What information do we collect?
We collect information from you when you subscribe to our newsletter or fill out a form.
When ordering or registering on our site, as appropriate, you may be asked to enter your: name, e-mail address, phone number or social security number. You may, however, visit our site anonymously.
What do we use your information for?
Any of the information we collect from you may be used in one of the following ways:
To personalize your experience
(your information helps us to better respond to your individual needs)
To improve our website
(we continually strive to improve our website offerings based on the information and feedback we receive from you)
To improve customer service
(your information helps us to more effectively respond to your customer service requests and support needs)
To process transactions
Your information, whether public or private, will not be sold, exchanged, transferred, or given to any other company for any reason whatsoever, without your consent, other than for the express purpose of delivering the purchased product or service requested.
We may ask for personal data while you’re engaging with us. This includes but is not limited to: email address, first and last name, phone number, personal address, cookies and usage data, and insurance information.
We may use your personal data to contact you regarding admission, promotional materials or other information of interest to you. You may opt out of receiving any, or all, of these communications from us bu following the unsubscribe link provided in any email we send or by contacting us.
Northbound Treatment Services
3822 Campus Dr. Suite 100
Newport Beach, CA 92660-2099
How do we protect your information?
We implement a variety of security measures to maintain the safety of your personal information when you enter, submit, or access your personal information.
We offer the use of a secure server. All supplied sensitive/credit information is transmitted via Secure Socket Layer (SSL) technology and then encrypted into our Database to be only accessed by those authorized with special access rights to our systems, and are required to keep the information confidential.
After a transaction, your private information (credit cards, social security numbers, financials, etc.) will not be stored on our servers.
Yes (Cookies are small files that a site or its service provider transfers to your computer’s hard drive through your Web browser (if you allow) that enables the sites or service providers systems to recognize your browser and capture and remember certain information
Do we disclose any information to outside parties?
We do not sell, trade, or otherwise transfer to outside parties your personally identifiable information. This does not include trusted third parties who assist us in operating our website, conducting our business, or servicing you, so long as those parties agree to keep this information confidential. We may also release your information when we believe release is appropriate to comply with the law, enforce our site policies, or protect ours or others rights, property, or safety. However, non-personally identifiable visitor information may be provided to other parties for marketing, advertising, or other uses.
Third party links
Occasionally, at our discretion, we may include or offer third party products or services on our website. These third party sites have separate and independent privacy policies. We, therefore, have no responsibility or liability for the content and activities of these linked sites. Nonetheless, we seek to protect the integrity of our site and welcome any feedback about these sites.
California Online Privacy Protection Act Compliance
Because we value your privacy we have taken the necessary precautions to be in compliance with the California Online Privacy Protection Act. We, therefore, will not distribute your personal information to outside parties without your consent.
Children’s Online Privacy Protection Act Compliance
We are in compliance with the requirements of COPPA (Children’s Online Privacy Protection Act), we do not collect any information from anyone under 13 years of age. Our website, products, and services are all directed to people who are at least 13 years old or older.
Notice of Health Information Practices
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. EFFECTIVE DATE: APRIL 14, 2003 (REVISED: SEPTEMBER 23, 2013)
Understanding Your Health Record / Information
Your client / patient medical record contains information about your health history, symptoms, examination and test results, diagnoses, treatment, and a plan for future care or treatment. This information serves as a:
- basis for planning your care and treatment
- means of communication among the many health professionals who contribute to your care
- legal document describing the care you received
- means by which you or a third party payer can verify that services billed were actually provided
- a tool in educating health professionals;
- a source of data for medical research;
- a source of information for public health officials charged with improving the health of the nation;
- a source of data for facility planning and marketing and
- a tool with which we can assess and continually work to improve the care we render and the outcomes we achieve
Understanding what is in your record and how your health information is used helps you to:
- ensure its accuracy
- better understand who, what, when, where and why others may access your health information
- make more informed decisions when authorizing disclosure to others
Your Health Information Rights:
Although your health record is the physical property of the healthcare practitioner or facility that compiled it, the information belongs to you. You have the right to:
- request a restriction on certain uses and disclosures of your information as provided by 45 CFR 164.522 and 42 CFR, Chapter 1, Part 2
- obtain a paper copy of the notice of information practices upon request
- inspect and obtain a paper or electronic copy your health record as provided for in 45 CFR 164.524
- amend your health record as provided in 45 CFR 164.528
- obtain an accounting of disclosures of your health information as provided in 45 CFR 164.528
- request communications of your health information by alternative means or at alternative locations
- revoke your authorization to use or disclose health information except to the extent that action has already been taken
Our Responsibilities: This organization is required to:
- maintain the privacy of your health information
- provide you with a notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
- abide by the terms of this notice
- notify you if we are unable to agree to a requested restriction
- accommodate reasonable requests you may have to communicate personal health information by alternative means or at alternative locations
- notify you and the Dept. of Health and Human Services if it is determined through a risk analysis that a breach of your health information occurred
We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change, we are required to distribute the modified version to new client / patients on or after the date of modification.
