NOTICE OF PRIVACY PRACTICES
Your Information. Your Rights. Our Responsibilities.
This notice describes how medical, drug and alcohol related information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
We are required by law to maintain the privacy and confidentiality of information about you, your health and health care, and payment for the services we provide you. Information regarding your health care, including payment for your care, is protected by two federal laws: the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) and the Confidentiality Law, 42 C.F.R. Part (“Part 2”). There are additional state law protections.
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
Ask us to correct your medical record
Request confidential communications
Ask us to limit what we use or share
Get a list of those with whom we’ve shared information
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
File a complaint if you feel your rights are violated
Right to receive a notice from us if we think your personal health information has been improperly disclosed (often called a “breach”)
We will notify you in accordance with state and federal law if we discover a breach has occurred such that your protected health information has been compromised. If we decide this notice is necessary, it will happen after we do an investigation according to the state and federal laws.
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
In the case of fundraising:
Our Uses and Disclosures: How do we typically use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
To provide you services and treatment
Without your consent we can use your health information and share it with other professionals who are treating you unless we provide you with drug or alcohol services and then we need your consent to share information.
To operate our business
Sometimes we have agreements with other organizations that either help us with services or help us with running our business and our agreements allow us to share information. These agreements comply with federal law and require these organizations to treat information the same way we do.
To bill for our services
Without your consent, we may use your information to bill for our services that we have provided but only with your consent for drug and alcohol services.
Help with public health and safety issues
We can share health information about you for certain situations such as:
Do research, respond to audits, investigations or evaluations
We can use or share your information for health research, audits, investigations or evaluations of our programs.
Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.
Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:
Respond to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.
Working with a health information exchange
We also share information with a health information exchange (“HIE”). An HIE is a big database that allows us to coordinate with other providers and improve your care. We will talk with you about the HIE, and you can tell us if you don’t want your information shared.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.
HIPAA can be found at 42 U.S.C. § 1320d et seq., 45 C.F.R. Parts 160 & 164. HIPAA protects your health information whether or not you receive services for drug or alcohol services. Part 2 can be found at 42 U.S.C. § 290dd-2, 42 C.F.R. Part 2. Part 2 does not allow us to acknowledge to anyone outside our program that you receive services for drug or alcohol services except under certain circumstances.
Partners in recovery NPP eff. 4/14/03, rev 12/10/10, 2/27/11, 4/1/13, 9/23/13, 7/9/15, 9/1/2016 2