Privacy Policy & Other Disclaimers
Notice of Privacy Practices for Protected Health Information
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.
1) A patient’s medical information may be shared with doctors, nurses, technicians, medical students, other
facility personnel involved in their care, family members, friends, and caregivers as required.
2) A patient’s medical information may be shared with third parties involved in the reimbursement such as
insurance firms, billing firms, and patients’ friends and family members involved in payment.
3) A patient’s medical information may be utilized for treatment, payment, and health care operations.
a. Treatment means providing, coordinating, or managing health care and related services by one or more
health care providers.
b. Payment means such activities as obtaining reimbursement for services, confirming coverage, billing or
collection activities, and utilization review.
c. Health care operations include the business aspects of running our center, such as conducting quality
assessment and improvement activities, auditing functions, cost-management analysis, and customer
service.
4) A patient’s medical information may be utilized as part of the government’s oversight of activities, including
audits, investigations, licensures, and inspections required for compliance with government programs and laws.
5) A patient’s medical information may be utilized for scheduling of procedures, treatment alternatives,
fundraising activities, and research.
6) A patient’s medical information may be shared as required by law with regard to court or administrative order,
subpoena, discovery request, or other lawful process, when requested by national security, intelligence, and
other federal officials, and/or when the patient is an inmate or under the custody of law enforcement.
7) A patient’s medical information may be shared upon military command if the patient is serving in the military
or are veterans.
8) A patient’s medical information may be shared to prevent a serious threat to health and safety.
9) A patient’s medical information may be shared with Worker’s compensation representation.
10) A patient’s medical information may be shared with local public health officials in the event of deaths, child
abuse, neglect, domestic violence, problems with products, reactions to medications, product recalls,
disease/infection exposure, and to prevent/ control disease, injury or disability.
11) Each patient has the right to copy and inspect their medical information.
12) Each patient has the right to amend medical information contained in their medical information.
13) Each patient has the right to receive an accounting of disclosures of their medical information.
14) Each patient has the right to request restrictions on the disclosure of their medical information.
15) Each patient has the right to request confidential communications regarding their medical information.
16) Each patient has the right to receive a paper copy of this notice upon request.
17) If a patient has paid for their healthcare treatment out-of-pocket and in full, and if the patient requests that we
limit disclosure of information to a health plan for purposes of payment or healthcare operations, the Center
will abide by that request.
18) This facility is responsible for reserving the right to make changes to this notice upon notification from HIPAA
of changes to requirements and to post the effective date and posting location.
19) If you would like to submit a comment or complaint about privacy practices, you can do so by contacting the
Center and requesting a privacy practices complaint form or letter outlining your concerns to the Privacy
Officer at the Center. If you believe that your privacy rights have been violated, you should call the matter to
our attention by sending a letter describing the cause of your concern to the same address. You will not be
penalized or otherwise retaliated against for filing a complaint. The privacy contact for the center can be
reached at:
OC Gastro Endoscopy Center
Privacy Officer: Christina Ko, RN
Address: 955 W. Imperial Hwy., Suite 105, Brea, CA 92821
Phone Number: (7141) 927-3636
NONDISCRIMATION STATEMENT
OC Gastro Endoscopy Center complies with applicable Federal civil rights laws and does not discriminate on
the basis of race, color, national origin, age, disability, or sex. OC Gastro Endoscopy Center does not exclude
people or treat them differently because of race, color, national origin, age, disability, or sex.
OC Gastro Endoscopy Center:
Provides free aids and services to people with disabilities to communicate effectively with us, such as:
o Qualified sign language interpreters
o Provides free language services to people whose primary language is not English, such as:
Qualified interpreters
Information written in other languages (as applicable)
ATTENTION: If you speak and of the following languages: Spanish, Chinese, French, German, Arabic,
Vietnamese, Korean, Japanese, Tagalog, Italian, Thai, Nepali, Persian, Russian, and/or Urdu, language
assistance services, free of charge, are available to you. Call Universal Language Service at 1-855-857-6745.
