OUR PLEDGE REGARDING HEALTH INFORMATION
At Neuphoria TMS, we understand that information about you and your health is personal. We are committed to protecting your Protected Health Information (PHI). We create a record of the care and services you receive at our office to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by our practice.
2. HOW WE MAY USE AND DISCLOSE YOUR PHI
We may use and disclose your PHI for the following purposes:
For Treatment: We may use your PHI to provide you with TMS therapy or other medical treatments. We may disclose PHI to doctors, nurses, or other healthcare personnel who are involved in taking care of you.
For Payment: We may use and disclose PHI so that the treatment and services you receive may be billed to and payment may be collected from you, an insurance company, or a third party.
For Health Care Operations: We may use and disclose PHI for office operations, such as quality assessment, clinical audits, and business planning.
Business Associates & Marketing Partners: We may share limited information with third-party "Business Associates" (such as our marketing and technology partner, Rise4/4tms) who perform services on our behalf.
Legal Protection: We require all Business Associates to sign a formal Business Associate Agreement (BAA), legally binding them to the same HIPAA privacy and security standards that we follow.
Data Minimization: We only provide the "minimum necessary" information required for them to perform their specific tasks (e.g., managing your appointment requests or contact forms).
No Sale of Data: We do not sell or rent your PHI to any third party for their own marketing purposes.
3. USES REQUIRING YOUR AUTHORIZATION
The following uses and disclosures will be made only with your written authorization:
Most uses and disclosures of psychotherapy notes (if applicable).
Uses and disclosures of PHI for marketing purposes that go beyond standard appointment reminders.
Disclosures that constitute a sale of your PHI.
4. YOUR RIGHTS REGARDING YOUR PHI
Right to Inspect and Copy: You have the right to inspect and receive a copy of your health records.
Right to Amend: If you feel that the health information we have about you is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures: You have the right to request a list of certain disclosures we made of your PHI for purposes other than treatment, payment, or healthcare operations.
Right to Request Restrictions: You have the right to request a restriction on the PHI we use or disclose.
Right to Restrict Disclosure for Out-of-Pocket Payments: If you pay for a service in full out-of-pocket, you have the right to restrict the disclosure of that information to your health plan.
5. SMS AND ELECTRONIC COMMUNICATION
By providing your phone number and email to Neuphoria TMS via our website or intake forms, you consent to receive communications regarding your care.
Security: While our internal systems are encrypted, standard SMS and email are not fully secure. You acknowledge this risk when opting into these channels.
Privacy: Mobile information will not be shared with third parties/affiliates for marketing or promotional purposes.
6. CHANGES TO THIS NOTICE
We reserve the right to change this notice. We will post a copy of the current notice on our website and in our office.
7. COMPLAINTS AND CONTACT INFORMATION
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. You will not be penalized for filing a complaint.
Neuphoria TMS Privacy Officer