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, please
contact our office manager. El Cerrito Ultrasound maintains the privacy of protected health information (PHI) and provides individuals with notice of its legal duties and privacy practices with respect to protected health information.

This Notice of Privacy Practices describes how we may use and disclose PHI to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. “Protected health information” is information about you, including demographic information that may identify you and that relates to your past, present or future physical or mental health or condition as well as related health care services.

Uses and Disclosures of Protected Health Information

You will be asked to sign a form stating that you have received this notice. Your PHI may be used and
disclosed by El Cerrito Ultrasound, our office staff and others outside of our office that are involved in your
care and treatment for the purpose of providing service to you.

Healthcare Operations: We may use or disclose, as needed, your PHI to support the business activities of El Cerrito Ultrasound. These activities include, but are not limited to, quality assessment activities, employee review activities, training of technicians, licensing, and conducting or arranging for other business activities. We may also call you by name in the waiting room. We may also use your name and exam information for patient flow tracking in the office. We may use or disclose your PHI, as necessary, to contact you to remind you of your appointment. This may include leaving or sending messages via phone or email and includes sending text messages.

Emergencies: We may use or disclose your PHI in an emergency treatment situation. If this happens, El
Cerrito Ultrasound will try to obtain your consent as soon as reasonably practicable after the delivery of
treatment.

Your Rights
Following is a statement of your rights with respect to your PHI and a brief description of how you may
exercise these rights:
You have the right to inspect a copy of your PHI. This means you may inspect and obtain a copy of PHI about
you that is contained in a designated record set for as long as we maintain the PHI. You may request information about who has had access to your PHI, and you may provide modifications to the information obtained.

Your PHI will be held in a secure location (physically and electronically) and El Cerrito Ultrasound will protect your information to the best of our ability.