THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.
Your health record contains personal information about you and your health. State and federal law protects the confidentiality of this information. “Protected health information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future physical or mental health condition and related health care services. The confidentiality of alcohol and drug abuse patient records is specifically protected by Federal law and regulations. Laguna Shores Recovery is required to comply with these additional restrictions. This includes a prohibition, with very few exceptions, on informing anyone outside the program that you attend the program or disclosing any information that identifies you as an alcohol or drug abuser. The violation of Federal laws or regulations by this program is a crime. If you suspect a violation you may file a report to the appropriate authorities in accordance with Federal regulations.
How We May Use and Disclose Health Information About You
- For Treatment. We may use medical and clinical information about you to provide you with treatment or services.
- For Payment. With your authorization, we may use and disclose medical information about you so that we can receive payment for the treatment services provided to you.
- For Health Care Operations.We may use and disclose your protected health information (“PHI”) for certain purposes in connection with the operation of our program.
- Without Authorization. Applicable law also permits us to disclose information about you without your authorization in a limited number of other situations, such as with a court order. These situations are explained on the following pages.
- With Authorization. We must obtain written authorization from you for other uses and disclosure of your PHI.
Your Rights Regarding Your PHI. You have the following rights regarding PHI we maintain about you:
- Rights of Access to Inspect and Copy. You have the right, which may be restricted in certain circumstances, to inspect and copy PHI that may be used to make decisions about your care. We may charge a reasonable, cost-based fee for copies.
- Right to Amend. If you feel that the PHI we have about you is incorrect or incomplete, you may ask us to amend the information although we are not required to agree to the amendment.
- Right to an Accounting of Disclosures. You have the right to request an accounting of the disclosures that we make of your PHI.
- Right to Request Restrictions. You have the right to request a restriction or limitation on the use of your PHI for treatment, payment, or health care operations. We are not required to agree to your request.
- Right to Request Confidential Communication. You have the right to request that we communicate with you about medical matters in a certain way or at a certain locations.
- Right to a copy of this Notice. You have a right to a copy of this notice
You have the right to file a complaint in writing to us or the Secretary of Health and Human Service if you believe we have violated your privacy rights. We will not retaliate against you for filing a complaint.
If you have any questions about this Notice of Privacy Practices, please contact our Privacy Officer:
John Hunter, Program Administrator
This Notice of Privacy Practices describes how we may use and disclose your protected health information (“PHI”) in accordance with all applicable law. It also describes your rights regarding how you may gain access to and control your PHI. We are required by law to maintain the privacy of PHI and to provide you with notice of Privacy Practices. We reserve the right to change the terms of our Notice of Privacy Practices at any time. Any new Notice of Privacy Practices will be effective for all PHI that we maintain at that time. We will make available a revised Notice of Privacy Practices by posting a copy on this website www.lagunashoresrecovery.com, sending a copy to you in the mail upon request, or providing one to you at your next appointment.
How We May Use and Disclose Health Information About You
Listed below are examples of the uses and disclosures that Laguna Shores Recovery may make of your protected health information. These examples are not meant to be exhaustive. Rather, they describe types of uses and disclosures that may be made.
Uses and Disclosures of PHI for Treatment, Payment and Health Care Operations
Treatment. Your PHI may be used and disclosed by your physician, counselor, program staff and others outside of our program that are involved in your care for the purpose of providing, coordinating, or managing your health care treatment and any related services. This includes coordination or management of your health care with a third party, consultation with other health care providers or referral to another provider for health care treatment. For example, your protected health information may be provided to the state agency that referred you to our program to ensure that you are participating in treatment. In addition, we may disclose your protected health information from time-to-time to another physician or health care provider (e.g. a specialist or laboratory) who, at the request of the program, becomes involved in your care.
Payment. We will not use your PHI to obtain payment for your health care services without your written authorization. Examples of payment-related activities are: making a determination of eligibility or coverage for insurance benefits, processing claims with your insurance company, reviewing services provided to you to determine medical necessity, or undertaking utilization review activities.
Healthcare Operations. We may use or disclose, as needed, your PHI in order to support the business activities of our program including, but not limited to, quality assessment activities, employee review activities, training of students, licensing, and conducting or arranging for other business activities. For example, we may use a sign-in sheet at the registration desk where you will be asked to sign your name and indicate your physician or counselor. We may also call you by name in the waiting room when it is time to be seen. We may share your PHI with third parties that perform various business activities (e.g. billing or typing services) for Laguna Shores Recovery, provided we have a written contract with the business that prohibits it from re-disclosing your PHI and requires it to safeguard the privacy of your PHI.
We may contact you to remind you of your appointments or to provide information to you about treatment alternatives or other health-related benefits and services that may be of interest to you.
