this post was submitted on 17 Sep 2025
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privacy
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So I suppose I'd have no hope of finding a therapist where notes are local-only on airgapped (eg. no nic, never online) devices and remote sessions, if offered, are over Signal?
Signal is not HIPAA compliant
HIPAA affects the technical implementation because the law requires certain features that signal lacks. Without those features, signal cannot be used for healthcare in the US.
https://www.hipaajournal.com/is-signal-hipaa-compliant/
Mine simply doesn't take notes. We just walk and talk.