Effective Date: January 9, 2026

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.

Integrated Behavioral Health d/b/a Uprise Health, its subsidiaries and affiliates, including Claremont Behavioral Services, Inc., (“us”, “we”, or “our”), are dedicated to protecting information we collect and use in providing clinical services, employee assistance services, or health plan benefits.

We are required by law to maintain the privacy of your confidential personal and health related information – known as protected health information (“PHI”) – and to provide you with this Notice of Privacy Practices (“Notice”) of our legal duties and privacy practices with respect to PHI. We follow all applicable requirements of Health Insurance Portability and Accountability Act of 1996 (HIPAA); Federal Confidentiality Law 42 CFR, Part 2; the Health Information Technology for Economic and Clinical Health (HITECH) Act, passed as part of the 2009 American Recovery and Reinvestment Act; and applicable state laws and regulations.

I. Our Responsibilities

  • We are required by law to maintain the privacy and security of your PHI.
  • We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
  • We must follow the duties and privacy practices described in this Notice and give you a copy of it.
  • We will not use or share your PHI other than as described in this Notice unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

II. Our Uses and Disclosures of Your PHI

How We Use and Disclose Your PHI. We typically use or disclose your PHI without your authorization as follows:

  • Help Manage the Health Care Treatment You Receive: We can use your PHI and share it with professionals who are treating you.
    Example: A doctor may send us information about your diagnosis and treatment plan so that we can arrange additional services.
  • Run Our Organization: We can use and disclose your information to run our organization and contact you when necessary. We are not allowed to use genetic information about you to decide whether we will give you coverage and the price of that coverage.
    Example: We may use PHI about you to develop better services for you.
  • Paying or Billing for Services: We can use and disclose your PHI to pay or bill for your health services.
    Example: We may share PHI about you with your health plan to obtain payment for services.
  • Administer your Plan: We may disclose your PHI to your health plan sponsor for plan administration purposes.
    Example: Your company contracts with us to provide an employee assistance plan, and we provide your company with certain statistics to explain the premiums we charge.
  • To Your Company or Union Fund. Your employer or union fund does NOT receive any confidential information about the services you seek or use, with one exception. If you are formally referred for brief counseling services, which is called a “supervisor referral,” then we will tell the referring official whether you called us, and with your signed release, dates and times of appointments, whether you attended scheduled appointments, and if you are following the action plan established by your provider. We may also inform your employer of any specific worksite risks, such as risk of violence or serious accident risks. In some cases, we may share anticipated time off work and any recommended follow-up drug tests. For example, if you would like to have brief counseling services, we will give your provider enough of your confidential information so the services can be provided. In all situations, we maintain our highest standards for protecting confidentiality.
  • Security Clearances. If you have, or have been processed for, a government security clearance, then we recommend that you familiarize yourself with the disclosure agreements of the National Background Investigations Bureau (NBIB) or your employer’s security policy. If you authorize disclosure of medical information as a condition of your security clearance we may be required to disclose PHI.

Other Uses and Disclosures of Your PHI. We are also allowed or required to share your information in other ways without your authorization – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see:  www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

  • Help With Public Health and Safety Issues. We can share PHI about you for certain situations such as:
    • Preventing disease.
    • Helping with product recalls.
    • Reporting adverse reactions to medications.
    • Reporting suspected abuse, neglect, or domestic violence.
    • Preventing or reducing a serious threat to anyone’s health or safety.
  • Do Research: We can use or share your information for health research.
  • Comply With Law. We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
  • Organ and Tissue Donation Requests. We may share your information to respond to organ and tissue donation requests and work with a medical examiner or funeral director if we maintain information relevant to such requests.
    • We can share your PHI with organ procurement organizations.
    • We can share your PHI with a coroner, medical examiner, or funeral director when an individual dies.
  • Workers Compensation, Law Enforcement, and other Government Requests. We can use or share PHI about you:
    • For workers’ compensation claims.
    • For law enforcement purposes or with law enforcement officials.
    • With health oversight agencies for activities authorized by law.
    • For special government functions such as military, national security, and presidential protective services.
  • Respond to Lawsuits and Legal Actions. We can share PHI about you in response to a court or administrative order, or in response to a subpoena.

III. Your Choices

Other than the uses and disclosures described above, which may be made without your authorization, we will not use or disclose your PHI without your written authorization.

You have the right and choice to tell us to:

  • Share information with your family, close friends, or others involved in payment for your care.
  • Share information in a disaster relief situation.
    If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In the following circumstances we never share your PHI unless you give us your written permission to:

  • Use or disclose any psychotherapy notes.
  • Use or disclose your PHI for marketing, except if the communication is in the form of a face-to-face communication made by us to you, or a promotional gift of nominal value that we provide to you.
  • Sell your PHI.
  • If PHI is provided to us by a Part 2 Program (a federally assisted program that provides substance use disorder services), we will not further use or disclose those records protected by 42 CFR Part 2 without your authorization or a valid court order for the purpose of (1) initiating or substantiating criminal charges against you, (2) conducting any criminal investigation against you, or (3) using the records in any civil, criminal, administrative, or legislative proceedings against you.