If you need these services, please contact Christina Ko, RN. If you believe that OC Gastro Endoscopy Center has
failed to provide these services or discriminated in another way on the basis of race, color, national origin,
age, disability, or sex, you can file a grievance with:
Christina Ko, RN
Address: 955 W. Imperial Hwy., Suite 105, Brea, CA 92821
Phone Number: (714) 927-3636
Email: christinak@ocgastroendocenter.com
You can file a grievance in person or by mail or email. If you need help filing a grievance, Christina Ko, RN, is
available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for
Civil Rights, electronically through the Office for Civil Rights Compliant Portal, available at:
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf , or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html .
PATIENT'S RESPONSIBILITIES
The responsibilities of the patient at this center are as follows:
1. To provide complete and accurate information to the best of his/her ability about his/her health, any
medications, including over-the-counter products and dietary supplements and any allergies or sensitivities.
2. Follow the treatment plan prescribed by his/her provider.
3. Provide a responsible person to transport him/her home from the facility and remain with him/her for 24
hours, if required by his/her provider. Inform his/her provider about any living will, medical power of
attorney, or other advance directive that could affect his/her care. Patients and/or their authorized
representative understand that Do Not Resuscitate (DNR) advance directives are not honored at the Center.
4. Accept personal financial responsibility for any charges not covered by his/her insurance.
5. Be respectful of all the health care providers and staff, as well as other patients.
6. To follow preparation instructions and to call with any questions or problems.
7. To follow the physician's post-procedure instructions.
If a patient is found to be in non-compliance with the Patient Responsibilities set forth by the
Center, or if the patient violates any rules or regulations set forth by the Center, the Center
reserves the right to dismiss the patient from the premises and/or refuse treatment or services.
PATIENT GRIEVANCES NOTIFICATION
POLICY:
Occasionally, situations may arise that are difficult to resolve. Thus, the grievance process is available to patients
who wish to have a problem formally reviewed.
The Grievance review will progress up to the center’s Administrator or their designee if necessary. The decision by
the Administrator or their designee will be binding on all parties involved. The objective is to reach a decision that
is mutually satisfactory to all parties involved.
PROCEDURE:
A patient who wishes to utilize the Grievance procedure must do so in the prescribed manner.
A patient may submit a problem orally or in writing to the Administrator within three (3) working days
after the problem becomes known to the patient.
The Administrator will attempt to resolve the patient's grievance during the initial meeting. If unable to
reach a mutually agreed upon settlement, the Administrator will investigate the situation further and will
make a best effort, within thirty (30) working days, to send to the patient a written notification of the
decision.
The center will document how the grievance was addressed.
The notification to the patient will contain the name of the center’s contact person, the steps taken to
investigate the grievance, the results of the investigation and the date the investigation was finalized.
If the patient isn’t satisfied then they may then file an external grievance with the U.S. Department of
Health and Human Services.
GRIEVANCE PROCEDURE GUIDELINES
Established center policy or procedure is not, itself, subject to the grievance procedure. It is only the
interpretation or execution of these policies that can create a grievance.
Every grievance should be submitted orally or in writing within three (3) working days after the problem
becomes known to the patient.
The grievance procedure is available to all patients and visitors of the center.
A person may file an external grievance by filing a complaint with the U.S. Department of Health &
Human Services.
The Grievance Coordinator at this center will be the Administrator.
For any questions or concerns, please contact the Administrator @ OC Gastro Endoscopy Center: (714) 927-3636
Patient's Rights
The rights of patient(s) include, but are not limited to:
1) Exercise these rights without regard to sex or cultural, economic, educational, or religious background or the source of
payment for his/her care.
2) Considerate and respectful care. This includes the right to be free from abuse or harassment.
3) Knowledge of the name of the physician who has primary responsibility for coordinating his/her care and the names
and professional relationships of other physicians who will see him/her.
4) Receive information from his/her physician about his/her illness, course of treatment, and prospects for recovery in
terms that he/she can understand.
5) Receive as much information about any proposed treatment or procedure as he/she may need in order to give informed
consent or to refuse this course of treatment. Except in emergencies, this information shall include a description of the
procedure or treatment, the medically significant risks involved in each and to know the name of the person who will
carry out the procedure or treatment.
6) Participate actively in decisions regarding his/her medical care. To the extent permitted by law, this includes the right
to refuse treatment.
7) Full consideration of privacy concerning his/her medical care program. Case discussion, consultation, examination,
and treatment are confidential and should be conducted discretely. The patient has the right to be advised as to the
reason for the presence of any individual.
