Ridgeline Concierge

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES

Ridgeline Concierge Care, Inc.


Effective Date: September 15, 2026


Your Information. Your Rights. Our Responsibilities.

Ridgeline Concierge Care, Inc.


Effective Date: September 15, 2026


Your Information. Your Rights. Our Responsibilities.

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.

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.

Your Rights

Get an electronic or paper copy of your medical record

You may ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask us to correct your medical record

You may ask us to correct health information about you that you believe is incorrect or incomplete. We may deny your request in certain circumstances, but we will explain the reason in writing as required by law.

Request confidential communications

You may ask us to contact you in a specific way, such as by phone or email, or to send communications to a different location. We will accommodate reasonable requests as required by law.

Ask us to limit what we use or share

You may ask us not to use or share certain health information for treatment, payment, or our health care operations. We are generally not required to agree to your request.

If you pay for a health care service or item entirely out of pocket, you may ask us not to share information about that service or item with your health plan for purposes of payment or health care operations. We will honor that request unless disclosure is required by law.

Get a list of certain disclosures

You may ask for an accounting of certain disclosures of your health information made during the six years before the date of your request. The accounting will not include certain disclosures, including many disclosures made for treatment, payment, health care operations, or disclosures you specifically authorized.

We will provide one accounting during a 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests within the same 12-month period.

Get a copy of this notice

You may ask for a paper copy of this Notice of Privacy Practices at any time, even if you have agreed to receive the notice electronically.

Choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian or is otherwise legally authorized to act for you, that person may exercise your rights and make choices about your health information. We will verify the person’s authority before taking action.

File a complaint if you believe your rights have been violated

You may complain to Ridgeline Concierge Care, Inc. if you believe we have violated your privacy rights. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences about what we share. In certain circumstances, you may tell us whether you want us to:

  • Share information with your family, close friends, or others involved in your care

  • Share information in a disaster relief situation

  • Contact you for fundraising efforts

If you are unable to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest and the disclosure is permitted by law. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

Marketing and sale of your information

We will obtain your written authorization before using or disclosing your protected health information for purposes that require your authorization under applicable law, including most uses and disclosures for marketing and any sale of your protected health information.

We do not sell your protected health information.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treat you

We may use your health information and share it with other health care professionals who are treating you.

For example, we may share relevant medical information with a specialist, hospital, laboratory, imaging center, pharmacy, or other health care professional involved in your care.

Run our practice

We may use and share your health information to operate our practice, improve your care, coordinate services, and contact you when necessary.

Bill for services

We may use and share your health information for billing and payment activities when applicable. Although Ridgeline Concierge operates on a membership-based model, there may be circumstances in which health information is used or disclosed for payment-related activities as permitted by law.

We may also use or share your health information for certain purposes permitted or required by law, including:

Help with public health and safety issues

We may share health information about you for certain situations, including preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence as permitted or required by law, and preventing or reducing a serious threat to someone’s health or safety.

Comply with the law

We will share information about you if federal, state, or local law requires it, including with the U.S. Department of Health and Human Services if it wants to confirm that we are complying with federal privacy law.

Respond to organ and tissue donation requests

We may share health information about you with organ procurement organizations as permitted by law.

Work with a medical examiner or funeral director

We may share health information with a coroner, medical examiner, or funeral director when an individual dies, as permitted by law.

Address workers’ compensation, law enforcement, and other government requests

We may use or share health information about you for workers’ compensation claims, for law enforcement purposes or with law enforcement officials as permitted by law, with health oversight agencies for activities authorized by law, and for certain special government functions as permitted by law.

Respond to lawsuits and legal actions

We may share health information about you in response to a court or administrative order or in response to a subpoena or other lawful process when the requirements of applicable law have been satisfied.

Research

We may use or share your health information for health research when the requirements of applicable law have been met.

Specially protected health information

Certain types of health information may receive additional protection under federal or California law. These may include certain information relating to mental health treatment, substance use disorder treatment, HIV/AIDS and other communicable diseases, genetic testing, reproductive health care, and other specially protected information.

When applicable law provides greater privacy protection than HIPAA, we will follow the more protective law.

Certain records relating to substance use disorder treatment may be subject to additional federal confidentiality protections. We will use and disclose those records only as permitted by applicable federal and state law.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information, as required by law.

We must follow the duties and privacy practices described in the Notice of Privacy Practices currently in effect and provide you with a copy of it.

We will not use or share your information other than as described in this notice unless you authorize us to do so in writing or another use or disclosure is permitted or required by law.

If you give us written authorization, you may generally revoke that authorization in writing at any time. Your revocation will not affect actions we already took in reliance on your authorization.

Electronic Communications

Ridgeline Concierge may communicate with you electronically using communication methods made available or approved by the practice.

Electronic communications may present privacy and security risks depending on the method used. We take reasonable measures to protect your health information and comply with applicable privacy and security requirements.

Please use the communication methods designated by Ridgeline Concierge for medical information and patient-care communications rather than the public website or priority-list form.

Changes to the Terms of This Notice

We may change the terms of this notice, and the changes will apply to all information we have about you. The revised notice will be available upon request and will be posted on our website.

Questions and Complaints

If you have questions about this notice, wish to exercise your privacy rights, or believe your privacy rights have been violated, please contact:

Dr. Eric Schultz, Privacy Officer
Ridgeline Concierge Care, Inc.
Phone: 415-639-3697
Email: hello@ridgelineconcierge.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Information about filing a complaint is available from the U.S. Department of Health and Human Services.

We will not retaliate against you for filing a complaint or exercising your privacy rights.

