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HIPAA Privacy Notice

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can access this information. Please review it carefully and keep a copy for your records.

Effective: March 1, 2024
HIPAA Compliant

Our Privacy Commitment

We are committed to protecting the privacy of your health information and using it only as necessary to provide quality healthcare services.

Protected Health Information (PHI)

This notice applies to all records of your care generated by Karma TMS, whether created by our staff, physicians, or business associates. Your health information may include:

  • Medical history and records
  • Treatment plans and progress notes
  • Laboratory and test results
  • Billing and insurance information
  • Demographic and contact information
  • Communication preferences

How We Use Your Information

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

Treatment

  • Coordinating your care among healthcare providers
  • Consulting with specialists about your condition
  • Sharing information with healthcare team members
  • Emergency treatment situations

Payment

  • Processing insurance claims and authorizations
  • Billing and collection activities
  • Determining coverage and benefits
  • Utilization review and quality assurance

Healthcare Operations

  • Quality assessment and improvement activities
  • Staff training and competency evaluation
  • Business planning and development
  • Compliance and regulatory oversight

Special Situations

We may also use or disclose your health information in the following special situations:

Required by Law

We may disclose health information when required by federal, state, or local law.

Public Health Activities

Reporting communicable diseases, adverse drug reactions, or product recalls to public health authorities.

Abuse or Neglect

Reporting suspected abuse, neglect, or domestic violence to appropriate authorities as required by law.

Legal Proceedings

Responding to court orders, subpoenas, or administrative requests in legal proceedings.

Law Enforcement

Limited disclosures to law enforcement for specific purposes as permitted by law.

Serious Threats

Preventing or lessening a serious and imminent threat to health or safety.

Your Privacy Rights

Under HIPAA, you have specific rights regarding your health information. These rights are designed to give you control over your personal health data.

Access Your Health Information

You have the right to inspect and obtain copies of your health records, with some limited exceptions.

Request copies of medical records, billing records, and other health information
We may charge a reasonable fee for copying and mailing costs
We will respond to your request within 30 days
In certain circumstances, we may deny access but will provide written explanation

Request Amendments

You can ask us to amend health information that you believe is incorrect or incomplete.

Submit amendment requests in writing with supporting documentation
We will respond within 60 days of receiving your request
If denied, you have the right to file a statement of disagreement
Approved amendments will be shared with relevant parties

Request Restrictions

You may request limits on how we use or disclose your health information.

Request restrictions on disclosures to family members or friends
Limit information shared for treatment, payment, or operations
We are not required to agree to all restrictions
Any agreed restrictions will be documented and followed

Alternative Communications

You can request that we contact you in a specific way or at a certain location.

Request communications at alternative addresses or phone numbers
Specify preferred method of contact (phone, email, mail)
We will accommodate reasonable requests
May require information about how payment will be handled

Accounting of Disclosures

You can receive a list of certain disclosures we have made of your health information.

Covers disclosures made for purposes other than treatment, payment, or operations
Includes dates, recipients, and purposes of disclosures
First accounting in any 12-month period is free
Additional requests may incur reasonable fees

File Complaints

You have the right to file complaints about our privacy practices.

File complaints with us or with the Secretary of Health and Human Services
We will not retaliate against you for filing a complaint
Complaints should be submitted in writing when possible
We will investigate and respond to all complaints promptly

Contact Information

Privacy Officer

Dr. Sarah Mitchell, Medical Director

Karma TMS

123 Medical Plaza
Palm Springs, CA 92262

760-760-5675

Federal Complaint Option

U.S. Department of Health & Human Services

Office for Civil Rights

Region IX Office
90 7th Street, Suite 4-100
San Francisco, CA 94103

(415) 437-8310

Questions About Your Privacy Rights?

If you have questions about this notice or your privacy rights, or if you believe your privacy rights have been violated, please contact us immediately.

Related Privacy Documents

Acknowledgment: This Notice of Privacy Practices describes how we may use and disclose your protected health information and how you can access this information. We are required by law to maintain the privacy of your health information and to provide you with notice of our legal duties and privacy practices.