Effective Date: May 21, 2026
Last Updated: May 21, 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.
Home Dialysis Therapies of San Diego (“Home Dialysis Therapies,” “HDT,” “we,” “our,” or “us”) is committed to protecting the privacy of your health information.
This Notice of Privacy Practices explains how we may use and disclose your protected health information, your rights regarding your protected health information, and our legal duties.
Protected health information generally means information that identifies you and relates to your past, present, or future health, healthcare, or payment for healthcare.
This Notice applies to protected health information maintained by Home Dialysis Therapies of San Diego in connection with patient care, treatment, payment, healthcare operations, and related services.
Our Legal Duties
We are required by law to:
Maintain the privacy and security of your protected health information
Provide you with this Notice of our legal duties and privacy practices
Follow the terms of the Notice currently in effect
Notify you if a breach occurs that may have compromised the privacy or security of your protected health information
Use and disclose your protected health information only as permitted or required by law
Respond to certain privacy requests as required by law
How We May Use and Disclose Your Protected Health Information
Treatment
We may use and disclose your protected health information to provide, coordinate, or manage your care.
For example, we may share information with your nephrologist, nurse, dietitian, social worker, transplant team, surgeon, hospital, laboratory, pharmacy, home dialysis equipment provider, referring provider, or other healthcare professionals involved in your care.
Payment
We may use and disclose your protected health information to bill for services, obtain payment, confirm coverage, determine eligibility, seek prior authorization, coordinate benefits, process claims, or communicate with Medicare, Medi-Cal, private insurers, managed care plans, secondary insurers, or other payers.
For example, we may send information to your health plan so it can pay for covered home dialysis services.
Healthcare Operations
We may use and disclose your protected health information for healthcare operations.
For example, we may use your information for quality review, care coordination, staff training, compliance, auditing, licensing, accreditation, credentialing, business planning, patient safety, case management, customer service, and improving our services.
Appointment Reminders and Care Communications
We may use and disclose your protected health information to contact you about appointments, training, follow-up care, clinic visits, supplies, lab work, care coordination, treatment options, or other healthcare-related matters.
Treatment Alternatives and Health-Related Benefits
We may use and disclose your protected health information to tell you about treatment alternatives, home dialysis options, transplant-related resources, care coordination, health-related benefits, or services that may be relevant to your care.
Family, Friends, Care Partners, and Others Involved in Your Care
We may share relevant information with a family member, caregiver, care partner, friend, or other person involved in your care or payment for your care if:
You agree
You give us permission
We reasonably infer that you do not object
The law permits us to do so
If you are unable to tell us your preference, we may share information when we believe it is in your best interest.
Your Choices
For certain health information, you can tell us your choices about what we share.
You may tell us your preference about sharing information with family members, friends, care partners, or others involved in your care.
If you cannot tell us your preference, we may share information when needed and when we believe it is in your best interest. We may also share information when needed to lessen a serious and imminent threat to health or safety.
Uses and Disclosures That Require Written Authorization
We will obtain your written authorization before using or disclosing your protected health information for purposes that require authorization by law.
These purposes include:
Most uses and disclosures of psychotherapy notes, to the extent we maintain psychotherapy notes
Marketing communications that require authorization
Sale of protected health information
Other uses and disclosures not described in this Notice unless otherwise permitted or required by law
If you give us written authorization, you may revoke it in writing at any time. Revocation will not affect actions we already took in reliance on your authorization.
Required by Law
We may use or disclose your protected health information when required by federal, state, or local law.
Public Health and Safety
We may disclose protected health information for public health and safety purposes, such as:
Preventing or controlling disease
Reporting certain diseases or conditions
Reporting adverse events or product problems
Reporting abuse, neglect, or domestic violence when required or permitted by law
Preventing or reducing a serious threat to anyone’s health or safety
Health Oversight Activities
We may disclose protected health information to health oversight agencies for activities authorized by law, such as audits, investigations, inspections, licensing, certification, compliance reviews, and other oversight activities.
Legal Proceedings
We may disclose protected health information in response to a court order, subpoena, discovery request, administrative proceeding, or other lawful legal process, when permitted or required by law.
Law Enforcement
We may disclose protected health information to law enforcement officials when permitted or required by law.
Coroners, Medical Examiners, and Funeral Directors
We may disclose protected health information to coroners, medical examiners, and funeral directors as necessary and permitted by law.
Organ, Eye, and Tissue Donation
We may disclose protected health information to organizations involved in organ, eye, or tissue donation and transplantation, as permitted by law.
Research
We may use or disclose protected health information for research when permitted by law, such as when approved by an institutional review board, privacy board, written authorization, or another process permitted under applicable law.
Workers’ Compensation
We may disclose protected health information as permitted or required by workers’ compensation laws.
Specialized Government Functions
We may disclose protected health information for certain specialized government functions when permitted by law, such as military, national security, protective services, correctional institution, or other lawful government purposes.
