HIPAA NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Company is required by applicable federal and state law to maintain the privacy of your health information, including the Health Insurance Portability and Accountability Act (HIPAA). We are also required to give you this Notice about our privacy practices, our legal duties and your rights concerning your health information. This Notice takes effect as of the most current date of these Terms and Conditions, and will remain in effect until we replace it. We must follow the privacy practices that are described in this Notice while it is in effect. We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request. The law requires that we obtain your signature acknowledging that we have provided you with this information. Your agreement to these Terms and Conditions and continued use of this Website satisfy this signature acknowledgment. You may revoke this agreement in writing at any time. That revocation will be binding with Company unless we have taken action in reliance on it (i.e. if you have not satisfied any financial obligations you have incurred).
Privacy Practices
THE PRIVACY OF YOUR HEALTH INFORMATION IS IMPORTANT TO US. Company understands that information about you and your health is personal; therefore, we are committed to protecting health information about you. We create a record of the care and services that you receive at Company We use this record to provide you with quality care as well as to comply with legal and other requirements. This record is the property of Company, but the information in the record belongs to you. This notice applies to records of your care generated by or at Company, whether made by Company personnel or your personal doctor. It includes information that can be used to identify you and that we have created or received about your past, present, or future health or condition, treatment, and payment for healthcare services.
How We May Use and Disclose Your Protected Health Information
The following categories will describe different ways that we will use and disclose your protected health information. Not every use or disclosure in a category will be listed. However, all of the ways in which we are permitted to use and disclose information will fall within one of these categories.
1. For treatment: We may use and disclose your protected health information to provide, coordinate, or manage your health care and any related services
2. To obtain payment for treatment: We may use and disclose your protected health information to bill and collect payment for the treatment and services provided to you
3. For public health activities: We may use and disclose protected health information for public health activities
4. For health risks: We may disclose protected health information about you for public health risk reporting. For example, we will report information to report the abuse or neglect of children, elders, and adults
5. Health oversight activities: We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws
6. Appointment reminders and health related benefits: We may use protected health information to provide appointment reminders or give you information about treatment alternatives or other health care services or benefits we offer
7. To family, friends and persons involved in your care: Prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures and you have the right to request restrictions to family, friends or any other person identified by you. In the event of your incapacity or emergency circumstances, we will disclose health information based on a determination using our professional judgment disclosing only health information that is directly relevant to the person’s involvement in your health care
8. Law enforcement: We may release protected health information in response to a court order, subpoena, warrant, summons, administrative request, investigative demand, or similar process
9. Required by law: We may release protected health information if we are required by law to do so
Client Rights
HIPAA provides you with several rights with regards to your health information and disclosures of protected health information. These rights include requesting that we amend your record; requesting restrictions on what information from your Clinical Records is disclosed to others; requesting an accounting of most disclosures of protected health information that you have neither consented to nor authorized; determining the location to which protected information disclosures are sent; having any complaints you make about our policies and procedures recorded, and the right to a paper copy of this Agreement. We are happy to discuss any of these rights with you.
QUESTIONS AND COMPLAINTS
If you want more information about our privacy practices or have questions or concerns, please contact us using the information listed at the end of this Notice. If you are concerned that we may have violated your privacy rights under the law, you may submit a complaint to us using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.
We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services. Please contact the following for more information:
Privacy Officer: Elizabeth Pluskalowski
Telephone: 949-391-9550
Address: Thriving Beginnings, Inc.
22231 HAZEL CREST
MISSION VIEJO, CA 92692