Mind Balance Psychiatry (William Gillespie & Associates Inc.)
Effective Date: April 2026
Our Commitment to Your Privacy
Mind Balance Psychiatry is committed to protecting the privacy and confidentiality of your Protected Health Information (PHI). This Notice describes how your medical information may be used and disclosed and how you can access this information.
How We May Use and Disclose Your PHI
We may use and disclose your PHI for the following purposes:
- Treatment: To provide, coordinate, and manage your healthcare and related services.
- Payment: To obtain payment for services provided, including billing and insurance processing.
- Healthcare Operations: To support business activities such as quality assessment, staff training, and administrative functions.
- Legal Requirements: When required by federal, state, or local law.
- Public Health & Safety: To prevent or lessen a serious threat to health or safety.
Your Rights Regarding Your PHI
You have the right to:
- Access and obtain a copy of your medical records
- Request amendments to your records if you believe they are incorrect
- Request restrictions on certain uses or disclosures
- Request confidential communications (for example, alternative contact methods)
- Receive an accounting of disclosures of your PHI
- Receive a copy of this Notice
To exercise these rights, please contact us using the information below.
Our Legal Duties
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
- Notify you following a breach of unsecured PHI, when required
- Abide by the terms of this Notice currently in effect
Complaints
If you believe your privacy rights have been violated, you may file a complaint with Mind Balance Psychiatry or with the U.S. Department of Health and Human Services.
To file a complaint with us, please contact:
Mind Balance Psychiatry
2118 Wilshire Blvd
Santa Monica, CA 90403
Email: care@hellomindbalance.com
Phone (Calls): (626) 914-1980
Phone (Text): (714) 584-0442
You will not be penalized for filing a complaint.
Changes to This Notice
We reserve the right to update this Notice at any time. Any changes will be posted on our website with an updated effective date.
