Welcome to the State of California 
 

YOUR PRIVACY RIGHTS

Federal and state laws require that individuals (or their personal representative) be provided certain rights regarding their personal information generated and maintained by the California Department of Public Health or the Department's business associate.  PI is information that can identify or can be used to identify an individual, and relates to the past, present or future health condition of an individual.  The Department's Privacy Office is responsible for facilitating the Department's compliance with federal and state privacy laws to ensure the safeguarding of PI. 

Any PI requests shall be made in writing using the appropriate forms provided below.  With limited exceptions, an individual (or a personal representative) has the right to request the following:

·         ACCESS TO INSPECT AND OBTAIN COPIES OF PI
You have the right to inspect your personal information in records, which the Department creates or maintains. You also have the right to request copies of those records. You may be charged for the costs of copying and mailing of these records.
·         ACCOUNT OF DISCLOSURES OF PI
You have the right to request the Department to account for the disclosures of your PI, which the Department creates or maintains.
·         AMEND PI
You have the right to request amendments to your personal information which the Department creates or maintains.
·         AUTHORIZATION FOR USE AND DISCLOSURE OF PERSONAL INFORMATION
You have the right to authorize the use and disclosure of your personal information which the Department creates or maintains.  
·         CONFIDENTIAL COMMUNICATION OF PI
You also have the right to request the Department not to disclose PI to a family member, relative, or friend involved with your care or payment for your health care. 
·         PRIVACY/HIPAA COMPLAINT FORM
You have the right to file a complaint if you believe your HIPAA rights have been violated regarding your personal information which the Department creates or maintains.
·         RESTRICT USE AND DISCLOSURE OF PI
You have the right to request the Department to restrict the use and disclosure of your PI to carry out treatment, payment or operations. 
 
 
Last modified on: 8/13/2009 10:58 AM