Notice of Privacy Practices for Protected Health Information (HIPAA)

Effective Date: April 14, 2003

City of Berkeley Public Health Division
1947 Center Street, Second Floor, Berkeley, CA 94704
Map to Public Health Division

510-981-5300 (Phone)   510-981-5395 (Fax)   510-981-6903 (TDD)

Monday - Friday: 8:00am - 5:00pm

Who Will Follow This Notice

This notice describes the practices of the City of Berkeley’s Public Health Division services and that of:

All Public Health Services’ providers, teams and programs follow the terms of this notice.  In addition, these providers, teams and clinics may share health information with each other for treatment, payment or medical operations purposes described in this notice.

Example of uses of your health information for treatment purposes:

Example of use of your health information for payment purposes:

We submit requests for payment to your health insurance company, the state or other third parties.  The health insurance company, the state or business associate helping us obtain payment requests information from us regarding the medical care provided to you.  We will provide information to them about you and the care given.

Example of Use of Your Information for Health Care Operations:

We may obtain services from other agencies and organizations such as quality assessment, quality improvement, outcome evaluation, protocol and clinical guidelines development, training programs, credentialing, medical review, legal services, auditing financial data and insurance.  We will share information about you with such outside entities or business associates as necessary and according to state and federal laws to obtain these services.

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