You can park behind the building in the free (first come first serve) parking lot or in front of the building on the street (meter parking).
Upon entering the building enter suite #106. You will enter into a small waiting room where you can wait and I will come and get you at your appointment time.
Also-if you arrive early to your appointment and the door to #106 is locked, please wait in the Guest Lobby (near the entrance of the building) and I will come and get you at your appointment time.
Please note that sessions are scheduled by appointment only (no walk in’s). My office manager Quin is in the office Monday-Friday from approximately 9 am - 5 pm to answer phone calls and handle scheduling. You can call 323-741-0044 during these scheduled times, leave a message and she will return your call within these hours to schedule appointments and answer any questions you may have.
Also, please note that phone calls are usually returned within a 24 -48 hour period. If for some reason you have not received a call back within this time frame, please call again and leave another message. Thank you for your understanding regarding this matter.
Please note: You are responsible for understanding your insurance benefits and for payment of the service if your insurance does not agree to coverage. Therefore, it will behoove you to contact your insurance before coming to your appointment and complete the Insurance Verification form.
Please note that your copay is expected at the time of service and we accept cash, checks, and payments online through PayPal.
We look forward to working with you. If you have any questions or concerns please feel free to contact me by phone.
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.
As part of providing professional care to you, we will do all we can to maintain the privacy of what is called your “protected health information” (PHI). We are also required by law to keep your PHI private. These laws are complicated, and we must give you this important information. This page is a shorter description of what we do to maintain your privacy. If you would like to read the more detailed version, please ask any staff member for a copy. If you have any questions about our practices, please contact our compliance officer, whose information is listed at the bottom of this page.
How we use and disclose your protected health information (PHI) with your consent
We will use the information we collect about you mainly to provide you with treatment; to arrange payment for our services; and for some other business activities called, in the law, “health care operations.” We will ask you to sign a separate consent form to show that you understand these ways we handle your information. If you do not agree and won’t sign this consent form, we will not treat you. If we want to use or send, share, or release your PHI for other purposes, we will discuss this with you so you fully understand it, and ask you to sign a release-of-information form to allow this.
Disclosing your health information without your consent:
There are some times when the laws require us to share your information without getting your consent. They are described in the longer version of our Notice of Privacy Practices, but here are the most common situations:
1. When there is a serious threat to your or another person’s health or safety or to the public. We will only share information with people who are able to help prevent or reduce the danger.
2. When we are required to do so by lawsuits and other legal or court proceedings.
3. When a law enforcement official requires us to do so.
4. For workers’ compensation and some similar programs if you seek these benefits.
Your rights about your health information:
1. You can ask us to communicate with you in a particular way or at a certain place that is more private for you. For example, you can ask us to call you at home, rather than at work, to schedule or cancel an appointment. We will try our best to do as you ask.
2. You can ask us to limit what we tell people involved in your care or the payment for your care, such as family members and friends.
3. You have the right to look at the health information we have about you, such as your medical chart, case file, and billing records. You can get a copy of these records, and we can charge you for it. Please talk to our compliance officer to arrange how to see your records.
4. If you believe that the information in our records is incorrect or missing something important, you can ask us to make additions to your records to correct the situation. You have to make this request in writing and send it to our compliance officer.
5. You have the right to file a complaint if you believe your privacy rights have been violated. You can file a complaint with our compliance officer and with the Secretary of the U.S. Department of Health and Human Services. All complaints must be in writing. Filing a complaint will not change the health care we provide to you in any way.
6. You have the right to a copy of this notice.
Also, you may have other rights that are granted to you by the laws of our state, and these may be the same as or different from the rights described above. Our compliance officer will be happy to discuss these situations or answer any questions now or as they arise.
The effective date of this notice is 4 / 1 / 2020 .
Hollywood Family Therapy Group, INC DBA: Hollywood Therapy Form 6.4
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