Grossman and Grossman M.D.s

HIPAA - Notice of Privacy Practices

Effective: January 14, 2026

This Notice describes how medical information about you may be used and disclosed, and how you can access this information. Please review it carefully.

Our practice is required by law to maintain the privacy of your medical information and to provide you with this Notice in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and the California Confidentiality of Medical Information Act (CMIA).

How We May Use and Disclose Medical Information

We may use and disclose your medical information for purposes including, but not limited to:

  • Treatment: Providing, coordinating, or managing your medical care
  • Payment: Billing and insurance processing
  • Legal: Billing and payment activities related to your care
  • Healthcare Operations: Practice operations, quality assessment, and administrative activities

We may also disclose medical information as required or permitted by law, including for public health, legal, or regulatory purposes.

Your Rights Regarding Medical Information

You have the right to:

  • Access and obtain a copy of your medical records
  • Request corrections or amendments to your medical information
  • Request restrictions on certain uses or disclosures
  • Request confidential communications
  • Receive an accounting of certain disclosures of your medical information
  • Obtain a paper or electronic copy of this Notice upon request
  • Withdraw your consent to the use or disclosure of your medical information

Our Responsibilities

We are required by law to:

  • Maintain the privacy and security of your medical information
  • Provide you with this Notice of our legal duties and privacy practices
  • Notify you if a breach occurs that may compromise your informations
  • Follow the terms of this Notice currently in effect

Questions or Complaints

If you have questions about this Notice or believe your privacy rights have been violated, you may contact us at:

Grossman and Grossman M.D.s

Leah Grossman M.D.,M.S.

558 North Ventu Park Road, Suite A
Thousand Oaks, CA 91360

(805) 498 - 0240

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

U.S. Department of Health & Human Services

200 Independence Avenue, S.W.
Washington, D.C. 20201

1-(877) 696-6775

www.hhs.gov/ocr/privacy/hipaa/complaints/

Filing a complaint will not affect your care.

Changes to This Notice

We reserve the right to change this Notice at any time. Changes will apply to all medical information we maintain and will be made available upon request.

Phone
Fax

(805) 498 - 0860

Office Address

558 North Ventu Park Road, Suite A
Thousand Oaks, CA 91360

Free parking is available in the lot next to our office - Ample Parking.

Interested in a free consultation or to schedule an appointment?

Call us at (805) 498 - 0240