Effective date: May 19, 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.
Animate Behavior LLC is required by the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (collectively, HIPAA) to maintain the privacy of your protected health information (PHI), provide you with notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect.
Treatment. We may use and disclose PHI to provide, coordinate, and manage your child's ABA therapy and related services, and to consult with other healthcare providers.
Payment. We may use and disclose PHI to bill and obtain payment from insurance carriers, regional centers, or other funding sources.
Healthcare operations. We may use and disclose PHI for our internal operations, including quality assessment, staff training, supervision, and compliance.
As required by law. We may disclose PHI when required to do so by federal, state, or local law, including reporting suspected abuse or neglect and responding to subpoenas or court orders.
Public health and safety. We may disclose PHI to prevent or lessen a serious threat to the health or safety of a person or the public.
With your authorization. Other uses and disclosures of PHI not described above will be made only with your written authorization, which you may revoke at any time in writing.
You have the right to: request access to and obtain a copy of your child's PHI; request amendment of PHI you believe is incorrect or incomplete; request an accounting of certain disclosures we have made; request restrictions on the use or disclosure of PHI; request confidential communication by alternative means; receive a paper copy of this Notice on request; and receive notification in the event of a breach affecting your PHI.
If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at the address below, or with the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.
We reserve the right to change the terms of this Notice at any time. New terms will be effective for all PHI we maintain. We will post the current Notice on our website and provide a copy upon request.
Animate Behavior LLC, Attn: Privacy Officer, 5900 Hollis St, STE X, Emeryville, CA 94608. Phone: (510) 500-5124. Email: clientservices@animatebehavior.com.
This Notice is provided as a starting template. Please have it reviewed by qualified healthcare counsel before treating it as your final Notice of Privacy Practices.
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