NOTICE OF PRIVACY PRACTICES
Beyond Mind, TMS & Ketamine Treatment Center
Last Updated: October 7, 2026
YOUR INFORMATION. YOUR RIGHTS. OUR RESPONSIBILITIES.
This Notice of Privacy Practices describes how Beyond Mind, TMS & Ketamine Treatment Center (“Practice,” “we,” “us,” or “our”) may use and disclose your protected health
information (“PHI”) and describes your rights concerning your health information.
Please review this notice carefully.
Your health information is personal and we are committed to protecting it. Federal law,
including the Health Insurance Portability and Accountability Act (“HIPAA”), and California law
provide important protections for your health information.
This Notice applies to health information created or maintained by the Practice in connection
with your care.
1. HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use or disclose your PHI for the following purposes without obtaining additional
authorization when permitted by applicable law.
Treatment
We may use and disclose your health information to provide, coordinate, or manage your
healthcare.
For example, we may share relevant information with another healthcare professional involved
in your treatment.
We will attempt to get your consent when possible. However, it is important to understand that
California does not generally require a signed patient release of information (ROI) or written
authorization when healthcare providers share medical information for direct treatment and
care coordination.
Payment
We may use or disclose your health information to obtain payment for healthcare services.
For example, we may provide information to your health insurance plan to obtain authorization
for treatment or to submit claims for payment.
Healthcare Operations
We may use or disclose your health information for healthcare operations.
These activities may include:
Quality assessment and improvement;
Reviewing the performance of healthcare professionals;
Care coordination;
Compliance activities;
Auditing;
Credentialing;
Training;
Business planning; and
Other activities permitted by law.
Appointment Reminders
We may use your contact information to remind you about appointments or communicate
scheduling information.
Treatment Options and Health-Related Services
We may contact you about treatment alternatives, treatment options, or other health-related
services that may be of interest to you.
Business Associates
We may disclose PHI to companies or individuals that perform services on our behalf when
permitted by law. For example, to order blood work or other medical tests.
These individuals or organizations are referred to as “business associates” under HIPAA and
may be required to enter into agreements requiring them to appropriately safeguard your PHI.
Individuals Involved in Your Care
When permitted by law, we may disclose relevant health information to a family member, close
friend, or another person you identify as being involved in your healthcare or payment for your
healthcare.
We will follow applicable law concerning your preferences and authorization requirements.
Required by Law
We may use or disclose your PHI when required to do so by federal, state, or local law.
Public Health Activities
We may disclose PHI for certain public health activities permitted or required by law, such as
reporting certain diseases or conditions, preventing or controlling disease, or reporting adverse
events.
Abuse or Neglect
We may disclose information when required or permitted by law to report suspected abuse,
neglect, or domestic violence.
Health Oversight
We may disclose PHI to governmental agencies authorized to conduct health oversight
activities, such as audits, investigations, inspections, and licensing activities.
Legal Proceedings
We may disclose PHI in response to a court order, subpoena, discovery request, or other lawful
process when permitted or required by applicable law.
Law Enforcement
We may disclose PHI to law enforcement officials when permitted or required by applicable
law.
Serious Threat to Health or Safety
We may use or disclose PHI when necessary to prevent or lessen a serious and imminent threat
to the health or safety of a person or the public, when permitted by applicable law.
Workers’ Compensation
We may disclose PHI for workers compensation or similar programs as authorized or required
by law.
Coroners, Medical Examiners, and Funeral Directors
We may disclose PHI as permitted by law to coroners, medical examiners, or funeral directors
when necessary to carry out their lawful duties.
Organ and Tissue Donation
We may disclose PHI for organ, eye, or tissue donation and transplantation purposes when
permitted by law.
Research
We may use or disclose PHI for research purposes when permitted by applicable law and
appropriate privacy protections are in place.
2. USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION
Certain uses and disclosures of your PHI generally require your written authorization.
For example, an authorization may be required for:
Certain uses and disclosures of psychotherapy notes;
Certain uses and disclosures for marketing purposes; and
Other uses or disclosures requiring authorization under applicable law.
If you provide an authorization, you generally have the right to revoke it in writing, except to
the extent the Practice has already relied upon the authorization.
We will not use or disclose your PHI for purposes requiring your authorization without
obtaining that authorization.
3. YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have certain rights regarding your PHI.
Right to Inspect and Obtain a Copy
You generally have the right to inspect and obtain a copy of your PHI contained in designated
record sets maintained by the Practice, subject to applicable legal limitations.
You may be charged a reasonable, cost-based fee where permitted by law.
