East Bay Disc Centers
5354 Clayton Rd Ste A Concord, CA 94521
Under Privacy Practices:
925-320-3472
We create a record of the care and services you receive as well as medical records we may receive from other providers.
At East Bay Disc Centers, we understand that your medical information is personal, and we are committed to protecting your privacy. We create a record of the care and services you receive and may receive medical records from other providers. These records help us provide you with quality care, process payments, and comply with legal and professional standards.
We are required by law to:
This Notice outlines how your medical information may be used and disclosed and explains your rights.
We may use and share your health information for the following purposes:
Treatment – To coordinate care with other healthcare providers or specialists.
Payment – To bill and collect payment from insurance or other payers.
Healthcare Operations – For internal administration, quality control, and training.
Appointment Reminders & Sign-In Sheets – To remind you of appointments or confirm your visit.
Communication With Family – If the need exists and you give consent, You may request that we communicate with you in a certain way (e.g., via a personal email or at your workplace). We will honor reasonable written requests that specify how or where you would like to receive communications.
However, we will never knowingly communicate on your work-related email account that could be owned by another party or someone who could gain access.
Marketing – Only with your written authorization, and never in exchange for payment without your consent.
Sale of Information – We will not sell your PHI without written authorization.
As Required by Law – Including legal proceedings, public health activities, law enforcement, and organ donation.
Public Safety and Government Functions – For national security or to prevent a serious threat.
Workers’ Compensation – To comply with workers’ comp laws.
Change of Ownership – Your records may transfer if the practice is sold or merged.
Breach Notification – You will be notified if a breach of unsecured PHI occurs.
Right to Request Special Privacy Protections
You have the right to request restrictions on certain uses and disclosures of your health information by submitting a written request. Specify what information you want to limit and the limitations you wish to impose. If you pay for a service entirely out-of-pocket and ask us not to disclose that information to your health plan, we will honor that request unless disclosure is legally required. We may accept or deny other requests and will notify you of our decision.
Right to Request Confidential Communications
You may request that we communicate with you in a certain way (e.g., via a personal email or at your workplace). We will honor reasonable written requests that specify how or where you would like to receive communications.
Right to Amend or Supplement
If you believe information in your medical record is incorrect or incomplete, you may request an amendment in writing, explaining why. We may deny your request under certain conditions and will provide our reasoning and how you may respond. If denied, you may submit a written disagreement, and we may include a rebuttal. All related documentation will accompany future disclosures of the disputed information.
Right to an Accounting of Disclosures
You have the right to request an accounting of disclosures we have made of your PHI, except for those made:
Right to a Paper or Electronic Copy of This Notice
You have the right to receive a physical or digital copy of this Notice, even if you previously agreed to receive it electronically.
If you would like a more detailed explanation or wish to exercise any of these rights, please contact our Privacy Officer at the information listed below.
If you believe your privacy rights have been violated or you have questions about this Notice, you may contact:
Privacy Officer
East Bay Disc Centers
925-320-3472 / info@eastbaydisc.com
You may also contact the U.S. Department of Health and Human Services:
Office for Civil Rights – U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Phone: 1-800-368-1019 | TDD: 1-800-537-7697
Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf
We will not retaliate against you for filing a complaint.
