Call us at (661) 721-3510

1311 Jefferson Street

Delano, CA 93215

 

P: (661) 721-3510 ● F: (661) 721-0562

HIPAA & HITECH NOTICE 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. This Notice of Privacy Practices (the “Notice”) is required by law under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”). This Notice describes the legal obligations of Valley Imaging Medical Group (“our office”) and your legal rights under our office with respect to your Protected Health Information (“PHI”) that is held by our office. PHI includes all “individually identifiable health information” held or transmitted by our office or its business associate, in any form or media, whether electronic, paper, or oral. “Individually identifiable health information” is information, including demographic data, that relates to your past, present or future physical or mental health or condition, the provision of health care to you, or the past, present, or future payment for the provision of health care to you, and that identifies you or for which there is a reasonable basis to believe it can be used to identify you. Individually identifiable health information includes many common identifiers (e.g., name, address, birthday, Social Security Number). Our office is required by law to: Ensure that health information that identifies you is kept private, except as such information is required or permitted to be disclosed by law; Describe our office's legal duties and privacy practices with respect to your PHI; Abide by the terms of this Notice that are currently in effect; Notify affected individuals following a breach of unsecured PHI. I. USE & DISCLOSURE OF YOUR INFORMATION Our office and our business associates, which are vendors that assist us in administering our office or providing services to you, use and disclose PHI in the ways described below. For purposes of this Notice, any reference to “we” or “our office” includes our business associates. We will not use or share your information other than as described in this Notice unless you tell us we can in writing. A. Uses Not Requiring Your Authorization. This section describes the different ways that our office is legally allowed or required to use and disclose your PHI without your prior written authorization. Treatment. Our office may use or disclose your PHI to providers, including physicians, nurses, or other hospital staff, who are involved in your medical treatment. Payment. We may use and disclose your PHI to process and pay your health benefits claims. Healthcare Operations. Our office may use and disclose your PHI for healthcare operations that are necessary to run our office or for healthcare fraud and abuse detection and compliance. To Plan Sponsors. Our office may disclose your health information to your health plan sponsor for the purpose of Plan administration As Required by Law. Our office will share information about you if state or federal laws require it, including with the Department of Health and Human Services in order to show that our office is complying with federal privacy law. Disclosures to You. At your request, our office is required to provide your health information, including medical records, billing records, and an accounting of most disclosures of your health information, to you. For Public Safety or Health Purposes. Our office may share your personal information under certain public safety circumstances, such as, preventing disease; helping with product recalls, reporting adverse reactions to medications; reporting suspected abuse, neglect, or domestic violence; and preventing or reducing a serious threat to anyone's health or safety. Research. Our office may use or disclose your health information for research approved by an institutional review or privacy board and where appropriate steps have been taken to protect such information. Organ or Tissue Donation. Our office can share health information about you with organ procurement organizations or with a coroner, medical examiner, or funeral director after you die. Workers' Compensation, Law Enforcement, and Other Government Requests. Our office can use or share information about you for workers' compensation claims; for law enforcement purposes or with law enforcement officials; with health oversight agencies for activities authorized by law; and for special government functions. Lawsuits and Disputes. If you are involved in a lawsuit or dispute, our office may disclose health information about you in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process, but only if efforts have been made to tell you about the request or to obtain a court or administrative order protecting the information requested. Business Associates. Some of our functions are accomplished by individuals or companies with whom we contract, called “business associates,” to perform certain specialized work for us. We may disclose your health information to our business associates so they can perform the tasks we have asked them to do. B. Ways We May Share Your Information. The following categories describe ways that we and our business associates may use and disclose your health information after you have been informed in advance of such use or disclosure and have had the opportunity to agree or object. If you are not available to give your permission, we may share your information if it is in your best interests. Friends and Family Involved in Your Care. Our office may share your health information with a family member or another person who is involved with your care. Disaster Relief. Our office may provide your health information to disaster relief organizations in the event of a natural disaster. C. Uses Requiring Consent. The following categories describe ways that our office may use and disclose your health information only after receiving your written authorization: Marketing. Subject to certain