Notice of Privacy Practices
Your health information and your rights.
About this notice
This notice describes how medical information about you may be used and disclosed, and how you can get access to that information. Please review it carefully.
It applies to protected health information — your intake answers, symptoms, diagnoses, lab results, prescriptions, visit notes and payment records for care. It is separate from our Privacy Policy, which covers general website data such as analytics and contact-form submissions.
How we may use and disclose your information without your authorization
For treatment: to evaluate you, order labs, prescribe, and coordinate with the pharmacy that fills your prescription or a specialist we refer you to.
For payment: to process the fee for your consultation or order and to give you documentation you can submit to insurance or an HSA/FSA administrator.
For health care operations: quality review, clinician training, and maintaining records.
As required by law: to public health authorities, in response to a valid court order or subpoena, to report suspected abuse or neglect, and to avert a serious and imminent threat to health or safety.
Uses that require your written authorization
We will not sell your health information, use it for marketing in exchange for payment, or share psychotherapy notes without your written authorization.
We will not post your name, photo, story or results as a testimonial without separate written permission, and you may revoke that permission at any time.
You may revoke any authorization in writing. Revocation applies going forward and does not affect disclosures already made in reliance on it.
Your rights
Access and copies: you may inspect and request a copy of your records, generally within 30 days. A reasonable, cost-based fee may apply to paper copies.
Amendment: you may ask us to correct information you believe is incorrect or incomplete. If we deny the request we will explain why in writing.
Accounting of disclosures: you may request a list of certain disclosures we made in the previous six years.
Restrictions: you may ask us to limit how we use or share your information. We are not required to agree, except that we must honor a request not to bill insurance for a service you paid for in full yourself.
Confidential communications: you may ask us to contact you at a specific phone number, email address or mailing address.
Paper copy: you may request a paper copy of this notice at any time, even if you agreed to receive it electronically.
Breach notification: we will notify you if a breach compromises the privacy or security of your information.
How your information is protected
Access to records is limited to the clinician and staff who need it to do their work. Records are stored with encryption in transit and at rest.
Regular email and SMS are not fully secure. If you contact us by ordinary email or text, you accept that risk for that message; tell us if you would prefer we respond only by phone or through a secure channel.
Our duties
We are required by law to protect the privacy of your health information, to give you this notice, and to follow the terms of the notice currently in effect.
We may change this notice. A revised notice applies to all information we maintain and will be posted on this page with a new effective date.
Questions and complaints
To exercise a right, ask a question, or file a complaint, contact us at jasmine4med@yahoo.com or 714-865-7639.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at hhs.gov/ocr/privacy/hipaa/complaints. We will never retaliate against you for filing a complaint.
