Your Information. Your Rights. Our Responsibilities.
This notice describes how your medical and mental health information may be used and disclosed, and how you can access this information. Please review it carefully.
Your Rights
You have the right to:
- Get a copy of your health records – You may ask to see or receive a copy of your records.
- Ask us to correct health records – You can request corrections if you believe information is inaccurate or incomplete.
- Request confidential communications – You may ask us to contact you in a specific way (e.g., at work, by mail).
- Ask us to limit what we use or share – You may request restrictions on how your information is used or disclosed.
- Get a list of disclosures – You can request an accounting of when and with whom we shared your information.
- Receive a copy of this notice – You may request a paper copy of this notice at any time.
- File a complaint – If you feel your rights are violated, you can file a complaint with us or with the U.S. Department of Health and Human Services. You will not be retaliated against.
Your Choices
You have some choices in the way we use and share information. For example, you may tell us your preferences about:
- Sharing information with family members or other treatment providers involved in your care
- Sharing your information in a disaster relief situation
In these cases, we will honor your wishes whenever possible.
Our Uses and Disclosures
We typically use or share your health information in the following ways:
- Treatment: To provide, coordinate, or manage your care.
- Payment: To bill and obtain payment from insurance or other payers.
- Health care operations: To improve our services, train, or conduct quality assessments.
Other disclosures may occur as permitted or required by law, including:
- To comply with public health and safety reporting (e.g., abuse, neglect, serious threats of harm).
- For health oversight activities (e.g., audits, licensing).
- In response to a court order, subpoena, or other legal process or
to law enforcement in limited circumstances.
We will never sell your information or share it for marketing purposes.
Our Responsibilities
- We are required by law to maintain the privacy and security of your protected health information.
- We will notify you promptly if a breach occurs that may compromise your information.
- We must follow the duties and privacy practices described in this notice.
- We will not use or share your information other than as described here unless you provide written authorization. You may revoke that authorization at any time.
