Notice of Privacy Practices:

Notice of Privacy Practices & Consent for Services:

 

Effective Date: January 1, 2022

Reviewed and Revised: February 18, 2025 

 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. 

 

Our Pledge Regarding Your Medical Information at North Idaho Ketamine & TMS is committed to protecting the privacy of the medical information we create or obtain about you. This Notice tells you how we may use and disclose medical information about you. It also describes your rights and certain obligations regarding the use and disclosure of your medical information. 

 

We are required by law to: (i) make sure your medical information is protected; (ii) give you this Notice describing our legal duties and privacy practices concerning your medical information; and (iii) follow the terms of the Notice that is currently in effect. 

 

Who Will Follow This Notice: 

The privacy practices described in this Notice will be followed by all healthcare professionals, employees, medical staff, trainees, students, and volunteers of the North Idaho Ketamine & TMS organization.  

 

How We May Use and Disclose Medical Information About You:

The following sections describe different ways we may use and disclose your medical information. We abide by all applicable laws related to the protection of this information. Not every use or disclosure will be listed. All of the ways we are permitted to use and disclose information, however, will fall within one of the following categories: 

 

Treatment: 

We may use or disclose medical information about you to provide you with medical treatment or services. We may also share medical information about you with other healthcare providers, agencies, or facilities to provide or coordinate the different things you need, such as prescriptions, lab work, X-rays, or transportation. 

 

Payment: 

We may use and disclose medical information about you so that the treatment and services you receive at North Idaho Ketamine & TMS may be billed to you and payment collected from you, an insurance company, or another third party. 

 

Health care operations: 

We may use and disclose medical information about you for North Idaho Ketamine & TMS operations. These uses and disclosures are made to enhance the quality of care for medical staff activities, North Idaho Ketamine & TMS health-sciences education, other teaching programs, and general business activities. 

 

Health information exchange: 

We may share information that we obtain or create about you with other healthcare providers or other healthcare entities, such as your health plan or health insurer, as permitted by law, through Health Information Exchanges (HIEs). The exchange of health information can provide faster access, better coordination of care and assist providers and public health officials in making more informed decisions. 

 

Additional uses and disclosures of your medical information: 

We may use or disclose your medical information without your authorization (permission) to the following individuals, or for other purposes permitted or required by law, including: 

• To tell you about, or recommend, possible treatment alternatives 

• To inform you of benefits or services we may provide 

• In the event of a disaster, to organizations assisting in a disaster-relief effort so that your family can be notified of your condition and location 

• As required by state and federal law 

• To prevent or lessen a serious and imminent threat to your health and safety or the health and safety of the public or another person 

• To authorize federal officials for intelligence, counterintelligence, or other national security activities 

• To coroners, medical examiners, and funeral directors, as authorized or required by law as necessary for them to carry out their duties 

• To the military if you are a member of the armed forces and we are authorized or required to do so by law 

• For workers’ compensation or similar programs providing benefits for work-related injuries or illnesses 

• To authorize federal officials so they may conduct special investigations or protect the U.S. President or other authorized persons 

• If you are a potential organ donor, to organizations that handle such organ procurement or transplantation or to an organ bank, as necessary to help with organ procurement, transplantation, or donation 

• To governmental, licensing, auditing, and accrediting agencies 

• To a correctional institution as authorized or required by law if you are an inmate or under the custody of law enforcement officials 

• To third parties referred to as “business associates” that provide services on our behalf, such as billing, software maintenance, and legal services 

• Unless you say no, to anyone involved in your care or payment for your care, such as a friend, family member, or any individual you identify 

• For public health purposes 

• To courts and attorneys when we get a court order, subpoena, or other lawful instructions from those courts or public bodies or to defend ourselves against a lawsuit brought against us 

• To law enforcement officials as authorized or required by law.

 

Other uses of medical information: 

Other uses and disclosures of medical information not covered by this Notice will be made only with your written authorization. Most uses and disclosures of psychotherapy notes and most uses and disclosures for marketing purposes fall within this category and require your authorization before we may use your medical information for these purposes. If you provide us authorization to use or disclose medical information about you, you may revoke (withdraw) that authorization, in writing, at any time. However, uses and disclosures made before your withdrawal are not affected by your action and we cannot take back any disclosures we may have already made with your authorization. 

 

Use of unsecured electronic communications: 

If you choose to communicate with us or any of your North Idaho Ketamine & TMS providers via unsecured electronic communication, such as regular email or text message, we may respond to you in the same manner in which the communication was received and to the same email address or account from which you sent your original communication. In addition, if you provide your email address or cell phone number to your healthcare provider, we may send you emails or text messages related to appointment reminders, surveys, or other general informational communications. For your convenience, these messages may be sent unencrypted. Before using or agreeing to use any unsecured electronic communication to communicate with us, note that there are certain risks, such as interception by others, misaddressed/misdirected messages, shared accounts, messages forwarded to others, or messages stored on unsecured, portable electronic devices. By choosing to correspond with us via insecure electronic communication, you are acknowledging and agreeing to accept these risks. Additionally, you should understand that the use of email or other electronic communications is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Email communications should never be used in a medical emergency. 

