Notice of Privacy Practices
Effective Date: January 1st, 2026
This Notice of Privacy Practices 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 Responsibilities
Modern Mind & Wellness is required by law to maintain the privacy of your Protected Health Information (PHI), provide you with this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.
Uses and Disclosures of Protected Health Information
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your care. This may include sharing information with other healthcare providers involved in your treatment.
For Payment
We may use and disclose your health information to obtain payment for services provided. This may include billing insurance companies, verifying coverage, or determining eligibility.
For Health Care Operations
We may use and disclose your health information for practice operations, including quality assessment, training, licensing, accreditation, and administrative activities necessary to operate our clinic.
Other Permitted Uses and Disclosures
We may use or disclose your information as permitted or required by law, including for:
- Public health and safety activities
- Health oversight activities
- Law enforcement or legal proceedings
- To prevent a serious threat to health or safety
- Workers’ compensation claims
Uses Requiring Authorization
Any uses or disclosures of your PHI not described in this Notice will be made only with your written authorization. You may revoke an authorization at any time in writing, except to the extent that action has already been taken.
Your Rights Regarding Your Health Information
- Right to Inspect and Copy: You may request access to your medical records, subject to certain limitations.
- Right to Amend: You may request corrections to your health information if you believe it is incorrect or incomplete.
- Right to an Accounting of Disclosures: You may request a list of certain disclosures of your PHI.
- Right to Request Restrictions: You may request restrictions on how your information is used or disclosed. We are not required to agree to all requests.
- Right to Request Confidential Communications: You may request that we communicate with you in a specific way or location.
- Right to a Paper Copy: You have the right to receive a paper copy of this Notice upon request.
Electronic Communications
We may communicate with you via phone, text message, email, or secure electronic platforms for scheduling, reminders, care coordination, and administrative purposes. While we take reasonable steps to protect your information, electronic communications may carry some risk.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Modern Mind & Wellness or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.
Changes to This Notice
We reserve the right to change this Notice of Privacy Practices at any time. Any changes will apply to all Protected Health Information we maintain. The updated Notice will be posted on our website and available upon request.
Contact Information
If you have questions about this Notice or wish to exercise your privacy rights, please contact:
Modern Mind & Wellness
13401 Bel-Red Road
Suite A8
Bellevue, Washington
Phone: 425-300-9555