Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
You have the right to:
- Get a copy of your paper or electronic medical record
- Correct your paper or electronic medical record
- Request confidential communication
- Ask us to limit the information we share
- Get a list of those with whom we’ve shared your information
- Get a copy of this privacy notice
- Choose someone to act for you
- File a complaint if you believe your privacy rights have been violated
You have some choices in the way that we use and share information as we:
- Tell family and friends about your condition
- Provide disaster relief
- Include you in a hospital directory
- Provide mental health care
- Market our services and sell your information
- Raise funds
Our Uses and Disclosures
We may use and share your information as we:
- Treat you
- Run our organization
- Bill for your services
- Help with public health and safety issues
- Do research
- Comply with the law
- Respond to organ and tissue donation requests
- Work with a medical examiner or funeral director
- Address workers’ compensation, law enforcement, and other government requests
- Respond to lawsuits and legal actions
When it comes to your health information, you have certain rights.
This section explains your rights and some of our responsibilities to help you.
|Get an electronic or paper copy of your medical record||• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
|Ask us to correct your medical record||• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say “no” to your request, but we’ll tell you why in writing within 60 days.
|Request confidential communications||• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
• We will say “yes” to all reasonable requests.
|Ask us to limit what we use or share||• You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
|Get a list of those with whom we’ve shared information||• You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
|Get a copy of this privacy notice||• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.|
|Choose someone to act for you||• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.
|File a complaint if you feel your rights are violated||• You can complain if you feel we have violated your rights by contacting us using the information on page 1.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/ privacy/hipaa/complaints/.
• We will not retaliate against you for filing a complaint.
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:||• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
|In these cases we never share your information unless you give us written permission:||• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes
|In the case of fundraising:||• We may contact you for fundraising efforts, but you can tell us not to contact you again.|
Our Uses and Disclosures
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
|Treat you||• We can use your health information and share it with other professionals who are treating you.||Example: A doctor treating you for an injury asks another doctor about your overall health condition.|
|Run our organization||• We can use and share your health information to run our practice, improve your care, and contact you when necessary.||Example: We use health information about you to manage your treatment and services.|
|Bill for your services||• We can use and share your health information to bill and get payment from health plans or other entities.||Example: We give information about you to your health insurance plan so it will pay for your services.|
How else can we use or share your health information? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
|Help with public health and safety issues||• We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone’s health or safety
|Do research||• We can use or share your information for health research.|
|Comply with the law||• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.|
|Respond to organ and tissue donation requests||• We can share health information about you with organ procurement organizations.|
|Work with a medical examiner or funeral director||• We can share health information with a coroner, medical examiner, or funeral director when an individual dies.|
|Address workers’ compensation, law enforcement, and other government requests||• We can use or share health information about you:
• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services
|Respond to lawsuits and legal actions||• We can share health information about you in response to a court or administrative order, or in response to a subpoena.|
We do not create or manage a hospital directory
- We are required by law to maintain the privacy and security of your protected health
- 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
- We will not use or share your information other than as described here unless you tell us we can in If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
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.
This Notice of Privacy Practices applies to the following organizations.
La Ventana Treatment Programs
La Ventana Treatment Centers understands the necessity of protecting the privacy of your data when you visit our website. The following outlines how we protect your personal information collected with your visit to our site. La Ventana Treatment Centers may update our statement on occasion as new programs, services and processes are implemented.
La Ventana Treatment Centers does not intentionally use, collect or disclose patient information on its website that is personally identifiable. You should not post information on our website that could be used to identify you. If we discover we have personal information, we will begin the process to delete the date as quickly as possible.
You must be at least 18 years old to receive permission from us to use our website. We will not intentionally or knowingly collect personally identifiable information about visitors under the age of 18.
When Information is Provided
When you share information with us voluntarily, that is implied consent for the collection and use of your data by our practice. La Ventana Treatment Centers will not rent or sell personal data we collect on this website to anyone.
La Ventana Treatment Centers may offer the option to register or purchase products online. During the transaction, it is possible that personal information will be collected. If that is the case, we may share that information with other parties to accommodate support services like credit card authorization or fulfillment of your order. By voluntarily giving us that information, you give La Ventana Treatment Centers permission to provide your data to the third parties that provide these services. You also agree not to hold La Ventana Treatment Centers responsible for any of the actions or omissions of these third parties.
