Notice of Privacy Practices

LA Integrative Psychiatry (LAIP)
1612 W Olive Ave Suite 200, Burbank, CA 91506
Phone: (747) 777-7047

Effective date: September 5, 2026

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.

The Health Insurance Portability and Accountability Act (HIPAA) and California law protect the privacy of your health information. This notice explains how LAIP may use and share your protected health information (PHI), what your rights are, and how to contact us with questions or concerns. We are required by law to keep your PHI private, to give you this notice, and to follow the terms of the notice currently in effect.

1. How we may use and share your health information

For treatment. We use your health information to provide your care and to coordinate care among LAIP providers. If we need to share information with another provider outside LAIP for your treatment, we will ask you to sign a release of information, except in an emergency.

For payment. We may use and share your health information to bill and collect payment for services, including sending claims to your insurance plan and confirming coverage.

For health care operations. We may use your health information to run our practice, such as quality review, training, and scheduling. We may contact you about appointment reminders and about treatment options or services related to your care.

Psychotherapy notes. Separate notes a clinician keeps about counseling sessions receive extra protection. We will not share them without your written authorization, except as the law allows.

Substance use disorder records. If you receive addiction treatment from LAIP, records that identify you as a substance use treatment patient are also protected by federal law (42 CFR Part 2). We will not share those records without your specific written consent, except in the limited situations the law allows, such as a medical emergency or a court order that meets Part 2 requirements.

2. Uses and disclosures allowed or required by law without your authorization

When required by law, for example reporting suspected abuse or neglect of a child, elder, or dependent adult.
For public health activities, such as reporting to public health authorities as the law requires.
For health oversight, such as audits, licensing, and investigations by government agencies.
In response to a court order, subpoena, or other lawful process, within the limits set by law.
To prevent a serious threat. If a clinician believes you pose a serious danger to yourself or to an identifiable person, we may share information needed to protect you or that person, including warning the person and notifying law enforcement, as California law requires.
For workers compensation claims as the law allows.
To coroners, medical examiners, or funeral directors as needed.
To your personal representative, such as a legal guardian, once we confirm that person has authority to act for you.
To family members or others involved in your care, only with your agreement or when you are not able to agree and a clinician judges it is in your best interest.

3. Uses that require your written authorization

We will not use or share your health information for marketing, sell your health information, or share psychotherapy notes without your written authorization. Any other use or disclosure not described in this notice also requires your written authorization. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

4. Your rights

See and get a copy of your records. You may ask in writing to inspect or receive a copy of your health information. Under California law, we will provide access to inspect within 5 business days and copies within 15 business days of your written request. We may charge a reasonable fee for copies as set by California Health and Safety Code section 123110. A clinician may limit access to mental health records in the specific situations California law allows, and we will explain any limitation in writing.

Request corrections. If you believe your record is wrong or incomplete, you may ask us in writing to amend it. We may deny the request, and if we do, we will tell you why in writing within 60 days and you may add a statement of disagreement to your record.

Request restrictions. You may ask us to limit how we use or share your information. We are not required to agree, except that if you pay in full out of pocket for a service, you may ask us not to share information about that service with your health plan, and we will honor that request.

Confidential communications. You may ask us to contact you in a specific way or at a specific location, for example only by phone or only at a certain address. We will honor reasonable requests.

An accounting of disclosures. You may ask for a list of certain disclosures we made of your health information in the past six years, other than for treatment, payment, and operations.

A copy of this notice. You may ask for a paper copy at any time, even if you received it electronically.

Notice of a breach. We will notify you if a breach occurs that may have compromised the privacy or security of your information.

Choose your care. You may decline services with us at any time. If you wish, we will help you find other qualified providers. Ending care does not remove any financial obligation already accrued.

5. Complaints and questions

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at LA Integrative Psychiatry, 1612 W Olive Ave Suite 200, Burbank, CA 91506, phone (747) 777-7047, or with the U.S. Department of Health and Human Services Office for Civil Rights at www.hhs.gov/ocr/privacy/hipaa/complaints. We will not retaliate against you for filing a complaint.

6. Changes to this notice

We may change this notice, and the new terms will apply to all health information we keep. The current notice is always available on this page and on request at our office.