8) Confidential treatment of all communications and records pertaining to his/her care and his/her stay at the center.
His/her written permission shall be obtained before his/her medical records can be made available to anyone not
directly concerned with his/her care.
9) Reasonable responses to any reasonable requests he/she may make for service.
10) Leave the center even against the advice of his/her physicians.
11) Reasonable continuity of care and to know in advance the time and location of appointment as well as the physician
providing the care.
12) Be advised if center/personal physician proposed to engage in or perform human experimentation affecting his/her
care or treatment. The patient has the right to refuse to participate in such research projects.
13) Be informed by his/her physician or a delegate of his/her physician of his/her continuing health care requirements
following his/her discharge from the center.
14) Examine and receive an explanation of his/her bill regardless of source of payment.
15) Know which center rules and policies apply to his/her conduct as a patient.
16) Have all patients' rights apply to the person who may have legal responsibility to make decisions regarding medical
care on behalf of the patient.
17) Designate visitors of his/her choosing. If the patient has decision-making capacity, whether or not the visitor is
related by blood or marriage, unless; (A) No visitors are allowed; (B) The facility reasonably determines that the
presence of a particular visitor is detrimental to the health or safety of a patient, a member of the health facility staff,
or other visitor to the health facility, or would significantly disrupt the operations of the facility; (C) the patient has
indicated to the health facility staff that the patient no longer wants this person to visit.
(18) Have the patient’s wishes considered for purposes of determining who may visit if the patient lacks decision-making
capacity and to have the method of that consideration disclosed in the center policy on visitation. At a minimum, the
center shall include any person living in the household.
(19) This section may not be construed to prohibit a health facility from otherwise establishing reasonable restrictions upon
visitation, including restrictions upon the hours of visitation and number of visitors.
(20) Be advised of his/her right to change his/her provider if other qualified providers are available.
(21) The right to be informed about the Center’s policy on Advance Directives, including but not limited to ‘Do Not Resuscitate’
(DNR) directives
(22) The right to be informed that Jason Yip, MD, Thomas Konturek, MD and Amit Bhanvadia, MD each have an ownership
interest in this center.
Complaints may be addressed to the Administrator at (714) 927-3636 or:
Medical Board of California
Office of Medicare Beneficiary Ombudsman
Central Complaint Unit www.medicare.gov/Ombudsman/activities.asp
2005 Evergreen Street, Suite 1200 1-800-MEDICARE
Sacramento, CA 95815
(800) 633-2322
Accreditation Association for Ambulatory Healthcare
3 Parkway North, Suite 201
Deerfield, IL 60015
(847) 853-6060
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Terms of Use
Effective Date: October 21, 2026
Welcome to the OC Gastro Endoscopy Center website. These Terms of Use govern your access to and use of this website. By accessing or using this website, you agree to these terms. If you do not agree, please discontinue use of the website.
1. Purpose of This Website
This website is provided to share general information about OC Gastro Endoscopy Center, our services, gastrointestinal procedures, and related healthcare resources. The information is intended to help patients and visitors better understand our facility and services.
While we strive to keep the information accurate and up to date, we do not guarantee that all website content is complete, current, or free of errors.
2. Medical Disclaimer
The information provided on this website is for general educational and informational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment.
Always consult a qualified healthcare professional regarding medical conditions, symptoms, or treatment options. Do not disregard professional medical advice or delay seeking care because of information found on this website.
Use of this website does not, by itself, establish a doctor-patient relationship with OC Gastro Endoscopy Center or its healthcare providers.
If you are experiencing a medical emergency, call 911 or seek immediate medical attention.
3. Appointment Requests and Scheduling
This website may provide links to appointment scheduling services, patient resources, or other healthcare-related platforms.
Submitting an appointment request does not guarantee an appointment. Appointments are subject to availability and are considered confirmed only when confirmation is provided by our office or the designated scheduling provider.
Please contact our office directly if you have questions about your appointment, preparation instructions, or scheduled procedures.
Do not use general website forms or email to communicate urgent medical concerns or submit sensitive medical information unless the communication method has been specifically designated for that purpose.
4. Insurance and Payment Information
Information regarding insurance coverage, accepted insurance plans, and payment may be provided for general informational purposes.
