Privacy Notice

NOTICE OF PRIVACY PRACTICES

This notice describes how medical information about you may be used or disclosed, as well as how you can access this information. Please review it carefully.

Your Rights

• The ability to obtain a copy of your medical records (within 30 calendar days with all required documentation provided).
• To request your medical records be amended. Any denials will be sent in writing within 60 days.
• Request confidential communications (i.e. which phone number & reasonable options).
• Ask for limitations in what we share for treatment, payment, or our operations.
• Obtain a list of those with whom we have shared your information.
• To obtain a copy of this privacy notice.
• Choose someone to act on your behalf.
• File a complaint if you feel these rights have been violated.

Your Choices (with certain information)

• Whether certain people involved in your care can have information shared to them.
• Sharing information in a disaster relief situation, include it in a hospital directory, and/or contact you for fundraising efforts (we may contact you, but you can tell us not to contact you again)
• We will NEVER share without your permission: for marketing, sale of your information, and most sharing of psychotherapy notes.

Our Uses and Disclosures

• Your health information will be used to treat you, coordinate your care, run and improve our practice/care, and bill for services.
• Public Health and Safety situations regarding preventing disease, product recalls, adverse reactions to medications, preventing serious threats to health or safety, and reported suspected abuse/neglect/domestic violence.
• For research purposes.
• To comply with state or federal laws or to respond to subpoenas or court/administrative orders.
• Responding to organ donor and tissue donation requests.
• Sharing information with coroners, medical examiners, and funeral directors.
• Reproductive Health related records can be disclosed when needing to protect our organization or any person in providing reproductive care. We can NOT disclose your information for any type of civil, criminal, administrative investigations when said healthcare was obtained under lawful circumstances.
• Substance Abuse Disorder (SUD) patients can opt to use a single consent for redisclosures for treatment, payment, and healthcare operations (TPO), but the purpose for disclosures must be noted with their consent.
  • Separate consents must be issued for the following: redisclosure for law enforcement investigations, legal proceedings/prosecutions, and counseling notes.
• The Amended HIPAA Privacy Rule (finalized 2/8/2024) simplified the consent process by allowing a single consent for future healthcare operations (TPO) uses, until the patient revokes consent in writing.
• Now, upon a breach of Substance Use Disorder (SUD) records, patients must be notified.

Our Responsibilities

• We are required to maintain the privacy and security of your Protected Health Information.
• To follow the duties/privacy practices in this notice & provide you a copy of it.
• We will not disclose information mentioned here unless permission is given, and that permission can be revoked.
• Any future changes to this notice will available upon request.