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.

Your Rights

You have the right to:

Your Choices

You have some choices in the way that we use and share information as we:

Our Uses and Disclosures

We may use and share your information as we:

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Ask us to correct your medical record

Request confidential communications

Ask us to limit what we use or share

Get a list of those with whom we’ve shared information

Get a copy of this privacy notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

File a complaint if you feel your rights are violated

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us to:

If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases, we never share your information unless you give us written permission:

Our Uses and Disclosures

How do we typically use or share your health information?

We use or share your health information in the following ways:

Help you with treatment

We use your health information and share it with other professionals who are treating you. Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

We use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information, see HHS.

Help with public health and safety issues

We can share health information about you for certain situations such as:

Do research

We can use or share your information for health research.

Comply with the law

We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests

We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

Respond to lawsuits and legal actions

We can share health information about you in response to a court or administrative order, or in response to a subpoena. We cannot agree to limit uses/disclosures that are required by law.

Our Responsibilities:

Our Commitment to Safeguard Your Protected Health Information:

Because we are a medical clinic that does not engage in any transactions that invoke coverage of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the privacy practices described in this notice are voluntarily undertaken in order to safeguard your protected health information (PHI). Nothing in this notice should be construed as creating any contractual or legal rights for the recipient of our free services or other parties.

For more information on our responsibilities from HHS.

Additional Notices

We can share personal and health information about you with our Network Health Provider(s) and other providers you designate, including by electronic disclosure.

To the extent permitted by applicable laws, Cali Choice reserves the right to directly or through third parties de-identify personal and health information about you and to exploit such de-identified information for any purpose.

Cali Choice voluntarily complies with HIPAA privacy and security requirements as a best practice model for use and disclosure of Client information. Cali Choice is neither a Covered Entity nor Business Associate under HIPAA and is not legally obligated to comply with HIPAA privacy or security requirements.

State Notices & Disclosures

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Privacy Official: If you have any questions or concerns about our privacy practices, please contact us using the information provided below.

Effective Date: This notice goes into effect on March 4, 2023.


1911 W Glenoaks Blvd, Suite A
Glendale, CA 91201



16444 Paramount Blvd. #102
Paramount, CA 90723