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Privacy Policy

Effective Date: July 1, 2025
Elevate Rehabilitation Center
20504 Lull St, Winnetka, CA 91306
Phone: (442) 404-4004

 

 

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.

 

 

Our Legal Duty to Protect Your Health Information

 

We are required by law to protect the privacy and security of your Protected Health Information (PHI), which includes any information that identifies you and relates to your past, present, or future physical or mental health condition, treatment, or payment for health care services. This Notice explains how, when, and why we may use or disclose your PHI and outlines your rights regarding this information. We must follow the duties and privacy practices described in this notice and provide you with a copy upon request.

We reserve the right to update this Notice at any time. Changes will apply to all PHI we maintain. The latest version will be available at our office and upon request.

 

Your Rights

 

You have the right to:

  • Obtain a copy of your digital or physical medical record
     

  • Make corrections to your medical record
     

  • Request confidential communication
     

  • Request that we limit the information we use or disclose
     

  • Receive a list (accounting) of disclosures we’ve made
     

  • Obtain a copy of this privacy document at any time
     

  • Delegate someone to act on your behalf
     

  • File a complaint if you believe your privacy rights have been violated
     

 

Your Choices

 

You have choices in how we use and share information when we:

  • Disclose your health information to family, friends, or others involved in your care
     

  • Provide disaster relief
     

  • Include your information in a facility directory (if applicable)
     

  • Provide behavioral health and substance use disorder care
     

If you’re unable to communicate your preference (e.g., unconscious or incapacitated), we may share your information if we believe it is in your best interest or to prevent a serious and immediate health or safety threat.

We will never use or disclose your information without written authorization for:

  • Marketing purposes
     

  • Sale of your information
     

  • Psychotherapy notes
     

 

Our Uses and Disclosures

 

We may use and share your information as we:

  • Treat you: Share with healthcare professionals involved in your care.
    Example: A doctor treating you for addiction may consult with another provider to coordinate your care.
     

  • Operate our organization: Improve treatment and services.
    Example: Reviewing patient records to evaluate provider performance.
     

  • Bill for services: Share information with your insurance company or billing partners.
    Example: Sending your health information to your insurance company to receive payment.
     

  • Send appointment reminders and health-related communications:
    We may use your PHI to contact you with appointment reminders or to inform you about treatment options, services, or health-related benefits that may interest you.
     

  • Work with business associates:
    We may disclose your PHI to trusted third-party vendors (e.g., billing companies, consultants, legal advisors) who help us operate. These business associates are contractually obligated to protect your information.
     

  • Comply with laws: We will share your information when required by federal or state law.
     

  • Support public health and safety: For disease prevention, reporting abuse or neglect, recalls, medication reactions, or imminent safety threats.
     

  • Conduct research: Under specific, regulated circumstances.
     

  • Respond to organ donation and end-of-life situations: Sharing with organizations for donation or funeral arrangements.
     

  • Assist with workers' compensation, law enforcement, and government functions: Including military and national security requests.
     

  • Respond to lawsuits and legal actions: If required by court or administrative order or subpoena.
     

To learn more, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html. 

 

Incapacitation and Emergencies

We may share your health information without your consent if you are incapacitated, unconscious, or in an emergency situation and we determine it is in your best interest. We will try to obtain your consent as soon as it becomes feasible.

 

Your Rights in Detail

 

Right to Access Your Medical Record

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You can request a copy of your paper or electronic medical records. We will respond within 30 business days. A reasonable fee may apply.

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Right to Correct Your Medical Record

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You can request that we amend your medical records if you believe they are incorrect or incomplete. We will respond within 60 business days and explain if we deny the request.

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Right to Request Confidential Communications

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You may ask us to contact you in a specific way (e.g., by phone or mail) or at a different address. We will accommodate reasonable requests without requiring an explanation.

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Right to Request Restrictions

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You can request that we not use or share certain health information for treatment, payment, or operations. While we are not obligated to agree, we will comply if the service has been paid for in full out-of-pocket and you request it not be shared with your insurer.

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Right to Receive a List of Disclosures (Accounting of Disclosures)

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You may request a list of certain disclosures we’ve made of your PHI for the previous six years, excluding those for treatment, payment, or operations.


The list will include:

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  • Date of disclosure
     

  • Recipient (and address, if known)
     

  • Description of information disclosed
     

  • Purpose of disclosure
     

You may request one free accounting per year. Additional requests may incur a reasonable fee.

Right to a Paper Copy of This Notice

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You may request a paper copy of this Notice at any time, even if you’ve agreed to receive it electronically.

Right to Appoint Someone to Act on Your Behalf

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If you have given someone medical power of attorney or a legal guardian has been appointed, they may exercise your rights and make decisions about your health information. We will verify their authority before taking any action.

Our Responsibilities

 

  • Our organization is required by law to maintain the privacy and security of your protected personal health information.

  • Our organization will promptly inform you of any breach that occurs that may compromise the privacy or security of your personal health information.

  • Our organization must follow the regulations, duties and privacy practices detailed in this disclosure document and will provide you a digital and/or physical copy.

  • Our organization will not use or disclose your personal health information for any purpose other than what is detailed in this document unless expressly authorized in written or verbal communication. If authorized and you decide to revoke our organizations authority, then you can inform us in writing.

To learn more, see: https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html.

 

Filing a Complaint

If you believe your rights have been violated, you may file a complaint:

  • With our administrative office: (442) 404-4004
     

  • Or with the U.S. Department of Health and Human Services Office for Civil Rights:
     

We will not retaliate against you for filing a complaint.

 

Changes to This Notice

We may change the terms of this Notice at any time. Changes will apply to all current and past information. The most current version will be posted at our facility and provided upon request.

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