NOTICE OF PRIVACY PRACTICES
To our patients. This notice describes how health information about you as a patient of the practice, may be used and disclosed, and how you can get access to your health information. This is required by the Privacy Regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Our commitment to your privacy.
Our center is dedicated to maintaining the privacy of your health information. CAPS Pregnancy Clinics (CAPS) is required by law to maintain the confidentiality of your health information. CAPS realizes that these laws are complicated, but we must provide you with the following important information:
Use and disclosure of your health information in certain special circumstances:
The following circumstances may require us to use or disclose your health information:
- Treatment: to provide, coordinate or manage your health care and related services, CAPS may consult with other health care providers, regarding your treatment to coordinate and manage your health care with others. CAPS may use or disclose protected health information about your treatment activities of another health care provider.
- Health Care Operations: CAPS may use or disclose protected health information to allow us to improve the quality of care CAPS provides and to reduce health care costs, which may include training programs for our staff.
- Cooperating with outside legal entities which may include reporting of information that is mandated by law.
- To public health authorities and 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.
- To appropriate agencies or authorities when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public.
- When information is necessary to be shared amongst staff involved in your care.
- To the extent required by California State Law, we will make a report to the proper authorities in the instance of suspected abuse or threat of harm.
- When there is reasonable suspicion of partner violence or child abuse.
- If you are a member of U.S. or foreign military forces (including veterans) and if required by the appropriate authorities.
- When there is a threat against the clinic.
- To federal officials for intelligence and national security activities authorized by law.
- To correctional institutions or law enforcement officials if 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:
Communications. You can request that CAPS communicate with you about your health and related issues in a particular manner or at a certain location. For instance, you may ask that CAPS restrict our disclosure of your health information to only certain individuals involved in your care or the payment for your care, such as family members and friends. CAPS is not required to agree to your request; however, if we do agree, we are bound by our agreement except when otherwise 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 may be used to make decisions about you, including patient medical records and billing records, but not including psychotherapy notes. You must submit your request in writing to our Privacy Official.
You may ask us to amend your health information if 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 our Privacy Official. You must provide us with a reason that supports your request for the amendment.
Right to a copy of this notice. You are entitled to receive a copy of the Notice of Privacy Practices. You may ask us to give you a copy of the Notice at any time. To obtain a copy of the Notice, contact our Privacy Official.
Right to file a complaint. If you believe your privacy rights have been violated, you may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. To file a complaint with our practice, contact our Privacy Official. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Right to provide an authorization for other uses and disclosures. Our practice will obtain your written authorization for uses and disclosers that are not identified by this notice or permitted by applicable law.
In accordance with the standards of implementation specifications of 45 C.F.R. §164.524, Provider may grant an individual access to inspect and obtain a copy of protected health information about the individual in a designated record set.
- The designated record set that is subject to access by an individual is as follows:
- The titles of the persons or offices responsible for receiving and processing requests for access by individuals are as follows:
Privacy Officials: Patient Services Manager and Staff
CAPS reserves the right to deny service or any portion of our services to anyone for any reason.
CAPS may contact you to obtain your permission to use your protected health information for the following reason: marketing, internal referral board, sending newsletters or information unrelated to health care and other marketing materials. We will contact you first to get your permission for any of these purposes.
If you have any questions regarding this Notice of our health information privacy policies, please ask to speak with the Privacy Official.
You can reach the Privacy Official at:
CAPS Pregnancy Clinics
PO Box 15115
San Diego, CA 92175
A message may be left for our Privacy Official at any time the clinic is open and your call will be returned within 7 business days.