Legal

HIPAA Notice of Privacy Practices

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.

Our pledge regarding your health information

Manifest Behavioral Health is required by law to maintain the privacy of your protected health information ("PHI"), provide you with this Notice of our legal duties and privacy practices, and follow the terms of the Notice currently in effect.

How we may use and disclose your health information

We may use and disclose your PHI for the following purposes without your written authorization:

  • Treatment — to provide, coordinate, or manage your care, including consultations with other treating clinicians.
  • Payment — to obtain payment or reimbursement for the services we provide, including insurance verification and billing.
  • Health care operations — to conduct quality assessment, training, accreditation, and other administrative functions of the practice.
  • Required by law — when disclosure is required by federal, state, or local law (including mandated reporting of suspected abuse or threats of harm).
  • Public health and safety — to prevent a serious threat to health or safety, or as required by public health authorities.

Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization, which you may revoke at any time in writing.

Your rights regarding your health information

You have the right to:

  • Inspect and copy your medical and billing records, subject to limited exceptions.
  • Request amendments to records you believe are inaccurate or incomplete.
  • Request an accounting of certain disclosures of your PHI made in the prior six years.
  • Request restrictions on uses or disclosures (we are not required to agree to every request).
  • Request confidential communications at an alternate address or phone number.
  • Receive a paper copy of this Notice on request, even if you have agreed to receive it electronically.
  • Be notified of any breach of unsecured PHI.

To exercise any of these rights, submit a written request to our Privacy Officer at the contact information below.

Special protections for substance use disorder records

Records of substance use disorder treatment are protected by federal regulation 42 CFR Part 2 in addition to HIPAA. These regulations generally prohibit us from disclosing identifying information about a patient unless you consent in writing, the disclosure is allowed by a court order, or specific narrow exceptions apply (such as medical emergencies and qualified research).

Complaints

If you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer or with the Secretary of the U.S. Department of Health and Human Services at:

Office for Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, S.W., Room 509F, HHH Building
Washington, D.C. 20201
https://www.hhs.gov/ocr/complaints/

You will not be retaliated against for filing a complaint.

Effective date and changes

We reserve the right to change this Notice at any time. Changes apply to all PHI we maintain. We will post the revised Notice on this website and make paper copies available at our office.

Effective date: May 25, 2026.

Privacy Officer contact

Manifest Behavioral Health — Privacy Officer
23297 S Pointe Dr
Laguna Hills, CA 92653
admissions@manifestbehavioralhealth.com
(949) 735-5705