Notice of Privacy Practices

In Compliance with HIPAA (Health Insurance Portability Act of 1996)

This notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review it carefully.

The Health Insurance Portability & Accountability Act of 1966 ("HIPAA") is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form (electronically, on paper, or orally) are kept properly confidential. This Act gives you, the patient, significant new rights to understand and control how your health information is used. "HIPAA" provides penalties for covered entities that misuse personal health information.

As required by "HIPAA" we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.

We may use and disclose your medical records only for the following purposes:

1. Treatment by providing, coordinating, or managing health care and related services by one or more health care providers.
2. Payment by obtaining reimbursement for services, confirming coverage, billing or collection activities, and utilization review.
3. Health care operations including the business aspects of running our practice, such as conducting quality assessment and improvement activities, auditing functions, cost management analysis, and customer service.

We may also create and distribute de-identified health information by removing all references to individually identifiable information.

We may contact you to provide appointment reminders or information about treatment alternatives or other health related benefits and services that may be of interest to you.

Any other uses and disclosures will be made only with your written authorization. You make revoke this authorization and we are required to honor and abide by that request, except to the extent that we have already taken actions relying on your authorization.

You have the following rights with the respect to your protected health information (PHI), which you can exercise by presenting a written request to the Privacy Officer:

1. The right to request restrictions on certain uses and disclosures of PHI, including those related to disclosures to family members, other relatives, or any other person identified by you. We are, however, not required to agree to a requested restriction. If we do agree to a restriction, we must abide by it unless you agree in writing to remove it.
2. The right to reasonable requests to receive communications of PHI from us through alternative means or locations.
3. The right to inspect, copy, and amend your PHI.
4. The right to receive an accounting of disclosures of PHI.
5. The right to obtain a paper of this notice from us upon request.

We are required by law to maintain the privacy of your PHI and to provide you with notice of our legal duties and privacy practices with the respect to PHI.

We reserve the right to change the terms of our Notice of Privacy Practices and to make the new notice provisions effective for all PHI that we maintain. You may request a written copy of a revised Notice of Privacy Practices from this office.

If a patient has a concern about our privacy practices and wishes to contact the Department of Health and Human Services, they can be reached at 1-877-696-6775. Please know that there shall be no recourse for you in doing so. We will not retaliate against you for filing a complaint.

2023 W. Vista Way Ste F
Vista, CA 92083