Privacy Policy

The purpose of the Privacy Policy is to inform residents of their privacy rights regarding their health information and identity.  This privacy policy applies to the pH Wellness website and all products and services offered by at the program. 

The policy demonstrates how pH Wellness may use and disclose protected health information about a resident. For example, if a resident were to fall ill and require hospitalization, or if someone were a potential threat to themself or others.

Define Protected Health Information from the Website:

Information gathered from the website including filling out forms voluntarily, the means of connection to the website from the resident, and by accepting “cookies”.

When gathering this information, it may be used to communicate with you directly on the website and meet your needs more efficiently, which personalizes the experience.  The website is encrypted, meaning all information is secure and protected against unauthorized access, alteration, disclosure, or destruction of your personal information, username, password, transaction information, and data stored.  Information is never sold, shared, or traded with anyone. 

HIPAA:

Individual Identifiable Health Information (45 CFR 164.520), including the Confidentiality of Medical Records Act (California Civil Code § 56 et seq.) covered in this Privacy Policy describes how medical information about you may be used or disclosed and how you can access this information. Your personal health record contains private and confidential information about you and your health. Both State and Federal laws protect the confidentiality of this information. Protected Health Information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) includes any individually identifiable health information. Protected Health Information relates to your past, present or future physical or mental health or condition and any related health care services.

Examples:

Below are examples, but not limited to, when health information may be given to outside sources.

Resident Rights:

When it comes to resident health information, you have specific rights.

1.     To get an electronic or paper copy of your electronic health record

a.      Upon request, we may provide you with a copy of your resident record.

b.     The request typically has a standard fee and provided within 30 days. 

The electronic health record.

1.     Electronic health record information about you that you see as incorrect or incomplete may be updated upon request.

a.      The request may be denied, however, we will also provide you with a written denial and reason within 60 days.

Confidential communications

1.      We may provide you with the requested electronic health records to the mailing address you provide, and we may leave phone messages with your written approval. 

a)     Only staff approved requests are accepted. 

We may limit what is shared

1.      You can ask us not to use or share certain health information for treatment, payment, or our operations.

a)     We are not required to agree to your request, and we may say “no” if it would affect your care.

  1. 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.

a)     We will say “yes” unless a law requires us to share that information.

We can provide you with a list of providers or affiliates we may share health information with upon request, and we keep records for seven (7) years at a minimum.  We may be asked for health information during that time, and we can inform you of who has been provided with your information and the reason why. 

Obtaining a Privacy Policy copy:

We may provide you with a paper copy of this notice at any time, whether electronically, and additional copy, mail, or in-person.

Legal Guardian or Power of Attorney:

If approval has been given to a legal guardian or power of attorney, you may exercise your rights about disclosing your health information.  The role will be verified before any information is provided. 

Filing a complaint:

Complaints can be filed if you feel your rights have been violated, you may contact us or the licensing agency. 

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/.

There is no retaliation for filing a complaint. 

Release of Information:

If you prove, we may share information in the following cases:

  • Share information with your family, friends, spouses, or others involved in your care

In an Emergency, we may share your information:

  • In a disaster relief situation

  • If you are unconscious

  • In a serious and imminent threat to health or safety

  • If staff believe it is in your best interest

We do not share your information unless you sign a Release of Information:

  • To market pH Wellness

  • To sell health information

  • A request from others for psychotherapy notes

Using your information:

·       For treatment, including working with affiliates

·       Follow up with you after treatment

·       To provide feedback on clinical outcomes

·       Billing/your insurance

Breaking confidentiality:

·       Reporting adverse reactions to medications

·       Reporting suspected abuse, neglect, or domestic violence

·       Preventing or reducing a serious threat to anyone’s health or safety

·       To comply with the law, including DHCS, law enforcement, the court, a subpoena, or government requests

·       A medical examiner or funeral director

·       Responding to criminal activity on the property

We follow all state and federal laws regarding providing health information to the above. 

Ph Wellness is responsible to:

  • Maintain the privacy and security of resident protected health information.

  • Inform residents of a breach of confidentiality in a timely manner when confidentiality may have been compromised.

  • Follow the duties and privacy practices written in this policy and provide the resident a copy upon request.

Your information will not be shared outside of what has been outlined in the policy unless you provide an approval in writing. You may change your mind at any time, in writing, if you have given approval.

Your Acceptance of These Terms:

Utilizing this website signifies your agreement of this policy. If you do not agree, please do not use our website. When you continue to use the website, that is also considered acceptance of this policy when the policy is updated.

Questions and contacting pH Wellness:

Questions about the Privacy Policy and the use of your Individually Identifiable Health information, Health Insurance Portability and Accountability Act of 1996 (HIPAA), your Protected Health Information compliance, the practices of this site, and/or your dealings with this site can be answered at the following contact information:

Mailing Address:
pH Wellness
7603 Dufferin Avenue

Riverside, CA 92504

Email Address:
CEO: Matt Paz
m.paz@phwellness.com

Phone Number: 951-355-5576

The Privacy Policy was created on February 27, 2023.