Effective Date: January 22, 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.

Our Commitment to Your Privacy

Luxury Detox is committed to maintaining the privacy and confidentiality of your protected health information (PHI). This Notice explains our legal duties and privacy practices with respect to your health information, as required by the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and other applicable laws.

Understanding Your Health Information

Your health record contains personal information about your health history, symptoms, examination and test results, diagnoses, treatment, and plans for future care. This information serves as:

A basis for planning your care and treatment
A means of communication among healthcare professionals involved in your care
A legal document describing the care you received
A way to verify that services billed were actually provided
A tool for education of healthcare professionals
A source of data for medical research and public health
A tool for monitoring the quality of care provided

Your Health Information Rights

Although your health record is the physical property of Luxury Detox, the information belongs to you. You have the right to:

Request restrictions on certain uses and disclosures of your information
Obtain a paper or electronic copy of this Notice of Privacy Practices
Inspect and obtain a copy of your health record
Request amendments to your health record
Receive an accounting of disclosures of your health information
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
Be notified if there is a breach of your unsecured protected health information
Receive confidential communications about your health information
Restrict disclosure of PHI to your health plan if you pay out-of-pocket in full for a healthcare item or service

How We May Use and Disclose Your Health Information

For Treatment

We may use and disclose your health information to provide, coordinate, or manage your healthcare treatment. For example, we may share information with:

Doctors, nurses, technicians, or other personnel involved in your care
Different departments to coordinate services
Other healthcare providers treating you
Family members or others involved in your care (with your permission)

For Payment

With your authorization, we may use and disclose your health information to obtain payment for services provided. This may include:

Billing and collection activities
Claims management
Insurance eligibility verification
Utilization review activities

For Healthcare Operations

We may use and disclose your information for operational purposes, such as:

Quality assessment and improvement activities
Employee review activities
Training programs
Accreditation, certification, licensing, or credentialing activities
Business planning and development
Business management and administrative activities

Special Circumstances

We may use or disclose your health information without your authorization in the following situations:

As required by law
Public health activities
To avert a serious threat to health or safety
For specific government functions
Workers’ compensation purposes
Health oversight activities
Judicial and administrative proceedings (with appropriate legal order)
Law enforcement purposes (as required by law or with appropriate legal order)

Our Responsibilities

Luxury Detox is required to:

Maintain the privacy and security of your protected health information
Provide you with notice of our legal duties and privacy practices
Follow the terms of this notice currently in effect
Notify you if we are unable to agree to a requested restriction
Notify you of breaches of unsecured protected health information
Obtain your written authorization for any uses or disclosures of your health information not described in this notice

Privacy and Security Safeguards

We maintain appropriate physical, technical, and administrative safeguards to protect your health information, including:

Secured facilities and locked storage systems
Encryption of electronic health information
Access controls and authentication procedures
Regular security assessments and audits
Staff training on privacy and security procedures
Business Associate Agreements with third-party service providers

Changes to This Notice

We reserve the right to change this notice and make the new provisions effective for all protected health information we maintain. We will post the current notice in our facility and on our website, with its effective date clearly shown. We will offer you a copy of the revised notice at your next visit.

For More Information or to Report a Problem

If you have questions about this notice or believe your privacy rights have been violated, you may contact:

Privacy Officer
Daniel Leidernan
Luxury Detox
24662 El Camino Capistrano
Phone: (866) 929-2092
Email: daniel@lagunashoresrecovery.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Acknowledgment

You will be asked to sign an acknowledgment that you have received this Notice of Privacy Practices. This acknowledgment will become part of your records.

Effective Date: January 22, 2025
Last Updated: January 22, 2025

HIPAA Policy