HIPAA Notice of Privacy Practices

Your Information. Your Rights. Our Responsibilities.

Pasadena Clinical Group is committed to protecting your privacy and personal information in compliance with federal healthcare regulations (Health Insurance Portability and Accountability Act - HIPAA, and Health Information Technology for Economic and Clinical Health Act - HITECH). This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

In performing its services, Pasadena Clinical Group will receive, create, and disclose your protected health information ('PHI'). Pasadena Clinical Group is required by law to maintain the privacy and security of your PHI and to provide you with notice of our legal duties and privacy practices with respect to your PHI.

YOUR RIGHTS

When it comes to your health information, you have certain rights.

YOUR CHOICES

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

OUR USES AND DISCLOSURES

How do we typically use or share your health information?

OUR RESPONSIBILITIES

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Contact Information

This Notice of Privacy Practices applies to Pasadena Clinical Group.

Pasadena Clinical Group
301 N. Lake Ave, STE 600, Pasadena, CA, 91101
Phone: (626) 354-6440
Fax: (323) 801-8264
Email: legal@pasadenaclinicalgroup.com