Your Privacy is a Serious Matter

Kern Behavioral Health and Recovery Services is committed to protecting the privacy of the persons receiving mental health and/or substance abuse services from our programs. The Health Insurance Portability and Accountability Act of 1996 (HIPAA), the California Welfare and Institutions Code, and other federal, state and local laws govern how providers must protect patient privacy.

In order to meet the requirements within those laws, Kern Behavioral Health and Recovery Services provides this page of privacy-related documents for your information and use.

Privacy Forms

HIPAA requires us to inform consumers about the rights they have concerning their health information. To view or print a copy of our Privacy Notice, click the link to the right.

If you want to request a copy of the records created and maintained by Kern Behavioral Health and Recovery Services, print and complete a Request to Access or Copy Protected Health Information form.

 


If you wish to limit the use and disclosure of your personal health information, print and complete a Request for Restriction of Use or Disclosure of Protected Health Information

To revoke an authorization, previously granted to this department, print and complete a:

Revocation of Authorization for Release of Protected Health Information


If you want to receive a list of parties who have received your protected health information, without your specific authorization, as allowed by law, print and complete a:

Request for Accounting of Disclosures 

 


If you believe the records created and maintained by this department are inaccurate or incomplete, you may request an amendment of those records. We may deny this request. To request an amendment, print and complete a:

Request for Amendment of Protected Health Information

 

If you believe your privacy has been violated through our policies and procedures, by our staff, or if access, amendment, or restriction requests have been denied and you want to make a compliant, print and complete a Privacy Complaint Form. You may also contact the Kern Behavioral Health and Recovery Services Privacy Officer:

By Mail

Kern Behavioral Health and Recovery Services

CONFIDENTIAL

Privacy Officer

P.O. Pox 1000

Bakersfield, CA 93302

 

By Phone

By calling the confidential Privacy and Compliance Hotline

888-875-5559