Your Rights

Get an electronic or paper copy of your medical record

You may ask to see or get an electronic or paper copy of your medical record and other health information we have about you. We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee as permitted by law.

Ask us to correct your medical record

You may ask us to correct health information about you that you believe is incorrect or incomplete. We may deny your request in certain circumstances, but we will explain the reason in writing as required by law.

Request confidential communications

You may ask us to contact you in a specific way, such as by phone or email, or to send communications to a different location. We will accommodate reasonable requests as required by law.

Ask us to limit what we use or share

You may ask us not to use or share certain health information for treatment, payment, or our health care operations. We are generally not required to agree to your request.

If you pay for a health care service or item entirely out of pocket, you may ask us not to share information about that service or item with your health plan for purposes of payment or health care operations. We will honor that request unless disclosure is required by law.

Get a list of certain disclosures

You may ask for an accounting of certain disclosures of your health information made during the six years before the date of your request. The accounting will not include certain disclosures, including many disclosures made for treatment, payment, health care operations, or disclosures you specifically authorized.

We will provide one accounting during a 12-month period without charge. We may charge a reasonable, cost-based fee for additional requests within the same 12-month period.

Get a copy of this notice

You may ask for a paper copy of this Notice of Privacy Practices at any time, even if you have agreed to receive the notice electronically.

Choose someone to act for you

If you have given someone medical power of attorney, or if someone is your legal guardian or is otherwise legally authorized to act for you, that person may exercise your rights and make choices about your health information. We will verify the person’s authority before taking action.

File a complaint if you believe your rights have been violated

You may complain to Ridgeline Concierge Care, Inc. if you believe we have violated your privacy rights. You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences about what we share. In certain circumstances, you may tell us whether you want us to:

  • Share information with your family, close friends, or others involved in your care

  • Share information in a disaster relief situation

  • Contact you for fundraising efforts

If you are unable to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest and the disclosure is permitted by law. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

Marketing and sale of your information

We will obtain your written authorization before using or disclosing your protected health information for purposes that require your authorization under applicable law, including most uses and disclosures for marketing and any sale of your protected health information.

We do not sell your protected health information.

Our Uses and Disclosures

We typically use or share your health information in the following ways:

Treat you

We may use your health information and share it with other health care professionals who are treating you.

For example, we may share relevant medical information with a specialist, hospital, laboratory, imaging center, pharmacy, or other health care professional involved in your care.

Run our practice

We may use and share your health information to operate our practice, improve your care, coordinate services, and contact you when necessary.

Bill for services

We may use and share your health information for billing and payment activities when applicable. Although Ridgeline Concierge operates on a membership-based model, there may be circumstances in which health information is used or disclosed for payment-related activities as permitted by law.

We may also use or share your health information for certain purposes permitted or required by law, including:

Help with public health and safety issues

We may share health information about you for certain situations, including preventing disease, helping with product recalls, reporting adverse reactions to medications, reporting suspected abuse, neglect, or domestic violence as permitted or required by law, and preventing or reducing a serious threat to someone’s health or safety.

Comply with the law

We will share information about you if federal, state, or local law requires it, including with the U.S. Department of Health and Human Services if it wants to confirm that we are complying with federal privacy law.

Respond to organ and tissue donation requests

We may share health information about you with organ procurement organizations as permitted by law.

Work with a medical examiner or funeral director

We may share health information with a coroner, medical examiner, or funeral director when an individual dies, as permitted by law.

Address workers’ compensation, law enforcement, and other government requests

We may use or share health information about you for workers’ compensation claims, for law enforcement purposes or with law enforcement officials as permitted by law, with health oversight agencies for activities authorized by law, and for certain special government functions as permitted by law.

Respond to lawsuits and legal actions

We may share health information about you in response to a court or administrative order or in response to a subpoena or other lawful process when the requirements of applicable law have been satisfied.

Research

We may use or share your health information for health research when the requirements of applicable law have been met.

Specially protected health information

Certain types of health information may receive additional protection under federal or California law. These may include certain information relating to mental health treatment, substance use disorder treatment, HIV/AIDS and other communicable diseases, genetic testing, reproductive health care, and other specially protected information.

When applicable law provides greater privacy protection than HIPAA, we will follow the more protective law.

Certain records relating to substance use disorder treatment may be subject to additional federal confidentiality protections. We will use and disclose those records only as permitted by applicable federal and state law.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.

We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information, as required by law.

We must follow the duties and privacy practices described in the Notice of Privacy Practices currently in effect and provide you with a copy of it.

We will not use or share your information other than as described in this notice unless you authorize us to do so in writing or another use or disclosure is permitted or required by law.

If you give us written authorization, you may generally revoke that authorization in writing at any time. Your revocation will not affect actions we already took in reliance on your authorization.

Electronic Communications

Ridgeline Concierge may communicate with you electronically using communication methods made available or approved by the practice.

Electronic communications may present privacy and security risks depending on the method used. We take reasonable measures to protect your health information and comply with applicable privacy and security requirements.

Please use the communication methods designated by Ridgeline Concierge for medical information and patient-care communications rather than the public website or priority-list form.

Changes to the Terms of This Notice

We may change the terms of this notice, and the changes will apply to all information we have about you. The revised notice will be available upon request and will be posted on our website.

Questions and Complaints

If you have questions about this notice, wish to exercise your privacy rights, or believe your privacy rights have been violated, please contact:

Dr. Eric Schultz, Privacy Officer
Ridgeline Concierge Care, Inc.
Phone: 415-639-3697
Email: hello@ridgelineconcierge.com

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights. Information about filing a complaint is available from the U.S. Department of Health and Human Services.

We will not retaliate against you for filing a complaint or exercising your privacy rights.