Notice of HIPAA Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Effective date: July 28, 2026.
Our Commitment to Your Privacy
FirstImpact Med is committed to protecting the privacy and confidentiality of your Protected Health Information (PHI) in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other applicable federal and state laws.
We understand that your medical information is personal. We are committed to safeguarding your health information and using it responsibly to provide high-quality healthcare services.
This Notice explains:
- How we may use and disclose your medical information.
- Your rights regarding your health information.
- Our legal responsibilities to protect your privacy.
How We May Use and Disclose Your Health Information
We may use or disclose your Protected Health Information (PHI) for the following purposes without your written authorization:
Treatment
We may use and share your medical information to provide, coordinate, and manage your healthcare. This may include communication with physicians, specialists, surgery centers, pharmacies, laboratories, imaging facilities, therapists, and other healthcare providers involved in your care.
Payment
We may use your information to bill and collect payment from you, your health insurance provider, workers' compensation carrier, or other responsible third parties.
Healthcare Operations
We may use your information to:
- Improve the quality of care
- Conduct quality assessments
- Train healthcare professionals
- Review provider performance
- Maintain licensing and accreditation
- Perform administrative and business functions
Other Permitted Uses and Disclosures
Federal and state law may permit or require us to disclose your health information for purposes such as:
- Public health activities
- Reporting abuse or neglect
- Health oversight agencies
- Law enforcement requests
- Judicial or administrative proceedings
- Organ and tissue donation
- Workers' compensation claims
- Military and national security purposes
- Coroners, medical examiners, and funeral directors
- Preventing serious threats to health or safety
- As otherwise required by law
Uses Requiring Your Written Authorization
We will obtain your written authorization before using or disclosing your information for purposes not otherwise permitted by law, including:
- Most marketing communications
- Sale of Protected Health Information
- Certain uses of psychotherapy notes
- Other disclosures requiring authorization under HIPAA
You may revoke your authorization at any time in writing, except where action has already been taken based on your previous authorization.
Your Rights Regarding Your Health Information
You have the right to:
Access Your Records
Request to inspect or obtain a copy of your medical records, subject to certain legal limitations.
Request Corrections
Request an amendment if you believe information in your medical record is incorrect or incomplete.
Request Restrictions
Ask us to limit certain uses or disclosures of your health information. While we are not always required to agree, we will consider all reasonable requests.
Confidential Communications
Request that we contact you in a specific way or at a different location to protect your privacy.
Accounting of Disclosures
Request a list of certain disclosures of your health information made by FirstImpact Med.
Receive a Paper Copy
You have the right to receive a paper copy of this Notice at any time, even if you previously agreed to receive it electronically.
Our responsibilities
FirstImpact Med is required by law to:
- Maintain the privacy and security of your Protected Health Information.
- Provide you with this Notice of Privacy Practices.
- Notify you if a breach occurs that may have compromised your protected information.
- Follow the terms of this Notice currently in effect.
Electronic Communications
If you choose to communicate with FirstImpact Med by email, text message, or through our website, please understand that electronic communications may not always be completely secure. We encourage you not to send sensitive medical information through unsecured email unless specifically instructed.
Website and Online Forms
Information submitted through appointment requests, referral forms, or contact forms on our website may be used to respond to your request and facilitate scheduling. Submission of an online form does not establish a physician-patient relationship.
Complaints
If you believe your privacy rights have been violated, you may file a complaint without fear of retaliation.
You may contact:
Privacy Officer
FirstImpact Med
Phone: (888) 502-3717
Email: admin@firstimpactmed.com
You may also file a complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
Changes to This Notice
FirstImpact Med reserves the right to revise this Notice of Privacy Practices at any time. Any revised Notice will apply to all protected health information maintained by FirstImpact Med and will be posted on our website with an updated effective date.
Contact Information
Acknowledgment
By receiving healthcare services from FirstImpact Med, you acknowledge that this Notice of Privacy Practices has been made available to you. You may request a printed copy at any time.
Disclaimer: This Notice is intended to satisfy the federal HIPAA Notice of Privacy Practices requirement (45 CFR §164.520). Because FirstImpact Med operates in California, state-specific privacy laws may provide additional protections beyond HIPAA. This document should be reviewed periodically and updated as applicable laws or organizational practices change.