As required by the Privacy Regulations Promulgated Pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
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.
This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health 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 or condition and related health care services.
Uses and Disclosures of Protected Health Information: Your protected health information may be used and disclosed by our organization, our office staff and others outside of our office that are involved in your care and treatment for the purpose of providing health care services to you, to pay your health care bills, to support the operation of the organization, and any other use required by law.
Treatment: We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.
Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. For example, obtaining approval for equipment or supplies coverage may require that your relevant protected health information be disclosed to the health plan to obtain approval for coverage.
Healthcare Operations: We may use or disclose, as‐needed, your protected health information in order to support the business activities of our organization. These activities include, but are not limited to, quality assessment activities, employee review activities, accreditation activities, and conducting or arranging for other business activities. For example, we may disclose your protected health information to accrediting agencies as part of an accreditation survey. We may also call you by name while you are at our facility. We may use or disclose your protected health information, as necessary, to contact you to check the status of your equipment.
We may use or disclose your protected health information in the following situations without your authorization: as Required By Law, Public Health issues as required by law, Communicable Diseases, Health Oversight, Abuse or Neglect, Food and Drug Administration requirements, Legal Proceedings, Law Enforcement, Criminal Activity, Inmates, Military Activity, National Security, and Workers’ Compensation. Required Uses and Disclosures: Under the law, we must make disclosures to you and when required by the Secretary of the Department of Health and Human Services to investigate or determine our compliance with the requirements of Section 164.500.
Other Permitted and Required Uses and Disclosures Will Be Made Only with Your Consent, Authorization or Opportunity to Object, unless required by law.
You may revoke this authorization, at any time, in writing, except to the extent that your physician or this organization has taken an action in reliance on the use or disclosure indicated in the authorization.
Your Rights: Following is a statement of your rights with respect to your protected health information.
You have the right to inspect and copy your protected health information. Under federal law, however, you may not inspect or copy the following records; psychotherapy notes; information compiled in reasonable anticipation of, or use in, a civil, criminal, or administrative action or proceeding, and protected health information that is subject to law that prohibits access to protected health information.
You have the right to request a restriction of your protected health information. This means you may ask us not to use or disclose any part of your protected health information for the purposes of treatment, payment or healthcare operations. You may also request that any part of your protected health information not be disclosed to family members or friends who may be involved in your care or for notification purposes as described in this Notice of Privacy Practices. Your request must state the specific restriction requested and to whom you want the restriction to apply.
Our organization is not required to agree to a restriction that you may request. If our organization believes it is in your best interest to permit use and disclosure of your protected health information, your protected health information will not be restricted. You then have the right to use another Healthcare Professional.
You have the right to request to receive confidential communications from us by alternative means or at an alternative location. You have the right to obtain a paper copy of this notice from us, upon request, even if you have agreed to accept this notice alternatively, e.g., electronically.
You may have the right to have our organization amend your protected health information. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal.
You have the right to receive an accounting of certain disclosures we have made, if any, of your protected health information.
We reserve the right to change the terms of this notice and will inform you by mail of any changes. You then have the right to object or withdraw as provided in this notice.
Complaints: You may complain to us or to the Secretary of Health and Human Services if you believe your privacy rights have been violated by us. You may file a complaint with us by notifying our privacy contact of your complaint. We will not retaliate against you for filing a complaint.
We are required by law to maintain the privacy of, and provide individuals with, this notice of our legal duties and privacy practices with respect to protected health information, if you have any questions concerning or objections to this form, please ask to speak with our President in person or by phone at 844-349-0077
For more information, you can visit https://www.hhs.gov/hipaa/for-individuals/notice-privacy-practices/index.html
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Alyssa Mueller is an Associate Clinical Social Worker. She holds a Master of Social Work with a concentration in Community Mental Health from California State University of Fullerton as well as a Bachelors of Arts in Communication Studies with an emphasis on intercultural and interpersonal communication from California State University of Long Beach. Compassion, empowerment and unconditional positive regard are the foundations of her clinical practice, Alyssa has a passion for helping others and her priority is to hold space for clients to feel heard, to feel safe and to find fulfillment and self-love on their recovery journey. Alyssa specializes in addiction treatment, self-esteem building, mindfulness practices, grief and loss, trauma informed care, and self-compassion as well as individual and family therapy. She has extensive experience working with high risk populations in various clinical settings such as partial hospitalization, intensive outpatient care, outpatient treatment, schools, and community outreach. Alyssa uses a client centered and holistic approach to address the client as a whole person in order to help them to feel empowered and facilitate their confidence and independence.
Charee has worked in the recovery field for 10 years.Charee is dedicated to supporting and inspiring clients to live a healthy lifestyle filled with meaning and purpose.Charee has extensive clinical experience within the recovery field in both inpatient and outpatient settings.She specializes in working with individuals and families affected by the disease of addiction however she has also clinical experience in assisting individuals,couples and families in working through a variety of concerns,including: depression,anxiety,relationship & communication issues,substance abuse,grief & loss,trauma, life transitions, and many others.Charee works with each client to specialize their treatment plan with what works best for the client in a compassionate and effective way. She emphasizes the strength of every individual client and fosters an environment of personal growth and internal healing from a mind, body and spiritual approach.Charee received her Bachelor of Arts from Seton Hall University, Majoring in Psychology and Minoring in Women and Gender Studies, in addition to her Masters in Marriage and Family Therapy from the University of Southern California.
I began my journey to recovery back in 2011 when I moved to California from New York.Along wiht my recovery and beginning a new way of life,I began to develop a heart for others struffling with sobriety.My journey to California was filled with many trials and lessons learned, but most of all, personal growht.I truly believe i would not have found success if I didn’t come to California.I started CPR as a way to work with people in recovery on a daily basis and it evolved into something much more beautiful. I have also come to realize that my own personal happiness and recovery depends on being involved in the lives of people in recovery. Helping others recover is a cornerstone of many 12 step programs, as it is here. Giving back to those still suffering, is the only way not to lose what you have gained. It is the paradox that we live by every day.