Dr. Tammy Kussman
783 Old Hickory Blvd, Suite 305
Brentwood, TN 37027
(615) 346-3007
Updated: September 22, 2026
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical and health information about you may be used and disclosed, how you can obtain access to this information, and your rights regarding your health information. Please review it carefully.
Your Rights
When it comes to your health information, you have certain rights. You may:
- Request an electronic or paper copy of your medical record and other health information we maintain about you.
- Ask us to correct health information that you believe is incorrect or incomplete.
- Ask us to contact you in a specific way or at a different address.
- Ask us to limit certain uses or disclosures of your health information.
- Request an accounting of certain disclosures of your health information.
- Request a paper copy of this Notice of Privacy Practices at any time.
- Designate an authorized individual to act on your behalf when legally permitted.
- File a complaint if you believe your privacy rights have been violated.
We will not retaliate against you for filing a privacy complaint.
Your Choices
In certain circumstances, you may tell us how you would like your health information shared. This can include sharing information with family members, close friends, or others involved in your care or payment for your care.
Certain uses and disclosures of your information, including uses for marketing purposes, the sale of protected health information, and most disclosures of psychotherapy notes when applicable, require your written authorization unless otherwise permitted by law.
How We May Use and Share Your Health Information
We may use or disclose your health information as permitted or required by law, including for purposes such as:
Treatment
We may use your health information and share it with other healthcare professionals involved in your treatment.
Payment
We may use and disclose your health information to bill for services and obtain payment from you, an insurance plan, or another responsible party.
Healthcare Operations
We may use and disclose health information as necessary to operate the practice, coordinate care, improve our services, and conduct appropriate administrative activities.
We may also use or disclose information when permitted or required for purposes such as:
- Public health and safety activities
- Health oversight activities
- Compliance with federal or state law
- Workers’ compensation matters
- Certain law-enforcement or governmental requests
- Responding to court or administrative orders and other legal proceedings
- Research when legally permitted
- Organ and tissue donation requests
- Working with coroners, medical examiners, or funeral directors as permitted by law
- Preventing or reducing a serious threat to health or safety
Additional restrictions may apply to certain specially protected health information under federal or state law.
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information.
We will notify you as required by law 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 the Notice of Privacy Practices currently in effect.
Except as otherwise permitted or required by law, we will not use or disclose your information for purposes outside those described in this notice without your written authorization. If you provide written authorization, you may revoke that authorization in writing, subject to applicable law.
Changes to This Notice
We reserve the right to change the terms of this Notice of Privacy Practices as permitted by law. Changes may apply to health information we already maintain as well as information we receive in the future.
The current Notice of Privacy Practices will be available upon request, at our office, and on our website.
Questions or Complaints
If you have questions about this notice, would like additional information about our privacy practices, or believe your privacy rights have been violated, please contact:
Privacy Officer Contact: Jeanne Morgan
Phone: (615) 346-3007
Email: jeanne@drkussman.com
Address: 783 Old Hickory Blvd, Suite 305, Brentwood, TN 37027
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Filing a complaint will not affect your care, and we will not retaliate against you for exercising your privacy rights.