Notice of Privacy Practices
Provider: Rafael Cazares, LMFT | License: #150588
Effective Date: May 11, 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.
Our Commitment to Your Privacy We are required by law to maintain the privacy of your protected health information (PHI) and to provide you with this notice of our legal duties and privacy practices.
How We Use and Disclose Your PHI
Treatment: To provide, coordinate, or manage your health care.
Payment: To bill and collect payment from you or your insurance company.
Healthcare Operations: To support the administrative and business activities of the Practice.
AI Documentation: We utilize HIPAA-compliant AI-assisted technology to organize and refine clinical documentation. No audio or video recordings are captured or stored by this technology.
Law Required: We may disclose PHI when required by law (e.g., mandated reporting of abuse, court orders).
Your Rights Regarding Your PHI You have the right to inspect and copy your medical record, request an amendment to your information, and request restricted disclosure to health plans for services you have paid for out-of-pocket in full.
Complaints If you believe your privacy rights have been violated, you may contact Rafael Cazares, LMFT at rafael@rafaelcazares.com or the Secretary of the U.S. Department of Health and Human Services.
Board of Behavioral Sciences Notice The Board of Behavioral Sciences receives and responds to complaints regarding services provided within the scope of practice of marriage and family therapists. Contact the board at www.bbs.ca.gov or (916) 574-7830.