 

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the stated categories in this privacy policy exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

 

Your Rights Regarding Medical Information About You: 

The records of your medical information are the property of North Idaho Ketamine & TMS. You have the following rights, however, regarding medical information we maintain about you: Right to inspect and copy. With certain exceptions, you have the right to inspect and/or receive a copy of your medical and billing records or any other of our records that are used by us to make decisions about you. You have the right to request that we send a copy of your medical or billing records to a third party. We request that you submit your request in writing to your caregiver. We may charge you a reasonable fee for providing you with a copy of your records. We may deny access, under certain circumstances. You may request that we designate a licensed healthcare professional to review the denial. We will comply with the outcome of the review. 

 

Right to request an amendment: 

If you feel that the medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for North Idaho Ketamine & TMS in your medical and billing records or any other of our records that are used by us to make decisions about you. You are required to submit your request in writing to the North Idaho Ketamine & TMS Privacy Offices as explained at the end of this Notice, with an explanation as to why the amendment is needed. If we accept your request, we will tell you we agree and we will amend your records. We cannot change what is in the record. We add the supplemental information by an addendum. With your assistance, we will notify others who have incorrect or incomplete medical information. If we deny your request, we will give you a written explanation of why we did not make the amendment and explain your rights. We may deny your request if the medical information (i) was not created by North Idaho Ketamine & TMS (unless the person or entity that created the medical information is no longer available to respond to your request); (ii) is not part of the medical and billing records kept by or for North Idaho Ketamine & TMS; (iii) is not part of the information which you would be permitted to inspect and copy; or (iv) is determined by us to be accurate and complete. 

 

Right to an accounting of disclosures: 

You have the right to receive a list of certain disclosures we have made of your medical information in the six years before your request. This list will not include every disclosure made, including those disclosures made for treatment, payment, and health care operations purposes, or those disclosures made directly to you or with your consent. You are required to submit your request in writing to the North Idaho Ketamine & TMS Privacy Office as explained at the end of this Notice. You must state the period for which you want to receive the accounting. We may charge you for additional requests in that same period. 

 

Right to request restrictions: 

You have the right to request a restriction or limitation on the medical information we use or disclose about you for treatment, payment, or healthcare operations. To request a restriction, you must tell your caregivers or contact the Johns Hopkins Privacy Office using the contact information listed at the end of this Notice. In some cases, you may be asked to submit a written request. We are not required to agree to your request. If we do agree, our agreement must be in writing, and we will comply with your request unless the information is needed to provide you with emergency treatment or we are required or permitted by law to disclose it. We are allowed to end the restriction if we inform you that we plan to do so. If you request that we do not disclose certain medical information to your health insurer and that medical information relates to a health care product or service for which we, otherwise, have received payment from you or on your behalf, and in full, then we must agree to that request. 

 

Right to request confidential communications: 

You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. If you want us to communicate with you especially, you will need to give us details about how to contact you. You also will need to give us information as to how billing will be handled. We will honor reasonable requests. However, if we are unable to contact you using the requested ways or locations, we may contact you using any information we have. 

 

Right to be notified in the event of a breach: 

We will notify you if your medical information has been “breached,” which means that your medical information has been used or disclosed in a way that is inconsistent with the law and results in it being compromised. 

 

Right to a paper copy of this Notice: 

You have the right to a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time. Copies of this Notice will be available throughout North Idaho Ketamine & TMS, or by contacting the North Idaho Ketamine & TMS Privacy Office as explained at the end of this Notice, or you may obtain an electronic copy at the North Idaho Ketamine & TMS website, North Idaho Ketamine & TMS.com. 

 

Future Changes To North Idaho Ketamine & TMS’s Privacy Practices and This Notice:

We reserve the right to change North Idaho Ketamine & TMS’s privacy practices and this Notice. We reserve the right to make the revised or changed Notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice on the North Idaho Ketamine & TMS website, North Idaho Ketamine & TMS.com. In addition, at any time you may request a copy of the Notice currently in effect. 

 

Personal Representatives, Minors, and Guardians: 

If you have given someone the legal authority to exercise your rights and choices about your health information, we will honor such requests once we verify their authority. This Notice also applies to minors and some disabled adults. They enjoy the same privacy protections for their medical information. However, because they usually cannot make health care decisions for themselves, a parent or a guardian can make decisions on their behalf. Parents or guardians can permit the use and release of this medical information. Parents or guardians may also hold all rights.  There are, however, some situations where minors can make independent healthcare decisions without parental or guardian knowledge or permission. It is important to note in these situations that the minor may be the only one to permit the use and release of medical information. The minor may hold all rights listed in this Notice concerning an independent healthcare decision. 

 

Rules of CDA North Condominiums:

• No smoking or vaping on the premises

 

Questions or Complaints: 

If you believe that your privacy rights have not been followed as directed by applicable law or as explained in this Notice, you may file a complaint with us. Please send any complaint to the North Idaho Ketamine & TMS Privacy Office at the address provided below. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services. You will not be penalized for filing a complaint. If you have questions or would like further information about this Notice, please contact:  

 

North Idaho Ketamine & TMS Privacy Office:

250 Northwest Blvd, Ste 200

Coeur d’Alene, ID 83814

Phone: 208-215-7936

Fax: 208-795-8079

Email: HIPAA@tmhcare.com

 

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