Patient notices

H Medical does not bill Medicare or any insurance. Every patient pays the practice directly.

Christopher Hermanson, M.D.
740 Front St., Suite 250, Santa Cruz, CA 95060
(831) 298-0664 · Fax (831) 480-1839 · office@hmedical.com

Your right to a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.

To request a Good Faith Estimate from H Medical, call (831) 298-0664 or email office@hmedical.com.

Open Payments database

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Open Payments database: https://openpaymentsdata.cms.gov

Notice to consumers

Medical doctors are licensed and regulated by the Medical Board of California. (800) 633-2322. www.mbc.ca.gov

Privacy of your medical information

Effective October 7, 2026.

Confidentiality. H Medical keeps your medical information confidential, as required by the California Confidentiality of Medical Information Act (Civil Code § 56 and following).

When we share it. We disclose your medical information only with your written authorization, or when California law requires or permits it without authorization. Examples: to the labs, pharmacies, and other clinicians treating you; to companies that keep our records and scheduling, which must protect it; for required public health reports and reports of suspected abuse or neglect; to the Medical Board of California and other oversight agencies; and in response to a court order or subpoena.

What we don’t do. We do not bill insurance or Medicare, so we do not send your information to insurers. We do not sell your information or use it for marketing.

Your authorization. You may cancel an authorization in writing at any time. This does not undo disclosures already made.

Your records. You may see your records within 5 working days of a written request and get copies within 15 days (Health and Safety Code § 123110). We may charge a reasonable fee for copies. If you believe something in your record is incorrect or incomplete, you may add a written statement of up to 250 words, which becomes part of your record.

Email and text. Email and text are not fully secure. We use them to reach you only if you agree.

Questions or complaints. Contact Christopher Hermanson, M.D., 740 Front St., Suite 250, Santa Cruz, CA 95060, (831) 298-0664, fax (831) 480-1839, office@hmedical.com. You may also contact the Medical Board of California at www.mbc.ca.gov or (800) 633-2322. We will not retaliate against you for asking a question or making a complaint.