsylvania;
plan to attend a session while temporarily located elsewhere; or
experience another location change that could affect the ability to legally provide services.
Being an established client does not automatically permit your therapist to provide psychotherapy while you are physically located in another state or country.
If you will be traveling, please discuss your plans before your appointment.
Florida Clients
Telehealth services provided to clients located in Florida are provided in accordance with applicable Florida law and professional standards governing clinical social work and telehealth.
Florida law requires telehealth providers to practice within their professional scope and according to the prevailing professional standard of care that would apply to in-person health care services.
Telehealth services are documented in the clinical record according to applicable professional and legal requirements.
Pennsylvania Clients
Telehealth services provided to clients located in Pennsylvania are provided in accordance with applicable Pennsylvania law and the professional standards governing licensed clinical social workers.
Pennsylvania requires health care delivered through telemedicine to meet the same applicable standard of care as comparable in-person services.
Clients receiving services electronically will be informed of reasonably foreseeable limitations and risks associated with those services.
What to Expect With Telehealth
Telehealth can make psychotherapy more accessible and convenient, particularly when transportation, geography, disability, work schedules, caregiving responsibilities, or other circumstances make in-person treatment difficult.
It also has limitations.
Potential benefits may include:
receiving therapy from a familiar and private location;
eliminating travel time;
improving access to specialized care;
greater scheduling convenience; and
improved continuity of care.
Potential limitations or risks may include:
internet or technology failure;
interruptions or disconnections;
reduced privacy when joining from a shared space;
unauthorized access despite reasonable security safeguards;
difficulty responding to emergencies from a distance; and
limitations in information your therapist may be able to observe through video or audio.
You may discuss concerns about telehealth at any time.
Privacy During Sessions
Whenever possible, attend therapy from a private space where you feel comfortable speaking openly.
Headphones may provide additional privacy when other people are nearby.
Your therapist will also take reasonable measures to provide services from a private setting and protect the confidentiality of your information.
Please tell your therapist if another person is present during a session.
Except when specifically discussed and agreed upon, recording psychotherapy sessions by audio, video, screen recording, artificial-intelligence transcription, or other means is not permitted.
Technology Problems
Occasionally technology refuses to cooperate because apparently computers also need therapy.
If the video connection fails, your therapist may attempt to reconnect or contact you using an agreed-upon backup method.
Depending on the circumstances and clinical appropriateness, the appointment may continue through another secure communication method or may need to be rescheduled.
Emergencies & Crisis Services
Prism Psychotherapy is an outpatient psychotherapy practice and does not provide emergency or 24-hour crisis services.
Email, voicemail, text messaging, website forms, and the client portal should not be used for emergencies.
If you are experiencing an immediate or life-threatening emergency:
Call 911 or go to the nearest emergency department.
For mental health crisis support in the United States, you may also:
Call or text 988 to reach the 988 Suicide & Crisis Lifeline.
Because telehealth takes place at a distance, your therapist may confirm your physical location and appropriate emergency contact information during treatment so that assistance can be requested if an emergency develops during a session.
Social Media & Online Interaction
To protect confidentiality and maintain appropriate professional boundaries, Prism Psychotherapy does not accept friend, follow, connection, or similar requests from current or former psychotherapy clients through personal social media accounts.
Prism Psychotherapy may maintain professional or business social media accounts that are publicly available.
You are free to view or follow publicly available Prism Psychotherapy content. However, interacting with a psychotherapy practice on social media may reveal information about your relationship with the practice to others.
For this reason, Prism Psychotherapy will generally not initiate public social-media interaction with current or former clients.
Public comments or direct messages on social media should not be used for clinical communication, scheduling, emergencies, or discussion of confidential treatment information.
Confidentiality
Your psychotherapy information is private and is protected by federal law, professional ethics, and applicable state law.
Florida law recognizes communications between licensed clinical social workers and their clients as confidential, subject to specific legal exceptions.
Pennsylvania professional standards likewise require clinical social workers to protect client confidentiality and privacy except where disclosure is authorized or legally required.
There are circumstances in which information may be disclosed without your authorization. Depending on applicable law and the circumstances, these may include situations involving:
suspected abuse or neglect that must legally be reported;
a serious or imminent threat of harm;
certain court orders or legal proceedings;
health oversight activities;
requirements of federal or state law; or
other circumstances in which disclosure is legally permitted or required.
Because confidentiality laws can vary depending on the client's location and circumstances, your therapist will discuss applicable limits of confidentiality with you as part of informed consent.
Clinical Records
Prism Psychotherapy maintains clinical records documenting the psychotherapy services provided.
Records are maintained and protected in accordance with applicable federal law, HIPAA requirements, professional standards, and the laws governing the jurisdiction in which services are provided.
Clinical documentation may include information such as:
dates and types of services;
assessments and treatment information;
diagnoses when applicable;
treatment planning;
progress documentation;
communications relevant to treatment;
billing information; and
termination or transfer of services.
You have rights concerning access to and copies of your health information as described in the Notice of Privacy Practices below and under applicable law.
Ending Therapy
You may decide to stop therapy at any time.
Whenever possible, discussing the decision with your therapist can provide an opportunity to review progress, discuss concerns, plan for continued support, and bring appropriate closure to the therapeutic relationship.
Prism Psychotherapy may also recommend ending or transferring treatment when, for example:
another level or type of care would better meet your needs;
treatment is no longer clinically beneficial;
the therapist cannot legally continue providing services because of your location;
repeated nonattendance prevents effective treatment;
professional boundaries or safety cannot reasonably be maintained; or
another circumstance makes continuation clinically or ethically inappropriate.
