Crown Valley Imaging
Office Policies

HIPAA Notice of Privacy Practices


Effective January 1, 2025 (official Unified Policy)

Draft. This page contains placeholder content awaiting formal review by Crown Valley Imaging's legal counsel. Do not rely on it as official policy until this notice is removed.

This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. We are required by law to maintain the privacy of your protected health information (PHI) and to abide by this Notice. The signed Unified Policy PDF on this page is the authoritative document.

Our pledge regarding your medical information

We understand that medical information about you and your health is personal. We create a record of your care to provide quality service and comply with legal requirements. Under the law, CVI must: (1) make sure that information identifying you is kept private; (2) give you this Notice describing our legal duties and privacy practices; and (3) follow the terms of the Notice currently in effect.

For treatment

We may use medical information about you to provide you with medical treatment or services, and may disclose information to doctors, nurses, technologists, and other staff involved in your care or to outside providers assisting in your treatment. CVI may participate in secure Health Information Exchanges (HIEs) allowing your treating providers to securely share clinical data to support continuity of care.

For payment

We may use and disclose information so the services you receive at CVI are properly billed and paid for by your insurer or responsible party.

For healthcare operations

We may use and disclose information for office operations — quality assurance, credentialing, compliance audits, and training — while maintaining HIPAA compliance.

Individuals involved in your care

Using professional judgment, we may share information with family or others involved in your care or payment.

Other permitted disclosures

We will disclose information when required by federal, state, or local law; to avert a serious threat to health or safety; for workers' compensation or similar programs; for health oversight activities (audits, inspections, licensure); in legal proceedings in response to a court or administrative order, subpoena, or discovery request consistent with law; and to law-enforcement officials in limited lawful circumstances.

Uses requiring your written authorization

Other uses and disclosures not covered by this Notice or by law require your written authorization. Authorizations are generally valid for six months unless canceled sooner. You may revoke an authorization in writing at any time, but prior disclosures made in reliance on it cannot be undone.

Your rights

Restrictions: you may request limitations on use or disclosure of your information for treatment, payment, or operations — we are not required to agree but will comply with approved requests unless needed for emergency care. Access and copies: you may inspect or obtain copies of your records by written request to the Privacy Officer (reasonable cost-based fees may apply). Amendments: you may request an amendment of your record in writing with a supporting reason. Minors: if you are under 18 and not legally able to consent for your own care, parents or guardians usually receive your medical information unless restricted by law. You are also entitled to a paper copy of this Notice and an accounting of certain disclosures.

Identity verification

We may verify identity or take your photo to protect your records when you request access, copies, or amendments.

Changes to privacy practices

CVI may revise this Notice at any time and make the revised version effective for existing and future information. The latest version is posted at www.crownvalleyimaging.com.

Questions or complaints

Email support@cvimaging.net or call (949) 367-1010. You may also file a complaint with the U.S. Department of Health and Human Services. No retaliation will occur for filing a complaint.

Questions about this policy? Email support@cvimaging.net or call 949-367-1010.

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