Business Associates
We may disclose protected health information to business associates that perform services for us, such as billing, technology, legal, consulting, accounting, data storage, quality, compliance, or administrative services.
Business associates are required by written agreement to protect your information when required by HIPAA.
Substance Use Disorder Patient Records
To the extent we have substance use disorder patient records about you that are subject to 42 CFR Part 2, we will follow the privacy protections that apply to those records.
If we have substance use disorder patient records subject to 42 CFR Part 2, those records, or testimony relaying the content of those records, will not be used or disclosed in a civil, criminal, administrative, or legislative proceeding against you unless based on your written consent or a court order accompanied by a subpoena or other legal requirement compelling disclosure, as required by law.
If we use or disclose Part 2 records for fundraising communications in the future, we will give you clear notice and a meaningful opportunity to opt out when required by law.
Potential Redisclosure
Information disclosed by us as permitted or required by HIPAA may be redisclosed by the recipient and may no longer be protected by HIPAA in some circumstances. Other federal or state laws may still protect the information.
Your Rights
You have rights regarding your protected health information. Some rights are subject to legal limits.
Right to Inspect and Receive Copies
You have the right to inspect or receive a copy of certain protected health information maintained in your designated record set.
You may request an electronic or paper copy. We will respond within the time required by applicable law. We may charge a reasonable, cost-based fee as permitted by law.
We may deny access in limited circumstances permitted by law.
Right to Request an Amendment
If you believe your protected health information is incorrect or incomplete, you may request an amendment.
Your request must be made in writing and should explain why the information should be amended.
We may deny your request in certain circumstances, such as if we did not create the information or if we believe the record is accurate and complete. If we deny your request, we will tell you why in writing within the time required by law.
Right to Request Confidential Communications
You may request that we communicate with you in a certain way or at a certain location.
For example, you may ask us to contact you at a specific phone number or mailing address.
We will accommodate reasonable requests as required by law.
Right to Request Restrictions
You may request that we restrict certain uses or disclosures of your protected health information for treatment, payment, or healthcare operations.
We are not required to agree to most requested restrictions. If we agree, we will follow the restriction except in emergencies or as otherwise permitted by law.
If you pay out of pocket in full for a healthcare item or service, you may request that we not disclose information about that item or service to your health plan for payment or healthcare operations purposes. We will honor that request when required by law.
Right to an Accounting of Disclosures
You may request a list of certain disclosures of your protected health information.
This accounting does not include all disclosures. For example, it generally does not include disclosures made for treatment, payment, healthcare operations, disclosures made to you, disclosures authorized by you, and certain other disclosures excluded by law.
Right to Receive a Paper Copy
You have the right to receive a paper copy of this Notice, even if you agreed to receive it electronically.
Right to Choose Someone to Act for You
If you have given someone medical power of attorney, if someone is your legal guardian, or if another person has legal authority to act for you, that person may be able to exercise your rights and make choices about your protected health information.
We may take reasonable steps to verify that the person has authority to act for you.
Right to Be Notified of a Breach
You have the right to be notified if a breach occurs that may have compromised the privacy or security of your protected health information.
Right to File a Complaint
You may file a complaint if you believe your privacy rights have been violated.
You may file a complaint with Home Dialysis Therapies of San Diego:
Denise Barnes, RN
Chief Executive Officer
Home Dialysis Therapies of San Diego
10672 Wexford Street, Unit #250
San Diego, CA 92131
Phone: (858) 549-3400
Email: [email protected]
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.
We will not retaliate against you for filing a complaint.
How to Exercise Your Rights
To exercise your rights, contact:
Denise Barnes, RN
Chief Executive Officer
Home Dialysis Therapies of San Diego
10672 Wexford Street, Unit #250
San Diego, CA 92131
Phone: (858) 549-3400
Email: [email protected]
Some requests must be submitted in writing. We may ask you to verify your identity before processing a request.
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information.
We are required to follow the duties and privacy practices described in this Notice.
We are required to notify you if a breach occurs that may have compromised the privacy or security of your protected health information.
We will not use or disclose your protected health information except as described in this Notice or as otherwise permitted or required by law.
If you tell us we can use or disclose your protected health information for a specific purpose, you may revoke that authorization in writing at any time. If you revoke your authorization, we will stop using or disclosing your protected health information for that purpose, except to the extent we already relied on your authorization.
Changes to This Notice
We may change this Notice from time to time.
We reserve the right to make the revised Notice effective for protected health information we already have and for information we receive in the future.
The current Notice will be posted on our website and will be available upon request. Copies will also be available at our service locations as required by law.
Contact Information
For questions about this Notice or your privacy rights, contact:
Denise Barnes, RN
Chief Executive Officer
Home Dialysis Therapies of San Diego
10672 Wexford Street, Unit #250
San Diego, CA 92131
Phone: (858) 549-3400
Email: [email protected]