When appropriate, reasonable efforts will be made to discuss the transition and provide referral resources.
A lack of scheduled appointments for an extended period may be considered discontinuation of the therapeutic relationship unless other arrangements have been made.
Notice of Privacy Practices
Your Information. Your Rights. Our Responsibilities.
This Notice describes how medical and mental health information about you may be used and disclosed and how you can access this information.
Please review it carefully.
Prism Psychotherapy is committed to protecting the privacy of your protected health information, or PHI.
We create and maintain records about the care and services you receive. These records are necessary to provide treatment, operate the practice, process payment when applicable, and comply with professional and legal requirements.
We are required by law to:
maintain the privacy and security of your PHI;
notify you if a breach occurs that may have compromised the privacy or security of your information;
provide you with this Notice explaining our legal duties and privacy practices;
follow the terms of the Notice currently in effect; and
provide additional protections when federal or state law requires them.
Your Privacy Rights
Get a Copy of Your Health Record
You may request to inspect or receive an electronic or paper copy of health information maintained about you, subject to certain legal exceptions.
Psychotherapy notes, as that term is specifically defined under HIPAA, receive additional legal protection and generally are not included within the ordinary right of access to the clinical record.
Reasonable, legally permitted fees may apply to certain record requests.
Ask Us to Correct Your Record
If you believe information in your health record is incorrect or incomplete, you may request an amendment.
We may deny the request in certain circumstances, but if we do, we will explain the decision as required by law.
Request Confidential Communication
You may ask us to communicate with you in a particular way or at a particular location.
For example, you may request that appointment-related communications be sent to a particular phone number or email address.
Reasonable requests will be honored as required by law.
Ask Us to Limit What We Use or Share
You may request restrictions on certain uses or disclosures of your health information.
We are not required to agree to every requested restriction.
However, if you pay for a health care service completely out of pocket and ask us not to disclose information about that service to your health insurer for payment or health care operations, we will honor the request when required by law.
Receive an Accounting of Certain Disclosures
You may request information about certain disclosures of your PHI that occurred during the period permitted by law.
Not every disclosure is included in an accounting.
Receive a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.
How We May Use or Share Your Information
Treatment
We may use your health information to provide, coordinate, or manage your psychotherapy and related health care.
When appropriate and legally permitted, information may be shared with other health professionals involved in your care.
Payment
We may use or disclose information as necessary to obtain payment for services.
This may include submitting information to an insurance company when Prism Psychotherapy participates with your insurance or when otherwise authorized or permitted.
If you request documentation such as a superbill for out-of-network reimbursement, the document may contain clinical information required by your insurer.
Health Care Operations
We may use health information for activities necessary to operate the practice, such as quality improvement, compliance, administrative functions, professional consultation, and other activities permitted by law.
When Required or Permitted by Law
Information may also be used or disclosed when federal or state law permits or requires it, including certain circumstances involving:
public health and safety;
suspected abuse or neglect;
serious threats to health or safety;
health oversight;
judicial or administrative proceedings;
law enforcement;
workers' compensation;
coroners or medical examiners;
specialized government functions; or
other legally authorized purposes.
When state law provides greater privacy protection than federal law, Prism Psychotherapy will follow the more protective requirement when applicable.
Uses Requiring Authorization
Some uses and disclosures generally require your written authorization.
These include many disclosures involving:
Psychotherapy Notes
Psychotherapy notes, when separately maintained and meeting the HIPAA definition of psychotherapy notes, receive special protections.
Most uses or disclosures of psychotherapy notes require your written authorization unless an exception under applicable law applies.
Marketing
Prism Psychotherapy will not use your protected health information for marketing activities that require authorization without obtaining that authorization.
General educational materials, website content, social media posts, newsletters, and other communications that do not disclose your identity or PHI are not disclosures of your protected health information.
Sale of Protected Health Information
Prism Psychotherapy does not sell your protected health information.
Substance Use Disorder Records
Certain records relating to substance use disorder treatment may receive additional protection under federal law, including 42 CFR Part 2, when those protections apply.
Prism Psychotherapy will handle such information in accordance with applicable federal requirements.
Family Members & Others Involved in Your Care
With your permission, or when otherwise legally permitted, limited information may be shared with a family member, friend, caregiver, or other person involved in your care or payment for your care.
You may tell us that you do not want information shared with a particular person, subject to applicable law.
Florida & Pennsylvania Privacy Protections
In addition to federal HIPAA requirements, Prism Psychotherapy follows applicable state confidentiality requirements.
Florida law provides confidentiality protections for communications between licensed clinical social workers and their clients.
Pennsylvania law and professional regulations likewise impose confidentiality, privacy, documentation, and recordkeeping responsibilities on licensed clinical social workers.
Where applicable state law provides greater privacy protection than HIPAA, the more protective requirement will be followed.
Changes to This Notice
Prism Psychotherapy may update this Notice when privacy practices or applicable legal requirements change.
A revised Notice may apply to health information already maintained by the practice as well as information received in the future, as permitted by law.
The current version will be available on the Prism Psychotherapy website.
Questions, Privacy Requests & Complaints
If you have questions about this Notice, want to exercise a privacy right, or have concerns about how your information has been handled, contact:
Prism Psychotherapy
Dr. Catherine T. Revak, DSW, LCSW
Email: cate@prismpsychotherapy.org
Phone/Text: 407-917-2205
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
You will not be retaliated against for making a privacy complaint or exercising a privacy right.
Effective Date: 9-1-2026
Last Updated: 9-1-2026