Your privacy and the security of your health information are our top priorities
Last Updated: January 1, 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 it carefully.
We are committed to protecting your health information. We are required by law to maintain the privacy of your health information and to provide you with notice of our legal duties and privacy practices with respect to your health information.
We may use and disclose your health information for the following purposes:
We may use your health information to provide you with medical treatment or services. We may disclose health information about you to doctors, nurses, technicians, medical students, or other personnel who are involved in taking care of you.
We may use and disclose your health information to obtain payment for the services we provide to you. For example, we may contact your health insurer to certify that you are eligible for benefits, and we may provide your insurer with details regarding your treatment to determine if your insurer will cover, or pay for, your treatment.
We may use and disclose your health information for healthcare operations purposes. These uses and disclosures are necessary to make sure that all of our patients receive quality care and to operate and manage our office.
We will disclose your health information when required to do so by federal, state, or local law.
We may disclose your health information for public health activities, including:
We may use or disclose your health information for research purposes when the research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your health information.
You have the following rights regarding your health information:
You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or healthcare operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your care.
You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail.
You have the right to inspect and copy your health information. Usually, this includes medical and billing records, but does not include psychotherapy notes.
If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office.
You have the right to request an "accounting of disclosures." This is a list of the disclosures we made of medical information about you.
You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time.
We are fully compliant with the Health Insurance Portability and Accountability Act (HIPAA) and all applicable state and federal privacy laws. Our staff receives regular training on privacy practices and procedures.
We maintain physical, electronic, and procedural safeguards to protect your health information, including:
Our website may collect certain information about your visit, including:
This information is used to improve our website and services. We do not sell or share this information with third parties for marketing purposes.
Our website may use cookies to enhance your browsing experience. You can disable cookies in your browser settings if you prefer.
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future.
If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. To file a complaint with our office, contact our Privacy Officer at:
Forty Plus Health & Fitness Medical Center
2340 Burnham Rd
Ojai, California(CA), 93023
Phone: (805) 649-3234
Email: privacy@fortyplushealthandfitness.com
All complaints must be submitted in writing. You will not be penalized for filing a complaint.
If you have any questions about this Privacy Notice, please contact our Privacy Officer using the information provided above.
This notice is effective as of January 1, 2025. We are required by law to maintain the privacy of your health information and to provide you with this notice of our legal duties and privacy practices.