Other Uses and Disclosures That Do Not Require Your Authorization
Required by Law. We may use or disclose your PHI to the extent that the use or disclosure is required by law, made in compliance with the law, and limited to the relevant requirements of the law. You will be notified, as required by law, of any such uses or disclosures. Under the law, we must make disclosures of your PHI to you upon your request. In addition, we must make disclosures to the Secretary of the Department of Health and Human Services for the purpose of investigating or determining our compliance with the requirements of the Privacy Rule.
Health Oversight. We may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections. Oversight agencies seeking this information include government agencies and organizations that provide financial assistance to the program (such as third-party payors) and peer review organizations performing utilization and quality control. If we disclose PHI to a health oversight agency, we will have an agreement in place that requires the agency to safeguard the privacy of your information.
Medical Emergencies. We may use or disclose your protected health information in a medical emergency situation to medical personnel only. Our staff will try to provide you a copy of this notice as soon as reasonably practicable after the resolution of the emergency.
Child Abuse or Neglect. We may disclose your PHI to a state or local agency that is authorized by law to receive reports of child abuse or neglect. However, the information we disclose is limited to only that information which is necessary to make the initial mandated report.
Deceased Patients. We may disclose PHI regarding deceased patients for the purpose of determining the cause of death, in connection with laws requiring the collection of death or other vital statistics, or permitting inquiry into the cause of death.
Research. We may disclose PHI to researchers if (a) an Institutional Review Board reviews and approves the research and waiver to the authorization requirement; (b) the researchers establish protocols to ensure the privacy of your PHI; (c) the researchers agree to maintain the security of your PHI in accordance with applicable laws and regulations; and (d) the researchers agree not to redisclose your PHI except back to Laguna Shores Recovery.
Criminal Activity on Program Premises/Against Program Personnel. We may disclose your PHI to law enforcement officials if you have committed a crime on program premises or against program personnel.
Court Order. We may disclose your PHI if the court issues an appropriate order and follows required procedures.
Uses and Disclosures of PHI with Your Written Authorization
Other uses and disclosures of your PHI will be made only with your written authorization. You may revoke this authorization at any time unless the program, or its staff, has taken action in reliance on the authorization of the use or disclosure you permitted.
Rights Regarding Your Protected Health Information
Your rights with respect to your protected health information are explained below. Any request with respect these rights must be in writing. A brief description of how you may exercise these rights is included.
You have the right to inspect and copy your Protected Health Information
You may inspect and obtain a copy of your PHI that is contained in a designated record set for as long as we maintain the record. A “designated record set” contains medical and billing records and any other records that the program uses for making decisions about you. Your request must be in writing. We may charge you a reasonable cost-based fee for the copies. We can deny you access to your PHI in certain circumstances. In some of those cases, you will have a right to appeal the denial of access. Please contact our Privacy Officer if you have questions about access to your medical record.
You may have the right to amend your Protected Health Information
You may request, in writing, that we amend your PHI that has been included in a designated record. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us. We may prepare a rebuttal to your statement and will provide you with a copy of it. Please contact Laguna Shores Recovery’s Privacy Officer if you have questions about amending your medical records.
You have the right to receive an accounting of some types of Protected Health Information disclosures
You may request an accounting of disclosures for a period of up to six years, excluding disclosures made to you, made for treatment purposes or made as a result of your authorization. We may charge you a reasonable fee if you request more than one accounting in any 12 month period. Please contact our Privacy Officer if you have questions about accounting of disclosures.
- You have the right to receive a paper copy of this notice
- You have the right to obtain a copy of this notice from us. Any questions should be directed to our Privacy Officer.
- You have the right to request added restrictions on disclosures and uses of your Protected Health Information
- You have the right to ask us not to use or disclose any part of your PHI for treatment, payment or healthcare operations or to family members involved in your care. Your request for restrictions must be in writing and we are not required to agree to such restrictions.
Please contact our Privacy Officer if you would like to request restrictions on the disclosure of your PHI.
You have a right to request confidential communications
You have the right to request confidential communications from us by alternative means or at an alternative location. We will accommodate reasonable, written requests. We may also condition this accommodation by asking you for information regarding how payment will be handled or specification of an alternative address or other method of contact. We will not ask you why you are making the request. Please contact the Privacy Officer if you would like to make this request.
If you believe we have violated your privacy rights, you may file a complaint in writing to us by notifying our Privacy Officer, John Hunter by phone 949-500-7286 or by e-mail at firstname.lastname@example.org. We will not retaliate against you filing a complaint. You must also file a complaint with the U.S. Secretary of Health and Human Services:
200 Independence Avenue, S.W.
Washington, D.C. 20201
Personal information is collected when it is provided to us, which includes any information provided to us to find a treatment facility, or when you contact us for anything. Your email address, telephone number, mailing address, and name are all examples of pieces of information we might collect.
