Notice of Privacy Practices for Protected Health Information (HIPAA)

This notice describes how medical information about you may be used and disclosed and how you can get access to this information


City of Berkeley Public Health Division
1947 Center Street, Second Floor, Berkeley, CA 94704
Map to Public Health Division

510-981-5300 (Phone)   510-981-5395 (Fax)   510-981-6903 (TDD)
PublicHealth@cityofberkeley.info

Monday - Friday: 8:00am - 5:00pm



Click here for a summary of your Health Information Privacy Rights (This will require Adobe Acrobat Reader, available at: Get Acrobat Reader button  )

Public Health is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment, and health care operations.  Protected health information is the information we create and obtain in providing our services to you.  Such information may include documenting your symptoms, examination and test results, diagnoses, treatment, and applying for future care or treatment.  It also includes billing documents for those services.

The Public Health Division (also known as “ Public Health”) creates records of health care to provide quality care and comply with legal requirements.  Public Health understands your health information is personal and private, and commits to safeguarding it to the extent reasonably possible.  The law requires Public Health to keep your health information private and to provide you this notice of our legal duties and privacy practices.  The law also requires Public Health to follow the terms of this notice.

This notice outlines the limits on how public health will handle your health information.  Under federal law, Public Health must provide a copy of this notice when you receive health care and related services from the City.  The City reserves the right to change practices and make new provisions effective for all health information it maintains.  You may request an updated copy of this notice at any time.

Effective Date: April 14, 2003

Who Will Follow This Notice

Your Health Information Rights and Our Responsibilities

To Request Information or File a Complaint

List of Other Uses and Disclosures Allowed by the Privacy Rule 


Additional Information

U.S. Department of Health and Human Services