La Ventana Treatment Centers may also collect non-personal information provided by your browser when you request a page view from your server. This information may include your browser time, IP address and access times. La Ventana Treatment Centers uses this information for supporting website operations and to evaluate traffic patterns for our website.
Some of the statistics La Ventana Treatment Centers may collect and use includes volume, traffic patterns, referral sources, login activity and other information related to our website to support our operations. The information may be shared with third parties, but will not include personally identifiable data of any kind. La Ventana Treatment Centers may disclose information in special cases where required, such as: 1. Follow legal requirements; 2. Defend or protect our property and rights: 3. Enforce our Terms and Conditions of Use; 4. Protect our users’ interests.
Occasionally, La Ventana Treatment Centers may be required by law enforcement or the legal system to provide personal information to the appropriate authorities. This information will be disclosed with a court order, subpoena or to otherwise cooperate with an investigation conducted by law enforcement. La Ventana Treatment Centers reserves the right to report activities we believe to be unlawful to the proper authorities or law enforcement agencies.
La Ventana Treatment Centers reserves the right to send mail or email regarding products or services to the personal information you have voluntarily provided. If you do not wish to receive these communications, we will provide instructions to easily indicate that desire as well.
La Ventana Treatment Centers may use Internet technology known as “cookies” to identify your device so we can offer appropriate website features to you that are compatible with that device. Cookies also provides us information about whether you have visited our website in the past. They do not allow us to collect your email address or other information from your hard drive. La Ventana Treatment Centers may use memory-based cookies to authenticate some of our website applications. The control of your browser settings remains with you, as you can choose to accept all cookies, reject all cookies, or receive notifications when a cookie is sent. If you set your browser to reject cookies, you may not be able to use all the features of our website that require them.
La Ventana Treatment Centers reserves the right to utilize Google products like Google Display Network Impression Reporting, Remarketing with Google Analytics, Google Analytics Demographics, DoubleClick Campaign Manager or Interest Reporting. You may choose to opt out of Google Analytics for Display Advertising and customize Google Display Network ads using Google’s Ads Settings. You can also utilize the Google Analytics Opt-Out Browser Add On if you choose to prevent having your data used by Google Analytics.
La Ventana Treatment Centers will not initiate merging of your personal information with non-personal data collected from Display Advertising features based on the DoubleClick cookie unless we give you clear notice and you provide your consent for such action.
La Ventana Treatment Centers may use Remarketing with Google Analytics for online advertising. In addition, third-party vendors may insert ads for our practice on different sites on the Internet. This does include Google. Both La Ventana Treatment Centers and third-party vendors may also use first-party cookies (including the Google Analytics cookie) and other third-party coolies (including the DoubleClick cookie) alone or in combination to optimize, inform and serve ads based on your previous visits to our website.
La Ventana Treatment Centers and third parties, including Google, may also use both first-party and third-party cookies, alone or in combination, to determine how ad impressions, other uses of ad services and interactions with these services are related to our website visits. La Ventana Treatment Centers may also use information from Google’s Interest-based advertising or data from its third-party audience, which might include age, gender and interests. Date will be combined with Google Analytics to provide general profiles about visitors and determine how visitors might use the site. This information can then be used to improve the content, marketing and design of the website, as well as services and products offered here.
La Ventana Treatment Centers may use the Facebook.com “conversion tracking pixel” to determine whether Facebook’s advertisements are effective for marketing purposes. This tool allows us to gather information on users’ actions after the user is directed to a third-party website through a click on a Facebook ad on this website. The data we collect with this tool does not include personally identifying information. However, Facebook may use this information according to Facebook’s Data Policy to show you advertisement on both Facebook.com and third-party websites that might be of interest to you. A cookie may be used to facility ad displays by both Facebook and its partners.
Links to Additional Websites
La Ventana Treatment Center’s website contains links to other sites. While we try to only link to sites that share a high respect for privacy, La Ventana Treatment Centers is not responsible for privacy policies held by other websites. If you have questions about this statement, you should contact us at Thousand Oaks, CA, USA.