Updated 3/19/2025
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 protect 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. SoCal Trust Services 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.
We may use medical and clinical information about you to provide you with treatment or services.
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.
We may use and disclose your protected health information (“PHI”) for certain purposes in connection with the operation of our program.
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.
We must obtain written authorization from you for other uses and disclosure of your PHI.
You have the following rights regarding PHI we maintain about you:
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 us here.
Your PHI may be used and disclosed by your physician, counselor, program staff and others outside of our program that is 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.
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.
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 SoCal Trust Services, 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.
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.
We may disclose PHI to a health oversight agency for activities authorized by law, such as audits, investigations, and inspections.
We may use or disclose your protected health information in a medical emergency situation to medical personnel only.
We may disclose your PHI to a state or local agency that is authorized by law to receive reports of child abuse or neglect.
We may disclose PHI regarding deceased patients for the purpose of determining the cause of death.
We may disclose PHI to researchers with appropriate approvals and agreements to ensure privacy.
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.
We may disclose your PHI if the court issues an appropriate order.
Your rights with respect to your protected health information are explained below. Any request with respect to these rights must be in writing. A brief description of how you may exercise these rights is included.
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DHCS License # 300789AP Expires 12/31/26
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