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The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy
Rule is a federal law that sets national standards on how health plans and health
care providers are to protect the privacy of a patient’s health information. The
HIPAA Privacy Rule applies to those health care providers that transmit any health
information in electronic form in connection with certain standard transactions,
such as health care claims.
A complete copy of this policy will be provided upon admission.
This Notice describes how Personal and Medical Information about you may be used
and disclosed and how you can get access to this information. Please Review it Carefully.
Understanding the type of information we have. We get information about you when
you are admitted for treatment at one of our facilities.
Our Privacy Commitment to You. We care about your privacy. The information we collect
about you is private. We are required to give you notice of our privacy practices.
Only people who have both the need and the legal right may see your information.
Unless you give us permission in writing, we will only disclose your information
for purposes of treatment, payment, business operations or when we are required
by law to do so.
- Treatment – We may disclose information about you to coordinate your care. For example your counselor may consult with other clinicians at our facilities regarding your treatment.
- Payment – We may use and disclose information so the care you get can be properly billed and paid for. For example, we may provide your insurer with treatment information before they pay the bill.
- Business Operations – We may need to use and disclose information for our business operations. For example, we may use information to review the quality of care you receive.
- Exceptions – For certain kinds of records, your permission may be needed even for release for treatment, payment and business operations.
- As Required By Law – We will release information when required by law to do so. Examples of such releases would be for law enforcement or national security purposes, subpoenas or other court orders, communicable disease reporting, review of our activities by government agencies, to avert a serious threat to health or safety or other emergencies.
- With Your Permission – If you give us permission in writing, we may use and disclose your personal information. If you give us permission, you have the right to change your mind and revoke it. This must be in writing, too. We cannot take back any uses or disclosures already made with your permission.
Your Privacy Rights
You have the following rights regarding the health information that we have about
you. Your requests must be in writing to Turning Point Recovery Centers at the address
below.
- Your Right to Inspect and Copy.
In most cases, you have the right to look at or get copies of your records. We have
60 days to respond to a properly submitted request. A fee may be charged to you
for the cost of copying your records.
- Your Right to Amend.
You may ask us to change your records if you feel that there is a mistake. We can
deny your request for certain reasons, but we must give you a reason for our denial.
- Your Right to a List of Disclosures.
You have the right to ask for a list of disclosures made after April 14, 2003. This
list will not include time that the information was disclosed for treatment, payment,
business operations, or when required by law. Also not included in this list will
be those disclosures made directly to you or with your authorization.
- Your Right to Request Restrictions on
Our Use or Disclosure of Information.
You have the right to ask for limits on how your information is used or disclosed.
We are not required to agree to such requests.
- Your Right to Request Confidential Communications.
You have the right to ask that we aware information with you in a certain way or
in a certain place. For example, you may ask us to send information to your work
address instead of your home address. You do not have to explain the basis for your
request.
Changes to this Notice
We reserve the right to revise this notice at anytime. A revised notice will be
effective for medical information we already have about you as well as any information
we may receive in the future. We are required by law to comply with whatever notice
is currently in effect.
How to Use Your Rights Under This Notice If you want to use your rights under this
notice, you may call or write to us. If your request to us must be in writing, we
will assist you in preparing your written request, if you desire.
- Complaints and Communications to Us
If you want to exercise your rights under this notice or you wish to communicate
with us about privacy issues or if you wish to file a complaint, you can write to:
Privacy Officer
Completion House, Inc.
P.O. Box 431188
Pontiac, MI 48342
248-836-0193
FAX: 248-836-0199
You will not be penalized for filing a complaint.
- Complaints to the Federal Government
If you believe that your privacy rights have been violated, you have the right to
file a complaint with the federal government. You may write to:
Office of Civil Rights
Dept. of Health and Human Services
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 866-627-7748
TTY: 886-788-4989
Email: ocrprivacy@hhs.gov
You will not be penalized for filing a complaint with the federal government.
You have the right to receive an additional copy of this notice at any time. Please
call or write us to request a copy.
This notice is available in other languages and alternate formats that meet the
guidelines for the Americans with Disabilities Act (ADA).
Esta notificatión está disponible en otras lenguas y formatos diferentes que satisfacen
las normas del Acta de Americans with Disabilities (ADA).
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