Effective Date: June 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.
Mind & Metabolism LLC is a mental and metabolic health practice located in Washington State. Our lead provider is Elizabeth Calfos, DNP, PMHNP-BC. We are a covered entity under HIPAA and are committed to protecting your health information.
Protected Health Information (PHI) includes any information we create or receive about your health, the care we provide to you, or payment for that care that can be used to identify you. This includes your medical history, diagnoses, treatment records, and billing information.
We may use and share your health information with other healthcare providers involved in your care. For example, if we refer you to a specialist or coordinate care with your primary care physician, we may share relevant information to support that care.
We may use and share your health information to bill your insurance company or other payers for the services we provide. This may include sharing information about your diagnosis, treatment, and services rendered.
We may use your information for internal operations such as quality improvement, staff training, compliance activities, and business management. We may also use de-identified information for research or quality reporting.
We will share your information when required to do so by federal, state, or local law, including reporting to public health authorities, responding to legal proceedings, or cooperating with law enforcement as permitted by law.
We may share your information to prevent or control disease, report abuse or neglect as required by law, or when necessary to prevent a serious and imminent threat to your health or safety or the health or safety of others.
Other than the uses described above, we will not use or share your health information without your written authorization. This includes:
You may revoke your authorization at any time in writing, except where we have already acted in reliance on it.
You have the right to request a copy of your health information. We may charge a reasonable fee for copying and mailing. To request access, contact us in writing at the address below.
If you believe your health information is incorrect or incomplete, you may request that we correct it. We may deny your request in certain circumstances, but we will explain why in writing.
You have the right to request a list of certain disclosures we have made of your health information in the past six years.
You may request that we limit how we use or share your information. We are not required to agree to your request, but if we do, we will honor it unless it would affect emergency treatment.
You may request that we contact you in a specific way (such as by phone only, or at a specific address). We will accommodate reasonable requests.
You have the right to receive a paper copy of this notice at any time, even if you agreed to receive it electronically.
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized for filing a complaint.
We reserve the right to change this notice and to make the revised notice effective for health information we already have as well as any information we receive in the future. We will post the current notice on our website and make copies available at our practice.
For questions about this notice or to exercise any of your rights, please contact us: