Effective Date: January 1, 2020
We are committed to protecting your personal health information in compliance with the Federal law. We may use or disclose your personal health information for these purposes:
For Treatment, Payment, Health Care Operations, Appointment Reminders, Health Related Services and Treatment Alternatives, Fundraising Activities, Individuals Involved in Your Care or Payment for Your Care, Research, Organ and Tissue Donation, As Required By Law, To Avert a Serious Threat to Health or Safety, Military and Veterans, Workers’ Compensation, Public Health Activities, Health Oversight Activities, Lawsuits and Disputes, Law Enforcement, Coroners, Health Examiners and Funeral Directors., National Security and Intelligence Activities. Protective Services for the President and Others, and Inmates.
You have certain rights with respect to your personal health information:
Right to Inspect and Request a Copy, Right to Amend, Right to Receive an Accounting of Disclosures, Right to Request Restrictions, Right to Receive Confidential Communications, Right to a Paper Copy of this Notice.
Changes to this Notice:
We reserve the right to change this notice and to make the changed notice effective for all of the health information that we maintain about you, whether it is information that we previously received about you or information we may receive about you in the future. We will have available a copy of our current notice in our facility. Our notice will indicate the effective date on the first page, in the center of page. We will also give you a copy of our current notice upon request.
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You may file a complaint by mailing us a written description of your complaint or by telling us about your complaint in person or over the telephone:
Sophia Sosa, Deputy Chief Executive Officer
Community Health Centers of the Central Coast, Inc.
2050 Blosser Road
Santa Maria, CA 93458
1 (805) 346-3900
If you would like a full copy of this notice or would like to review it, please ask and we would be more than happy to provide you with the document.