Insurance benefits and coverage vary by plan. Any information provided by OC Gastro Endoscopy Center does not guarantee that a service or procedure will be covered or paid for by your insurance provider.
Patients are encouraged to verify their benefits, coverage requirements, deductibles, copayments, and potential out-of-pocket expenses with their insurance provider before receiving services.
Final coverage and payment determinations are subject to the terms of your insurance plan and the applicable decisions of your insurance provider.
5. Third-Party Websites and Services
This website may contain links to third-party websites, including appointment scheduling platforms, patient portals, insurance resources, and other external services.
These third-party websites are operated independently and may be governed by their own terms of use and privacy policies. OC Gastro Endoscopy Center does not control these external websites and is not responsible for their content, availability, security, or privacy practices.
We encourage you to review the applicable terms and privacy policies before using third-party services or submitting personal information through them.
6. Privacy and Personal Information
Your privacy is important to us. Information collected through this website is handled in accordance with our Privacy Policy and applicable laws.
Please do not submit sensitive medical information through general website forms, standard email, or other communication channels unless they have been designated and appropriately secured for that purpose.
If you are a patient, the use and disclosure of your protected health information may also be governed by applicable healthcare privacy laws and our Notice of Privacy Practices.
Please review our Privacy Policy and, where applicable, our Notice of Privacy Practices for additional information.
7. Acceptable Use
You agree to use this website only for lawful purposes and in a manner that does not interfere with its operation or other visitors’ use of the website.
You may not:
Attempt to gain unauthorized access to the website or its systems.
Interfere with the website’s security, functionality, or availability.
Use the website to transmit malicious software or harmful content.
Copy, distribute, or misuse website content in violation of applicable laws or intellectual property rights.
Use the website for fraudulent, unlawful, or misleading purposes.
We reserve the right to take appropriate action in response to misuse of the website, subject to applicable law.
8. Intellectual Property
Unless otherwise indicated, the content on this website, including text, graphics, logos, images, design elements, and other materials, is owned by or licensed to OC Gastro Endoscopy Center and may be protected by applicable intellectual property laws.
You may access and use website content for personal, noncommercial, informational purposes. You may not reproduce, modify, distribute, publish, or commercially exploit website content without prior written permission from the applicable rights holder, except as permitted by law.
9. Website Availability and Accuracy
We strive to maintain a reliable and accessible website. However, we do not guarantee uninterrupted access or that the website will always be available, secure, or free of errors.
Website content may be updated, modified, or removed at any time without prior notice.
To the extent permitted by law, OC Gastro Endoscopy Center disclaims responsibility for losses arising from temporary website interruptions, technical errors, or reliance on information that is incomplete or outdated.
Nothing in these terms excludes or limits any rights or remedies that cannot legally be excluded or limited.
10. Limitation of Liability
To the fullest extent permitted by applicable law, OC Gastro Endoscopy Center shall not be liable for indirect, incidental, special, consequential, or punitive damages arising from or related to your use of, or inability to use, this website.
This provision does not exclude or limit liability where such exclusion or limitation is prohibited by law, including liability that cannot legally be waived or limited.
These Terms of Use do not modify any applicable rights or obligations relating to the professional healthcare services provided by our facility or its healthcare professionals.
11. Changes to These Terms
We may revise these Terms of Use periodically to reflect changes in our website, services, or applicable legal requirements.
Updates will be posted on this page with a revised effective date. Your continued use of the website after updated terms are posted constitutes acceptance of the revised terms to the extent permitted by applicable law.
12. Governing Law
These Terms of Use shall be governed by the laws of the State of California, without regard to its conflict-of-law principles, except where applicable law requires otherwise.
13. Contact Information
If you have questions regarding these Terms of Use, please contact OC Gastro Endoscopy Center.
OC Gastro Endoscopy Center
Phone: (714) 927-ENDO
Website: Please refer to the contact information provided on our official website.
By using this website, you acknowledge that you have read and understood these Terms of Use.
Notice To Patients
Medical doctors are licensed and regulated
by the Medical Board of California.
To check up on a license or
to file a complaint go to
www.mbc.ca.gov,
email: licensecheck@mbc.ca.gov,
or call (800) 633-2322.