Woodleaf Eating Disorder Center
HIPAA Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL AND MENTAL HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Effective Date: October 1, 2007
How We Use Your Information: We protect your Protected Health Information (PHI). Your Intensive Outpatient Program (IOP) care involves therapists, registered dietitians, and medical providers. We share PHI without written consent only for routine treatment coordination, insurance billing, and healthcare operations. We disclose PHI without consent when required by law, such as court orders, public safety threats, or child/elder abuse reporting mandates. All other disclosures—including marketing, selling data, releasing psychotherapy notes, or sharing 42 CFR Part 2 substance use records—require prior written authorization, which you can revoke at any time.
Your Patient Rights: You have the right to inspect or get paper/electronic copies of your clinical and billing records. You can request amendments if records are incorrect. You can request confidential communications or an accounting of disclosures made over the past six years. You can request restrictions on how we share your information; we must honor requests to withhold information from your insurance company if you pay for your IOP services entirely out-of-pocket.
Changes and Complaints: We reserve the right to update this policy and will post changes on our website. If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint. To exercise your rights, contact our Privacy Department:
- Privacy Official: Privacy Compliance Director
- Address: 45 Franklin St, Suite 205, San Francisco, CA 94102
- Phone: (415) 840-0670
- Email: [email protected]