Notice of Privacy Practices
Effective Date: July 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.
OUR COMMITMENT TO YOUR PRIVACY
We are committed to maintaining the privacy of your protected health information (PHI). This notice explains how we may use and disclose your medical information, and what your rights are regarding your health information.
HOW WE MAY USE AND DISCLOSE YOUR HEALTH INFORMATION
We may use or share your health information in the following ways:
For Treatment:
To provide you with medical care, such as sharing information with physicians, nurses, labs, or specialists involved in your care (e.g., maternal-fetal medicine, labs for pap smears, ultrasounds, etc.).
For Payment:
To bill and collect payment for the services we provide (e.g., contacting your insurance company or third-party payers).
For Health Care Operations:
To run our practice, improve care, and contact you when necessary (e.g., quality assessment, training, case management).
Appointment Reminders and Communication:
We may use your contact information to call, text, or email you appointment reminders or other administrative information about your care.
As Required by Law:
We may share your health information when required by federal, state, or local law.
For Public Health and Safety:
Including reporting certain diseases, abuse or neglect, adverse reactions, or to prevent a serious threat to health or safety.
For Research:
We may use or disclose your PHI for research purposes under strict protocols and oversight, when approved by an institutional review board.
With Your Authorization:
We will not use or share your PHI for marketing, sale of your information, or other purposes without your written consent.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have the right to:
- Access your medical record and request a copy (in paper or electronic form).
- Request corrections to your health information if you believe it is incorrect or incomplete.
- Request confidential communications (e.g., you may ask us to contact you only at work or by mail).
- Request limits on what we use or share—you can ask us not to share certain information for treatment, payment, or operations. We are not required to agree, but will do our best to accommodate.
- Get a list (accounting) of disclosures we’ve made of your PHI, excluding those made for treatment, payment, or operations.
- Choose someone to act for you if you’ve given someone medical power of attorney.
- File a complaint if you believe your rights have been violated.
HOW TO FILE A COMPLAINT
If you believe your privacy rights have been violated, you may file a complaint:
With our office:
Privacy Officer: Tammy Hayashibara
Phone: 714-486-1228
Email: admin@miracleorchids.com
Or with the U.S. Department of Health and Human Services Office for Civil Rights:
https://www.hhs.gov/ocr/privacy/hipaa/complaints
We will not retaliate against you for filing a complaint.
CHANGES TO THIS NOTICE
We reserve the right to change this notice at any time. Updated notices will be posted in our office and on our website.
CONTACT INFORMATION
Miracle Orchids Medical Center
11160 Warner Ave Ste 219
Fountain Valley, CA 92708
Phone: 714-486-1228
website: www.miracleorchids.com