What Kind Of Personal Information Do We Collect and How Do We Obtain It? (drop down) 

The personal information we obtain depend on the type of services you are accessing. Generally, the information includes: name, address; phone number; individual/household occupants’ social security numbers; date of birth; age; sex; sexual orientation; gender identity; occupation; salary and employment information; financial information; health habits; medical information both past and present; general health history to include family history, previous care and treatment issues; billing preferences; parental and guardianship information; picture identification; driver’s license number; and other information necessary to provide you the best care possible. 

Most of this information is provided by you, but we also collect personal information about you from several other sources, depending on the nature of your care. 

We obtain personal information about you from the following sources: 

• Information you provide us, or an affiliate, on the patient information or financial assessment form, or on any other informational forms you may have completed; 

• Information you provide us, or an affiliate, about transactions with other entities; 

• Information your physician or other health care practitioners provide our health center; or 

• Information received from other sources 

How Do We Use Your Personal Information? 

We use your personal information to: perform transactions and functions necessary to implement and administer your care and treatment; to manage and treatment; to manage and treat your overall healthcare and well-being; to qualify you for the sliding fee discount program; and to process your claims for payment. On occasion your personal information is used for reporting or other functions required or permitted by law. 

What Kind of Personal Information About You Do We Share? 

We may share any of the information we collect about you (as described above) to companies that perform services on our behalf, including administrative services, or to other institutions with whom we have joint agreements. If in the future we expand our business to include sharing your personal information to affiliates or non-affiliates for services that are outside the scope of what is permitted under law, we will issue new privacy notices to all our patients explaining option rights. 

How Do We Protect Your Information? 

We maintain physical, electronic, and procedural safeguards to protect your personal information. We access and use your personal information to the extent necessary to administer your healthcare. We establish confidentiality agreements with contracted parties that receive non-public, personal, financial, and health information to those employees who need to know that information to administer your healthcare.