Effective Date: 01/01/2022

Introduction

Crissp Clinic is committed to protecting the privacy and security of our patients’ personal and health information. This Privacy Policy outlines how we collect, use, disclose, and protect your information in compliance with applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA).

1. Information We Collect

We collect the following types of information:

• Personal Information: Includes your name, address, phone number, email address, date of birth, Social Security number, and insurance information.
• Health Information: Includes medical history, treatment records, test results, and any other information necessary for your care.
• Financial Information: Includes payment details, billing information, and other data required for processing payments.

2. How We Use Your Information

We use your information for the following purposes:

• Treatment: To provide, coordinate, or manage your healthcare and related services.
• Payment: To obtain payment for services provided to you.
• Healthcare Operations: To support the business activities of our clinic, such as quality assessment, employee review, training, and licensing.

3. Information Sharing and Disclosure

We may share your information in the following circumstances:

• With Your Consent: We may share your information with third parties if you have given us permission to do so.
• For Treatment: We may disclose your information to other healthcare providers involved in your care.
• For Payment: We may share your information with your insurance company or other third-party payers.
• For Healthcare Operations: We may disclose your information to third parties who perform services on our behalf, such as billing or transcription services.
• As Required by Law: We may disclose your information when required to do so by law, such as in response to a court order or subpoena.

4. Your Consent to Receive SMS/MMS Messages

By providing your mobile phone number and consenting to receive SMS/MMS messages from Crissp Clinic, you agree to the following:

• Purpose: We will use your mobile phone number to send you important updates, appointment reminders, and other relevant information related to your treatment at our clinic.
• Frequency: The frequency of SMS/MMS messages may vary depending on your specific treatment plan and needs.
• Opt-Out: You have the right to opt out of receiving SMS/MMS messages at any time. To do so, please contact us at 415-455-3237.
• Security: We will take reasonable measures to protect the privacy and security of your personal information, including your mobile phone number.
• Changes to This Statement: We may update this privacy statement from time to time. Any changes will be posted on our website.
• Standard Message Rates: Please note that standard message rates may apply. If you have any questions or concerns about this privacy statement, please do not hesitate to contact us.

5. Your Rights

You have the following rights regarding your health information:

• Right to Access: You can request a copy of your health records.
• Right to Amend: You can request corrections to your health records if you believe they are inaccurate or incomplete.
• Right to an Accounting of Disclosures: You can request a list of disclosures of your health information made by our clinic.
• Right to Request Restrictions: You can request restrictions on how we use or disclose your health information.
• Right to Confidential Communications: You can request that we communicate with you in a certain way or at a certain location.
• Right to a Paper Copy of This Notice: You can request a paper copy of this Privacy Policy at any time.

6. Security of Your Information

We implement appropriate administrative, technical, and physical safeguards to protect your health information against unauthorized access, disclosure, alteration, or destruction.

7. Changes to This Privacy Policy

We may update this Privacy Policy from time to time. Any changes will be effective immediately upon posting the updated policy on our website. We encourage you to review this policy periodically.

8. Contact Information

If you have any questions or concerns about this Privacy Policy or your health information, please contact us at:

Crissp Clinic
20500 Belshaw Ave, DPT 2110

Carson, CA 90746-3506
Phone: 415-455-3237
Fax: 301-579-4284