exceptions, our office will not use or disclose your health information for purposes of marketing unless we receive your prior written authorization. Selling. Our office will not sell your health information unless we receive your prior written authorization. Special Protections for Sensitive Information. For certain types of health information, our office may be required under federal or state law to protect your privacy in a stricter manner than we have discussed in this Notice, such as, HIV test information; genetic information; mental health records; and alcohol or drug abuse information. II. YOUR HEALTH INFORMATION RIGHTS This section describes your rights regarding the health information our office maintains about you. Unless otherwise indicated, these rights can be exercised by submitting written requests to PO Box 489, Delano, CA 93216. The following rights apply to your PHI: Right to Inspect and Copy. You have the right to inspect and copy your health information. If the information you request is maintained electronically, and you request an electronic copy, we will provide a copy in electronic form and format, if the information can be readily produced in that form and format. If the information cannot be readily produced electronically, we will work with you to come to an agreement on form and format. Our office will usually provide you with a copy within 30 days. We may deny your request in writing in certain very limited circumstances. If you are denied access, you may request that the denial be reviewed by submitting a written request. Right to Amend. You have a right to request to amend your health information if you think it is incorrect or incomplete. You must provide the request and your reason(s) for the request in writing. You will be notified in writing, usually within 60 days, if your request has been denied and provided the basis for the denial. If your request is denied, you have the right to submit a written statement disagreeing with the denial, which will be appended or linked to the health information in question. Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures of your PHI. Our office will include all disclosures except for those about treatment, payment, and healthcare operations, and certain other disclosures. The request must be made in writing and state the time period of the request, which may not exceed six years prior to the request. Our office will usually respond to requests within 60 days. The first request within a 12-month period will be provided to you free of charge, and any additional requests within this time period may be subject to a reasonable, cost-based fee. Our office will notify you prior to charging a fee. Right to Request Restrictions. You can request restrictions on certain uses and disclosures of your PHI for treatment, payment, or healthcare operations. Our office is not required to agree to all requested restrictions. Right to Request Confidential Communications. You have the right to request that we communicate with you about health matters in a certain way or at a certain location. Your request must be in writing and specify how or where you wish to be contacted by our office. Our office will accommodate all reasonable requests. Right to Revoke Authorization. If you authorize our office to use or disclose your health information, you may revoke (i.e., take back) that authorization in writing at any time. Any such revocation will not impact any uses or disclosures that occurred while your authorization was in effect. Right to Obtain a Copy of this Notice. You have a right to receive a paper copy of this Notice. You may ask us to give you a copy of this Notice at any time, even if you have previous agreed to receive this Notice electronically. Right to Receive Notification in the Event of a Breach. You have a right to know if there is a breach of your unsecured health information, which compromises the security or privacy of the information. After learning of a breach, we must provide notice to you without unreasonable delay and in no event later than 60 calendar days after discovering the breach, unless we are legally required to delay the breach notification. III. CHANGES TO THIS NOTICE We reserve the right to change the terms of this Notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information received at a later date. Any revised notices will be posted on our office's website. IV. PROCEDURE FOR FILING COMPLAIN You may file a complaint in writing to Valley Imaging Medical Group, Compliance Officer, PO Box 489, Delano, CA 93216. All complaints must be made in writing. We will not retaliate against you for filing a complaint. Additionally, you may complain to us or to the Secretary of the U.S. Department of Health and Human Services or the California Department of Health Care Services’ Office of HIPAA Compliance if you believe your privacy rights have been violated.

Our Location

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FACILITY ADDRESS

Valley Imaging Medical Group is located in Delano, California on Jefferson Street between 13th and 14th Street at 1311 Jefferson Street, Delano, California 93215.

 

TELEPHONE

Call us to schedule an appointment. You can reach us at (661) 721-3510.

 

HOURS

Our hours of operation are Monday to Friday from 8 am to 5 pm. Late weekday  and weekends are available by appointment.

 

EXPEDITED APPOINTMENTS

Expedited appointments are available. Contact us today to discuss a plan to get you in and out of the office as quickly as possible.

Time is on your side  and so are we. Morning, afternoon, evening, even weekends. We do everything we can to accommodate your schedule. Optimal healthcare requires us to make it easy for you to get here and provide you timely results. Fill out the form below to schedule an appointment.

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