Right to Request an Amendment
You may request that we amend health information that you believe is incorrect or incomplete.
Your request must be made in writing and should explain why you believe the information
should be amended.
We may deny your request in certain circumstances permitted by law.
Right to Request Restrictions
You may request restrictions on certain uses or disclosures of your PHI.
We are not required to agree to every requested restriction.
However, when you have paid for a service completely out of pocket and request that the
information not be disclosed to your health plan for purposes of payment or healthcare
operations, we may be required to honor that request when applicable law applies.
Right to Request Confidential Communications
You may request that we communicate with you about your health information in a particular
way or at a particular location.
For example, you may request that we contact you only by email or at a particular telephone
number, where permitted by law.
We will consider reasonable requests.
Right to an Accounting of Certain Disclosures
You may request an accounting of certain disclosures of your PHI made by the Practice, subject
to limitations and exceptions under applicable law.
Right to Receive Notice of a Breach
You have the right to receive notice when a breach of your unsecured PHI occurs if notification
is required by law.
4. PSYCHIATRIC AND MENTAL HEALTH INFORMATION
Psychiatric and mental health information can be particularly sensitive.
The Practice will handle mental health and psychiatric information in accordance with
applicable federal and California privacy laws.
Certain categories of information may receive additional protections under federal or California
law.
For example, psychotherapy notes maintained separately from the medical record may be
subject to special federal protections.
Additional authorization may be required for certain uses or disclosures of specially protected
information.
5. SUBSTANCE USE DISORDER INFORMATION
If the Practice maintains information subject to special federal confidentiality protections for
substance use disorder treatment records, those records may be subject to additional
requirements under applicable federal law, including 42 CFR Part 2.
Where applicable, the Practice will comply with the additional protections governing such
information.
6. GENETIC INFORMATION AND OTHER SENSITIVE INFORMATION
Certain types of health information may receive additional protections under federal or
California law.
The Practice will comply with applicable requirements concerning specially protected
information.
7. TELEHEALTH AND ELECTRONIC COMMUNICATIONS
The Practice may provide healthcare through telehealth and electronic communication
technologies.
When permitted by law, PHI transmitted through authorized telehealth and electronic
communication systems will be handled in accordance with applicable privacy and security
requirements.
Please understand that ordinary email, text messaging, and other electronic communications
may carry privacy and security risks.
We encourage patients to use secure communication methods designated by the Practice for
sensitive medical information.
8. MINORS AND PERSONAL REPRESENTATIVES
Privacy rights concerning minors and the authority of parents, guardians, and other personal
representatives are governed by applicable federal and California law.
In certain circumstances, a minor may have the right to consent to healthcare without parental
authorization, and the minor may have corresponding privacy rights.
The Practice will comply with applicable laws governing minors, personal representatives, and
confidential healthcare services.
9. CALIFORNIA PRIVACY PROTECTIONS
California law provides additional protections for medical information and certain categories of
sensitive information.
The Practice will comply with applicable California medical privacy requirements in addition to
HIPAA.
Where California law provides greater protection than federal law, the Practice will follow
applicable requirements.
10. YOUR RIGHT TO FILE A PRIVACY COMPLAINT
If you believe your privacy rights have been violated, you may file a complaint with the Practice.
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 filing a privacy complaint.
Contact the Practice
Beyond Mind, TMS & Ketamine Treatment Center
7855 Fay Ave, Suite 200, La Jolla, CA 92037
858-203-7332 or 619-805-0007
U.S. Department of Health and Human Services
Office for Civil Rights
You may obtain information about filing a complaint with the Office for Civil Rights through the
U.S. Department of Health and Human Services.
11. OUR RESPONSIBILITIES
The Practice is required by law to:
Maintain the privacy of your PHI;
Provide you with this Notice describing our legal duties and privacy practices;
Follow the terms of the Notice currently in effect;
Notify affected individuals following a breach of unsecured PHI when notification is required by law; and
Comply with applicable federal and California privacy requirements.
We reserve the right to change our privacy practices and this Notice.
If we make a material change to our privacy practices, we will make the revised Notice available
as required by law.
12. CHANGES TO THIS NOTICE
We may change this Notice from time to time.
The revised Notice will include a new effective date.
The current version of this Notice will be available at the Practice’s office and, where
appropriate, on our Website.
13. CONTACT INFORMATION
If you have questions about this Notice or our privacy practices, please contact:
Beyond Mind, TMS & Ketamine Treatment Center
Address: 7855 Fay Ave, Suite 200, La Jolla, CA 92037
Telephone: 858-203-7332 or 619-805-0007
Website: beyondmindmd.com