San Joaquin County Office of Mental Health Services
NOTICE OF PRIVACY PRACTICES

• The right to obtain a copy of the San Joaquin County Mental Health Services Notice of Privacy Practices.
• The right to request a restriction on certain uses and disclosures of your information.
• The right to request to inspect and copy certain treatment records.
• The right to request an amendment to your health record.
• The right to obtain an accounting of disclosures of protected health information disclosed for reasons other than treatment, payment or healthcare operations.
• The right to request confidential communications of your health information by alternative means.
• The right to discontinue your authorization to use or disclose health information.

1212 N. California Street
Stockton, CA 95202
San Joaquin County
Mental Health Services

Note: Federal law allows us to use your health information for treatment, payment or healthcare operations without your written consent.

Please contact us or ask at the reception desk for a copy of our Notice of Privacy Practices.

Phone: (209) 468-8700
Fax: (209) 468-9377
Email: cpo@sjcbhs.org
Web: www./MHS

You also may file a complaint with the Secretary of the U.S. Department of Health and Human Services, Office for Civil Rights, ATTN: Regional Manager, 50 United Nations Plaza, Room 322, San Francisco, CA 94102

Phone: (800) 368-1019 TTY: (866)788-4989