Authorizations are for specific uses of your PHI, and once you give us authorization, any disclosures we make will be limited to those consistent with the terms of the authorization. You may revoke your authorization by submitting a revocation in writing, at any time, except to the extent that we have already taken action in reliance upon your authorization.

IV. State Privacy Requirements

We are required to comply with state laws and regulations that limit how we use or disclose information about you beyond what is listed in this Notice. We will comply as required by the applicable state law or regulation. Information on the following additional restrictions is available at:

V. Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get a copy of your health and claims records

  • You can ask to see or get a copy of your health and claims records and other PHI we have about you, except for a provider’s personal psychotherapy notes. Ask us how to do this, we may require your written authorization in advance and proof of your identity before we share the information.
  • We will provide a copy or a summary of your health and claims records, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct health and claims records

  • You can ask us to correct your health and claims records if you think they are incorrect or incomplete. Ask us how to do this.
  • We will review your request and may say “no” to your request, but we’ll tell you why in writing within 60 days and provide you information about how you can disagree with our denial.

Request confidential communications

  • You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
  • We will consider all reasonable requests for alternative communications and must say “yes” if you tell us that you would be in danger if we do not.

Ask us to limit what we use or share

  • You can ask us not to use or share certain PHI for treatment, payment, or our operations.
  • We are not required to agree to your request, and we may say “no” if it would affect your care.

Get a list of those with whom we’ve shared information

  • You can ask for a list (accounting) of the times we’ve shared your PHI for six years prior to the date you ask, who we shared it with, and why.
  • We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make or for military, national security, prisoner or government benefits purposes). We will provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

  • You can ask for a paper copy of this Notice at any time, even if you have agreed to receive the Notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

  • If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
  • We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

  • You can complain if you feel we have violated your rights by contacting us using the information on this Notice.
  • You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-6966775, or visiting https://www.hhs.gov/hipaa/filing-a-complaint/index.html.
  • We will not retaliate against you for filing a complaint.

VI. Potential for Redisclosure of Information.

Information disclosed by us, either authorized by you (or your personal representative) or permitted by applicable privacy laws, may be redisclosed by the person receiving your information if that person is not required by law to protect your information.

VII. Changes to this Notice

We reserve the right to change the terms of this Notice at any time and to apply those changes to all information that we maintain about you, including information already created or received. The new Notice will be available to you upon request, on our web site, and we will mail a copy to you unless you elect to receive the Notice electronically.

VIII. Complaints

If you are not satisfied with the manner in which we handle your PHI, you may file a complaint with us. Please do so in writing. Direct your complaint to the Clinical Director:

Clinical Director
2 Park Plaza, Suite 1200
Irvine, CA 92614
800-834-3773

Complaints will be processed through our grievance system. You will not be penalized for filing a complaint. You may also submit a formal complaint to the Department of Health and Human Services, Office of Civil Rights as specified in Section V.

We do not recommend that you communicate with us through e-mail other than for routine matters such as confirmation of appointments. If you choose to do so, we cannot guarantee that we can protect any PHI contained in the e-mail.

 

 

 

Additional California Privacy Policies

Effective Date: January 9, 2026

In addition to the requirements in our Notice of Privacy Practices (“NPP”) required by the federal Health Insurance Portability Accountability Act (“HIPAA”) and its implementing regulations, Uprise Health (“us”, “we”, or “our”) must protect the confidentiality of medical information in compliance with the California Confidentiality of Medical Information Act (“CMIA”) at Civil Code § 56 et seq. We will protect all your medical information as required under CMIA. This document describes certain protections regarding your medical information under California law and is in addition to those in our NPP.

  1. Confidential Communications Requests. We will comply with your requests for confidential communications related to sensitive services that you have the right to consent to under California law. We will direct communications to an alternative telephone number or address you provide to us. Sensitive services include services related to mental or behavioral health, sexual and reproductive health, sexually transmitted infections, substance use disorder, gender-affirming care, or intimate partner violence as defined at Civil Code § 56.05(s).
  2. Abortion Services. If we receive or create information related to abortion services, we will comply with the limitations related to abortion services you obtain in California. We will not share your information related to abortion services in response to requests when those requests are based on a non-California law that would interfere with your rights in California without your authorization.
    For example, we will not share your information related to abortion services without your authorization if we receive a subpoena from an agency in another state that would punish a person receiving or providing abortion services that are legal in California.
  3. Gender Affirming Care. If we receive or create information related to gender affirming care, we will comply with the limitations related to gender affirming care you obtain in California. We will not share your information related to gender affirming care in response to requests when those requests are based on a non-California law that would interfere with your rights in California without your authorization.
    For example, we will not share your information related to gender-affirming care without your authorization if we receive a subpoena from an agency in another state that would punish a person receiving or providing gender affirming care that is legal in California.
  4. Immigration Enforcement. We will not disclose your medical information for immigration enforcement purposes without your authorization or as otherwise required or permitted by law.