GOOD NEWS DPC
Notice of Privacy Practices


Effective Date: October 1, 2025

Your Health Information. Your Rights. Our Responsibilities.

This Notice of Privacy Practices describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review it carefully.

Your Rights

You have the right to:

  • Request a copy of your paper or electronic medical record

  • Request corrections to your medical record

  • Ask for confidential communications (e.g., using a different phone number or mailing address)

  • Request limits on what we use or share for treatment, payment, or operations

  • Obtain a list of disclosures of your health information made over the past six years

  • Receive a copy of this privacy notice

  • Designate a medical power of attorney or authorized representative to act on your behalf

  • File a complaint if you believe your privacy rights have been violated

We will respond to your requests within the legally required timeframes and may charge a reasonable, cost-based fee for copies of your records.

Your Choices

You have the right to express preferences about how we use and share information in the following situations:

  • Sharing information with your family, close friends, or others involved in your care

  • Sharing information in disaster relief situations

  • Including your information in a facility directory

  • Providing mental health or behavioral health care

  • Marketing activities or fundraising communications

  • Any sale of your information

We will never sell your information or share your psychotherapy notes unless you give us written permission. You may revoke any such authorization in writing at any time.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treatment

We may use your information to provide medical treatment and coordinate care with other health professionals.

Example: A primary care provider may consult a specialist about your condition.

Health Care Operations

We may use your information to manage our practice and improve the quality of care we provide.

Example: We may use information to review our services or train our staff.

Billing and Payment

We may share your information with your health plan or others to process claims and receive payment for services.

Example: We submit your information to your insurance company to obtain reimbursement.

Other Permitted or Required Uses

Subject to applicable legal requirements, we may also use or disclose your information in the following circumstances:

  • Public health and safety – For disease prevention, reporting adverse drug reactions, or suspected abuse/neglect

  • Research – With institutional approval or your authorization

  • Compliance with the law – When required by federal, state, or local authorities

  • Organ and tissue donation – With procurement organizations

  • Medical examiners or funeral directors – When necessary to fulfill legal duties

  • Workers’ compensation – To comply with related laws

  • Law enforcement or national security – As required by legal processes or government programs

  • Legal proceedings – In response to a court order, subpoena, or other lawful request

Our Responsibilities

At Good News DPC, we are committed to protecting your privacy. We are required by law to:

  • Maintain the confidentiality of your protected health information

  • Provide you with this Notice explaining our privacy practices

  • Notify you promptly if a breach occurs that may have compromised your information

  • Only use or share your information as described in this Notice unless you authorize us in writing to do otherwise

We will not retaliate against you for filing a privacy complaint.

Changes to This Notice

We reserve the right to amend this Notice of Privacy Practices at any time. Any changes will apply to all health information we maintain, and the revised Notice will be made available in our office and on our website.

Questions or Complaints

If you have questions or wish to file a complaint, please contact:

Privacy Officer
Good News DPC
4195 N. Viking Way, Suites G & H
Long Beach, CA 90808
📞 Phone: (Insert clinic number)
📧 Email: hello@goodnewsdpc.com

You may also file a complaint with the U.S. Department of Health and Human Services:
Office for Civil Rights
200 Independence Avenue, SW
Washington, D.C. 20201
📞 1-877-696-6775
🌐 www.hhs.gov/ocr/privacy/hipaa/complaints/