You have rights regarding your health information under both federal and California law. This section explains your rights and some of our responsibilities to help you.

1. Heading

   You have the right to inspect and request copies of your medical information. We may charge a reasonable fee to cover the cost of copying, mailing, or electronic transmission.

2. Right to Amend Your Records

   You can request an amendment to your medical records if you believe the information is incorrect or incomplete. We may decline the request, but we will provide you with a written explanation.

3. Right to an Accounting of Disclosures

   You can ask for a list of disclosures we have made of your medical information, excluding disclosures for treatment, payment, and healthcare operations, or as required by law.

4. Right to Request Restrictions on Uses and Disclosures

   You may request that we limit the use or sharing of your health information for treatment, payment, or healthcare operations. While we are not required to agree to every restriction, we will comply with your request if it is reasonable and does not affect your care. In California, you have a right to restrict disclosures to health plans if you have paid for the services out of pocket.

5. Right to Confidential Communications

   You may request that we contact you using a specific method (such as email or mail) or send mail to a different address. We will accommodate reasonable requests.

6. Right to Receive a Paper Copy of This Notice

   You can request a paper copy of this notice at any time, even if you have agreed to receive the notice electronically.

7. Right to File a Complaint

   If you believe your privacy rights have been violated, you can file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be retaliated against for filing a complaint.
   California residents can also file complaints with the California Department of Public Health.

You have the right to make choices about certain uses and disclosures of your health information.

• In cases of sharing with family and friends: We may share your health information with people
  involved in your care unless you object. You have the right to request restrictions on these
  disclosures.
• Marketing and sale of health information: We will not sell your health information or use it for
  marketing purposes without your explicit written authorization.

We use and disclose your health information for the following reasons:

1. Treatment

   We may use or disclose your health information to provide, coordinate, or manage your healthcare. This includes sharing information with other healthcare providers involved in your care.

2. Payment

   We may use and disclose your health information to bill and collect payment for services rendered.

3. Healthcare Operations

   We may use and disclose your health information for our healthcare operations, such as evaluating the quality of care we provide and conducting training programs.

4. Public Health and Safety

   We may disclose your health information to government agencies for public health activities, such as controlling disease, injury, or disability, and reporting issues such as abuse or neglect.

5. Research

   We may use or share your health information for research purposes in compliance with applicable laws and regulations.

6. Legal Compliance

   We may disclose your health information when required by law, including disclosures to government agencies or in response to subpoenas, court orders, or other legal processes.

In addition to the rights under HIPAA, California law provides additional privacy protections under the California Consumer Privacy Act (CCPA) and the Confidentiality of Medical Information Act (CMIA). These rights include:

1. Access to Your Information

   Under the CCPA, you have the right to request access to the personal information we collect about you, including medical information.

2. Right to Deletion

   Under certain circumstances, you can request that we delete your personal information, though there are some exceptions (for example, when the information is necessary for healthcare operations or required by law).

3. Right to Know

   You have the right to know what categories of information we collect about you, the sources of that information, and how we use it.

4. Right to Opt-Out of Data Sales

   Under the CCPA, you have the right to opt out of the sale of your personal information. However, please note that we do not sell your health information.

• We are required by law to maintain the privacy and security of your protected health information.
• We will notify you promptly if a breach occurs that may have compromised the privacy or security of your information.
• We will follow the privacy practices described in this notice and give you a copy upon request.
• We will not use or disclose your information other than as described in this notice unless you authorize us in writing.

For more information on your privacy rights, visit the following resources:

• HIPAA: www.hhs.gov/hipaa
• California Department of Public Health: www.cdph.ca.gov
• California Consumer Privacy Act: www.oag.ca.gov/privacy/ccpa

We may change the terms of this notice at any time. The changes will apply to all health information we have about you, and we will make the new notice available upon request and on our website.