We will not use or disclose your health information without your authorization, except as described in this notice.
For More Information or to Report a Problem
If you have questions and would like additional information, you may contact the Compliance Officer at: 4343 Von Karman, Suite 100, Newport Beach, CA, 92660.
If you believe your privacy rights have been violated, you can file a complaint with the Dept. of Health and Human Services / Office for Civil Rights by email at firstname.lastname@example.org or by calling the national Office at 202-205-8725 and asking for the OCR Health Information Privacy Complaint Form and / or for the appropriate Regional OCR Office. There will be no retaliation for filing a complaint.
Examples of Disclosures for Treatment, Payment and Health Operations
We will use your health information for treatment. For example: Information obtained by a counselor, physician, nurse or other member of your treatment care team will be recorded in your record and used to determine the course of treatment that should work best for you.
With your consent, we also provide an individual such as a physician or an entity such as a subsequent healthcare provider with copies of your diagnosis, various reports, assessments, and summaries, including psychotherapy notes where appropriate, that should assist him / her or the entity treating you once you are discharged from this program. Without your consent, we will not use or disclose your health information for marketing purposes, and we will not sell your health information. Other uses and disclosures not described in this Notice of Health Information Practices will only be made with your consent.
With your consent, we will use your health information for payment. For example: A bill may be sent to you or a third party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis and descriptions of treatment methods and procedures used. You have the right to restrict certain disclosures of health information to a health plan when you pay out of pocket in full for the healthcare item or services.
We will use your health information for regular, internal health operations. For example: members of the treatment staff, the utilization review coordinator, the quality improvement manager, or members of the quality improvement team may use information in your health record to assess the care and outcomes in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the treatment and service we provide.
Other Uses or Disclosures
Business Associates: There are some services provided in our organization through contacts with business associates. Examples include care by external physicians (in the event urgent or emergency care is needed), pharmacy services (filling prescriptions), and laboratory tests. When these services are contracted, we may disclose your health information to our business associate so that they can perform the job we’ve asked them to do and bill for services rendered. So that your health information is protected, however, both we and the Dept. of Health and Human Services require business associates and their subcontractors to appropriately safeguard your information.
Notification: With your prior consent, in the event of an emergency or crisis, we may use or disclose your personal information to notify or assist in notifying a family member, personal representative, or another persons that you designate as responsible for your continued care, your location, and general condition.
Communication with Family: With your consent, this program’s treatment personnel, using their best judgment, may disclose to a family member, other relative, close personal friend or other significant person that you identify, your personal health information that is relevant to that person’s involvement in your care – or for payment needs related to your care. Un-emancipated Minor: if, and to the extent, permitted or required by an applicable provision of State or other law, including applicable case law, this organization’s treatment representative may disclose and provide access to protected health information about the un-emancipated minor to the parent or legal guardian, or other person acting in loco parentis.
Research: With your consent, we may disclose information to researchers when their research has been approved by an Institutional Review Board, which has reviewed the research proposal and has established specific protocols to ensure the confidentiality of your health information.
Continuing Care and/or Marketing: With your prior consent, we may contact you to provide appointment reminders or information about continuing care or other related benefits and services that may be of interest to you.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects or other information to enable the FDA to notify patients and physicians about emerging dangers.
Disability Insurance and Workers Compensation: With your consent, we may disclose the minimum health information needed to the extent authorized by and to the extent necessary to comply with laws relating to disability and workers compensation or other similar programs established by law.
Public Health: With your consent and if required by law, we may disclose the minimum necessary health information to public health or legal authorities charged with preventing or controlling disease, injury or disability.
Law Enforcement: We may disclose health information for law enforcement per 42 CFR: Chapter 1, Part 2 (see Notice of “Confidentiality of Alcohol and Drug Abuse Patient Records”)
Federal law makes provision for your health information to be released to an appropriate health oversight agency, public health authority or attorney, provided that a workforce member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering you or patients, workers or the public. In this case, a court order is required per 42 CFR, Chapter 1, Part 2.
This organization reserves the right to change the terms of its notice and to make the new notice provisions effective for all protected health information that it maintains. Revisions of this notice will be posted at this location and on the organization’s web site.
Reference: Health Insurance Portability and Accountability Act (45 CFR Part 160-164) HIPAA Privacy Rule – Standards for Privacy of Individually Identifiable Health Information Adapted from the American Health Information Management Association Practice Brief, “Notice of Information Practices” (Updated November 2002); and 42
4 San Joaquin Plaza
Newport Beach, CA 92660