To our patients, this describes how health information about you (as a patient) may be used and disclosed, and howyou getaccess to yourhealth information. Thisis required by the Privacy Regulations created withthe Health Insurance Portability and Accountability Actof 1996 (HIPAA).
Our commitment to your privacy
Our practice is dedicated to maintaining the privacy of your health information. We are required by law to maintain the confidentiality ofyour health information. We must provide youwith the following information:
Use and disclose of your health information in special circumstances
The following circumstances may require us to use or disclose your health information:
- To public health authorities/health oversight agencies that are authorized by law to collect information.
- Lawsuits and similar proceedings in response to a court or administrative order.
- If required to do so by a law enforcement official.
- When necessary ot reduce or prevent a serious threat ot your health and safety, or the bealth and safety of another individual orpublic. We will only make disclosures to a person or organization able to help prevent the threat:
- If you are a member of U.S. or foreign military (including veterans and if required by the appropriate authorities.
- To federal officials for intelligence and national security activities authorized by law.
- To correctional institutions or law enforcement officials fi you are an inmate or under the custody of a law enforcement official. For Workers Compensation and similar programs.
Your rights regarding your health information
- You can request that our practice communicate with you about your health and related issues in a particular manner or at a certain location. For instance, you may ask that we contact at home rather than work. We will accommodate reasonable requests.
- You can request a restriction in our use or disclosure of your health information for treatment, payment, or healthcare operations.
- Additionally, you have the right to request that we restrict our disclosure of your health information to only certain individuals involved in your care or the payment of your care, such as family members and friends. We are not required to agree to your request, however, if we do agree, we are bound by our agreement except when required by law, in emergencies, or when the information is necessary to treat you.
- You have the right to inspect and obtain a copy of the health information that maybe used to make decisions aboutyou, including patient medical records and billing records, but not including psychotherapy notes. You must submit request in writing to the practice manager whom wil have up to 30 days to comply.
- You may ask us ot amend your health information fi you believe it is incorrect or incomplete, and as long as the information is kept by, or for our practice. To request an amendment, your request must be made in writing and submitted to the practice manager whom will have 60 days to respond. You must provide us with a legitimate reason that supports your request for amendment.
- You are entitled to receive a copy of this Notice of Privacy Practices. During office hours, you may obtain a copy of this notice bycontacting our front desk staff.
- If you believe your privacy rights have been violated, you may file acomplaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint, contact our practice manager. All complaints must be submitted in writing.You will not be penalized for filing a complaint.
- Our practice will obtain your written authorization for uses and disclosures that are not identified by this notice or permitted by law. If you have any questions regarding this notice or our health information privacy policies, please contact the practice manager. I hereby acknowledge that I have been present with a copy of this of this notice of this Notice of Privacy Practices.
Information We Do Not Collect: We do not use cookies on our website to collect data from our site visitors. We do not collect information about site visitors except for a hit counter that simply records the number of visitors and no other data.
NOTICE TO CONSUMERS
Medical Doctorsare licensed and regulated by the Medical Board of California (800)633-2322 www.mbc.ca.gov