HIPAA Notice of Privacy Practices
Clarivolve Mental Health
Effective Date: October 10, 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.
Our Commitment to Your Privacy
Clarivolve Mental Health respects the privacy and confidentiality of your personal health information.
We are required by applicable law to safeguard protected health information (PHI), provide information about our privacy practices, and notify affected individuals following certain breaches of unsecured health information.
We must follow the terms of the Notice of Privacy Practices currently in effect.
1. How We May Use and Disclose Your Information
Treatment: We may use and disclose health information to provide and coordinate care. For example, we may share relevant information with another treating healthcare professional when permitted by law.
Payment: We may use and disclose information for billing, insurance claims, payment processing, eligibility verification, and related activities.
Healthcare Operations: We may use information for lawful practice operations, including quality improvement, compliance, administrative activities, and evaluating our services.
Required or Permitted by Law: We may disclose information when required or permitted by applicable law, including certain public health, health oversight, legal, workers' compensation, and safety-related circumstances.
Any disclosure involving sensitive mental health information is subject to applicable federal and California confidentiality requirements.
2. Your Privacy Rights
You have the right, subject to applicable legal limitations, to:
Request access to or copies of your health records.
Request corrections to information you believe is inaccurate or incomplete.
Request confidential communications through a preferred method or location.
Request restrictions on certain uses or disclosures of your information.
Request an accounting of certain disclosures of your health information.
Obtain a paper copy of this Notice of Privacy Practices.
Designate an authorized personal representative where legally permitted.
File a privacy complaint without retaliation.
We generally respond to medical-record access requests within the time required by applicable law.
If you pay in full out of pocket for a service, you may request that information about that service not be disclosed to your health plan for payment or healthcare operations, unless disclosure is required by law.
3. Your Choices and Authorizations
In certain circumstances, you may tell us whether information can be shared with family members, caregivers, or other individuals involved in your care.
Other disclosures require written authorization, including most disclosures of psychotherapy notes, uses or disclosures for marketing requiring authorization, and the sale of protected health information.
You may revoke a written authorization, subject to applicable law and actions already taken in reliance on it.
4. Special Protections for Mental Health and Substance Use Disorder Records
Certain psychiatric records, psychotherapy notes, and substance use disorder treatment records receive additional protections under federal and California law.
Records subject to 42 CFR Part 2 are subject to special confidentiality rules. To the extent Clarivolve receives or maintains such records, we will handle them in accordance with applicable Part 2 requirements.
Part 2 records generally may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against a patient without the patient's specific written consent or an appropriate court order and accompanying legal process, as required by law.
Applicable Part 2 protections also include special requirements concerning consent, redisclosure, and certain fundraising uses.
5. Electronic Records and Service Providers
Clarivolve uses electronic systems to support patient care, communication, documentation, scheduling, and billing.
We may share information with service providers performing functions on our behalf when legally permitted and subject to applicable privacy and security obligations.
We take reasonable and appropriate steps to protect electronic health information, including administrative, technical, and physical safeguards.
6. Breach Notification
If a breach of unsecured protected health information occurs, we will provide required notifications in accordance with applicable federal and state law.
7. Complaints
If you believe your privacy rights have been violated, you may contact Clarivolve Mental Health using the information below.
You may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
https://www.hhs.gov/hipaa/filing-a-complaint/
You will not be retaliated against for filing a complaint.
8. Changes to This Notice
We reserve the right to update this Notice and make revised terms effective for protected health information we maintain, as permitted by law.
The current Notice will be available on our website and upon request.
9. Privacy Contact
Privacy Officer — Clarivolve Mental Health
104 E Olive Ave, Suite #100
Redlands, CA
Phone: (951) 517-3701
Email: anikpour@clarivolve.com
Website: www.clarivolve.com
Contact our office to request records, exercise privacy rights, obtain a copy of this Notice, or submit a privacy concern.