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.
If you have any questions about this Notice of Privacy Practices, please contact the Alliance Privacy Official at (949) 242-5854 or via email sent to firstname.lastname@example.org.
Alliance HealthCare Services, Inc., its subsidiaries and affiliates, (collectively, “Alliance”) is required by law to maintain the privacy of your protected health information and to provide you with this Notice of our legal duties and privacy practices with respect to your Protected Health Information. We are also required to comply with this Notice of Privacy Practices. We may change its terms in the future and the revised Notice of Privacy Practices will then be effective for all Protected Health Information maintained on or after that date. Our most current Notice of Privacy Practices, as may be revised, is posted on our website – www.alliancehealthcareservices-us.com. You may also obtain a copy of our most current Notice of Privacy Practices at your next appointment or you may ask our Privacy Official to send a printed copy to you.
“Protected Health Information” is information about you, including demographic information, that may identify you and that relates to your past, present, or future health care related services. This Notice of Privacy Practices describes how Alliance may use and disclose your Protected Health Information for treatment, payment, and health care operations. It also discusses other purposes permitted or required by law. Additionally, this Notice describes your rights of access and control of your Protected Health Information.