NOTICE OF PRIVACY PRACTICES

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 of Privacy Practices (“Notice”) applies to Dr. Peyman Tashkandi, a licensed psychiatrist with a practice in California. We are committed to protecting the privacy of your protected health information (“PHI”) in accordance with federal and state laws, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and the California Confidentiality of Medical Information Act (“CMIA”).

Our Responsibilities

We are required by law to:

  • Maintain the privacy and security of your PHI.

  • Provide you with this Notice of our legal duties and privacy practices with respect to your PHI.

  • Notify you if a breach occurs that may have compromised the privacy or security of your PHI.

  • Abide by the terms of this Notice.

How We May Use and Disclose Your Protected Health Information

We may use and disclose your PHI for the following purposes without your written authorization:

  • Treatment: We may use and disclose your PHI to provide, coordinate, or manage your healthcare and any related services. This includes sharing information with other healthcare providers, such as specialists, who are involved in your care. For example, we may share information about your diagnosis with another physician to whom we refer you for consultation.

  • Payment: We may use and disclose your PHI to bill and collect payment for the services we provide to you. This may include disclosing your information to your health insurance plan, managed care company, or another third party responsible for payment. For example, we may need to provide your insurance company with information about the services you received so they will pay us or reimburse you for the services.

  • Healthcare Operations: We may use and disclose your PHI for our own healthcare operations. These activities include, but are not limited to, quality assessment and improvement activities, case management, and legal services. These uses and disclosures are necessary to run our practice and ensure that all patients receive quality care.

Uses and Disclosures That Require Your Written Authorization

We will not use or disclose your PHI for purposes other than treatment, payment, and healthcare operations without your written authorization. This includes, but is not limited to:

  • Psychotherapy Notes: Most uses and disclosures of psychotherapy notes require your written authorization. Psychotherapy notes are notes taken by a mental health professional during a counseling session. They are not part of your medical record.

  • Marketing and Sale of PHI: We will not use or disclose your PHI for marketing purposes or sell your PHI without your specific written authorization.

  • Specific California Protections: Under California law, we may not disclose your medical information, particularly sensitive information such as mental health records, HIV test results, or drug and alcohol abuse treatment information, without your explicit written authorization unless required by law.

Your Rights Regarding Your Protected Health Information

As a patient, you have the following rights concerning your PHI:

  • Right to Access: You have the right to inspect and receive an electronic or paper copy of your medical record. We will provide you with a copy of your records within five business days of your request, as required by California law. We may charge a reasonable, cost-based fee for this service.

  • Right to Amend: If you believe that the information we have about you is incorrect or incomplete, you have the right to request an amendment to your record. Your request must be made in writing and provide a reason for the amendment. We will respond to your request within 60 days.

  • Right to an Accounting of Disclosures: You have the right to request a list of the times we’ve disclosed your PHI. This list will not include disclosures for treatment, payment, or healthcare operations.

  • Right to Request Restrictions: You have the right to request a restriction on how we use or disclose your PHI for treatment, payment, or healthcare operations. We are not required to agree to your request, but if we do, we will be bound by that agreement.

  • Right to Request Confidential Communications: You have the right to request that we communicate with you about your health matters in a certain way or at a certain location. For example, you can ask us to only contact you at home rather than at work. We will accommodate all reasonable requests.

  • Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice, even if you have agreed to receive it electronically. You may ask for a copy at any time.

Contact Information

If you have any questions about this Notice, or if you would like to exercise any of your rights, please contact:

Privacy Official Dr. Peyman Tashkandi,

435 N Roxbury Dr suite 407, 

Beverly Hills, CA 90210

TEL: (424) 303-8188

info@DrTashkandi.com

 

Complaints

If you believe your privacy rights have been violated, you can file a complaint with our office or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Effective Date: August 12, 2025