Privacy Statement

PRIVACY STATEMENT

This Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

I. LEGAL DUTY

We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect on the first day of service and will remain in effect until we replace it.

II. USES AND DISCLOSURES OF HEALTH INFORMATION

We use and disclose health information about you for treatment, payment, and healthcare operations. For example: Treatment: We may use or disclose your health information to provide, coordinate, or manage your healthcare treatment and any related services.
Payment: Your health information may be used to obtain payment for your healthcare services.
Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.
We may also use or disclose your health information for other purposes, as permitted or required by law. This includes disclosures to:
Public health authorities for public health activities.
Law enforcement in certain circumstances.
Health oversight agencies for oversight activities.
Judicial and administrative proceedings in response to a court or administrative order.
Workers' compensation or similar programs for the payment of benefits.
Research, with appropriate authorization.
Funeral directors, coroners, and organ donation organizations.

III. YOUR RIGHTS REGARDING HEALTH INFORMATION

You have the following rights regarding your health information:

Right to Inspect and Copy: You have the right to inspect and copy your health information.
Right to Amend: If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information.
Right to an Accounting of Disclosures: You have the right to request an accounting of disclosures of your health information.
Right to Request Restrictions: You have the right to request a restriction or limitation on the health information we use or disclose about you.
Right to Request Confidential Communications: You have the right to request that we communicate with you about medical matters in a certain way or at a certain location.
Right to a Paper Copy of This Notice: You have the right to a paper copy of this Notice.

IV. CHANGES TO THIS NOTICE

We reserve the right to change this Notice. We reserve the right to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current Notice in our office.

V. COMPLAINTS

If you believe your privacy rights have been violated, you may file a complaint with us. You may also file a complaint with the Secretary of the U.S. Department of Health and Human Services and/or the Board of Behavioral health.