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Notice of Privacy Practices

Effective Date: 07/28/2026

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.

This notice applies to Diamond Edge TMS, 7700 NE Parkway Drive, Suite 210, Vancouver, WA 98662, and to all clinicians and staff who provide care through our practice.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your medical record. You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record. You can ask us to correct health information you think is incorrect or incomplete. We may say no, but we will tell you why in writing within 60 days.

Request confidential communications. You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address. We will accommodate all reasonable requests.

Ask us to limit what we use or share. You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree, and we may say no if it would affect your care. If you pay for a service or item entirely out of pocket, you can ask us not to share that information with your health insurer for purposes of payment or our operations, and we will agree unless a law requires us to share it.

Get a list of those with whom we have shared information. You can ask for a list (accounting) of the times we have shared your health information for six years prior to the date you ask, who we shared it with, and why. We will include all disclosures except those about treatment, payment, health care operations, and certain other disclosures such as ones you asked us to make. One accounting per year is free; we may charge a reasonable, cost-based fee for another within 12 months.

Get a copy of this privacy notice. You can ask for a paper copy of this notice at any time, even if you agreed to receive it electronically. We will provide a paper copy promptly.

Choose someone to act for you. If you have given someone medical power of attorney, or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will confirm the person has this authority before taking any action.

File a complaint if you feel your rights are violated. 

  • You can complain to us directly by contacting our Privacy Officer using the information at the end of this notice.
  • You can file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, by sending a letter to 200 Independence Avenue SW, Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
  • We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in your care;
  • Share information in a disaster relief situation.

If you are not able to tell us your preference — for example, if you are unconscious — we may share your information if we believe it is in your best interest, or when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written authorization: 

  • Marketing purposes;
  • Sale of your information;
  • Most sharing of psychotherapy notes. As a psychiatric practice, we may keep psychotherapy notes; these receive special protection and, with narrow exceptions, are not disclosed without your written authorization.

We do not conduct fundraising.

Our Uses and Disclosures

We typically use or share your health information in the following ways.

To treat you. We can use your health information and share it with other professionals who are treating you. Example: your primary care provider asks about your response to TMS therapy so they can coordinate your medications.

To run our practice. We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: we use health information about you to schedule and manage your treatment course.

To bill for your services. We can use and share your health information to bill and get payment from health plans or other entities. Example: we give information about you to your insurance plan, such as TRICARE, so it will pay for your services.

We are allowed or required to share your information in other ways — usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes, including, where applicable, Washington State's Uniform Health Care Information Act (RCW 70.02), which provides additional protections for mental health information. These purposes include:

  • Helping with public health and safety issues (preventing disease; reporting adverse reactions to medications; reporting suspected abuse, neglect, or domestic violence; preventing or reducing a serious threat to anyone's health or safety);
  • Doing research, subject to legal safeguards;
  • Complying with the law, including making information available to the Department of Health and Human Services if it wants to see that we are complying with federal privacy law;
  • Working with a medical examiner or funeral director;
  • Addressing workers' compensation, law enforcement, and other government requests, including health oversight agencies and certain government functions;
  • Responding to lawsuits and legal actions, in response to a court or administrative order, or in some cases in response to a subpoena.

Substance Use Disorder Records (42 C.F.R. Part 2)

If we receive records from a program subject to the federal substance use disorder confidentiality rules at 42 C.F.R. Part 2, those records receive heightened protection. In particular, Part 2 records (and testimony relaying their content) may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless you provide specific written consent or a court issues an order after making the findings the law requires. You have the right to file a complaint about a violation of Part 2 with the Secretary of Health and Human Services, and we will not retaliate against you for doing so.

Our Responsibilities

  • We are required by law to maintain the privacy and security of your protected health information.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this notice and give you a copy of it.
  • We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time by letting us know in writing.

For more information, see www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website at www.diamondedgetms.com.

Contact / Privacy Officer

Privacy Officer: Jerald Block, MD

Diamond Edge TMS

7700 NE Parkway Drive, Suite 210, Vancouver, WA 98662

Phone: (360) 838-3654

Email: Admin@DiamondEdgeTMS.com