We may also collect nonpersonal information when you visit the website. For example, we may collect your Internet Protocol (IP) address, the date and time this site is visited, the operating system, the specific web pages that are visited, the browser type, and the domain name you used to access the Website. We may also collect information regarding the date and time you visit the Website, the areas or pages of the Website you visit, the amount of time you spend looking at or viewing the Website, the number of times you return to the Website, other clickstream behavior, along with browsing behavior. Other nonpersonal information may be used for research, statistical analysis, and other purposes.
- Personalize and/or enhance Website usage
- Monitor Site usage
- Manage the Website
- Improve our offered services and our Website
You can manually delete individual cookies or all of the cookies on your computer with the help of your browser’s help file directions. You can also set your browser to reject cookies outright. Just know, that if your browser is set to reject cookies, or you manually delete cookies, there could be trouble accessing and using some of the features and pages now and in the future.
Web beacons may also be used on the Website, emails, and in our advertisements on other websites. Web beacons are small graphic images that help us collect information about your site visit. This might include the pages you visited and any of the features you might have used, along with any information about whether you opened and/or acted upon any of our advertisements or emails. We may also collect the URL that you visited immediately before arriving at our Website. These web beacons help us to analyze and understand our Website visitors. The effectiveness of the website, our advertising, and any visitor behaviors are measured. We may also work with service providers. They may help us collect, analyze, and track this and other information regarding site usage.
We may also combine other information we have collected from the nonpersonal information we collect, such as through web beacons or cookies.
Use of Information
Any of the information we collect from and about you may be used in any of the following ways:
- To provide you with different treatment centers
- To respond to any inquiries you may have
- To improve the content quality available on any of our Sites
- To review operations and usage of our Website
- To address any problems with the Website, our services, or our business
- To protect the security or integrity of our business and the Website
- To reach out and contact you with any Website updates, newsletters, and other promotional or informational materials from us and third-party marketing offers from other trusted companies and our trusted partners.
If you are not interested in receiving communications from us about promotions and special offers, you are able to opt-out of these communications by contacting us here: (NEED UNSUBSCRIBE LINK TO MAILCHIMP) . You can also follow the instructions in any messages you receive from us.
Disclosure of Information
We may disclose information about you and collected from you as follows:
- To select organizations and companies so that they may use it for their own promotional and marketing purposes.
- To any related companies and service providers, to perform a business, professional, or technical support function.
- To respond to any legal processes (such as subpoena, court order, or search warrant) and also provide information to law enforcement agencies or information in connection with investigations into matters related to public safety, as permitted by law, or otherwise when required by law.
- If our company, or any of its substantial assets are acquired, any personal information may be transferred as an asset. We may additionally disclose personal information with your express consent for purposes not listed here. We may also share aggregate, nonpersonally identifiable information about users of our Websites with third parties.
Laguna Shores Behavioral Health LLC. only seeks to share personally-identifying information with companies that follow privacy policies that are appropriate. It is not responsible for the actions and policies of these third parties. You may opt out if you prefer us not to share your information with these third parties.
You should be aware that any piece of information posted on a forum, comment space, chat room, or bulletin board, or that you otherwise specifically and knowingly disclose when attending the Website, may be collected directly and used by third parties. You may be subject to unsolicited emails as a result of disclosing any information. There should be no expectation of privacy with respect to any communications in any forums or your profile should you provide this information.
We aim to maintain appropriate and reasonable measures that are designed to maintain any information we collect in a secure manner. We have taken certain electronic, administrative, and physical steps to safeguard and also secure any information we collect from visitors to the Website. No security system is perfect, and we cannot promise, or should you expect, that any information will be secure in all circumstances. But we will follow reasonable procedures to try to protect any information we collect.
Laguna Shores Behavioral Health LLC. will use means that are reasonable to protect the privacy of the information you send us by email. Laguna Shores Behavioral Health LLC. will not be liable in the event that you or anyone else uses your email inappropriately. Laguna Shores Behavioral Health LLC. cannot guarantee that all email communications will be confidential due to the risks outlined below.
Internet Based Advertising
Laguna Shores Behavioral Health LLC. may partner with other ad networks and other ad serving providers (“Advertising Providers”) who may serve ads on behalf of us and others on sites that aren’t affiliated with ours. Some of these ads may be personalized, which means they are intended to be relevant to you. This is based on information that Advertising Providers collect about your visits to our Site and other sites over time.
The site www.aboutads.info has information regarding this type of advertising. It provides information on how to opt-out of this form of advertising by companies that participate in the Digital Advertising Alliance (“DAA”) self-regulatory program.
Note: Electing to opt-out will not stop advertising from appearing in any applications or your browser. Ads may be less relevant to your interests. Also note, that if you use a different browser to erase cookies from your browser, you may need to renew your opt-out choice.
We do not direct the Website to, nor do we knowingly collect any personal information from, children younger than the age of thirteen.
Your California Privacy Rights
California law grants customers who are California residents to request information regarding the disclosure of personal information to third parties for direct marketing purposes. Please contact us at the address email@example.com to make such a request.
Third Party Websites