HIPAA Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU AND YOUR TREATMENT MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

There is No Hero in Heroin Foundation, Inc. is required by law to maintain the privacy and confidentiality of your health information and to provide you with notice of its legal duties and privacy practices with respect to your health information. Please also respect the privacy of others you encounter in treatment.

There is No Hero in Heroin Foundation, Inc. collects health information about you and stores it in an electronic health record. This is your medical record. The medical record is the property of There is No Hero in Heroin Foundation, Inc., but the information in the medical record belongs to you. The Health Insurance Portability and Accountability Act (HIPAA) requires There is No Hero in Heroin Foundation, Inc. to maintain the privacy of your medical record. HIPAA generally requires that any uses or disclosures of information in your medical record be limited to the minimum necessary to the purposes of the uses or disclosures. HIPAA also provides you certain rights with respect to the information in your medical record which are described below.

Information relating to your treatment at There is No Hero in Heroin Foundation, Inc. is protected by federal regulations specific to drug and alcohol treatment, which are known as 42 CFR Part 2. These regulations protect the confidentiality of information relating to the identity, diagnosis, prognosis, or treatment of any patient in a drug or alcohol treatment program. There is No Hero in Heroin Foundation, Inc. may not disclose records relating to your treatment without your written consent, except in narrowly limited circumstances. Under 42 CFR Part 2, the terms of a written consent to disclose information must specify the scope and types of information to be disclosed, the parties to whom the information may be disclosed, the purpose of the disclosure and the timeframe of the consent. You may revoke a consent to disclose information relating to drug and alcohol verbally or in writing at any time.

There is No Hero in Heroin Foundation, Inc. may ask for your written consent to disclose treatment information for certain purposes, including releasing treatment information to or obtaining information from your other medical providers, obtaining payment from insurance or other payors, contacting your family either for treatment purposes or in the case of a medical or other emergency. There is No Hero in Heroin Foundation, Inc. will not disclose your treatment information for these purposes without your consent.

There is No Hero in Heroin Foundation, Inc. may disclose treatment information without your written consent under certain narrow circumstances as permitted by 42 CFR Part 2. For treatment purposes, There is No Hero in Heroin Foundation, Inc. is permitted to use and disclose treatment information internally and to entities with which it shares administrative control. There is No Hero in Heroin Foundation, Inc. is permitted to share treatment information as necessary with qualified service organizations that agree to maintain the confidentiality of the information. There is No Hero in Heroin Foundation, Inc. also may disclose treatment information to outside auditors, regulatory agencies, and evaluators and for certain research purposes. There is No Hero in Heroin Foundation, Inc. may disclose treatment information without your written consent when necessary in a life-threatening medical emergency and may disclose to report a crime on the premises or against There is No Hero in Heroin Foundation, Inc. personnel. There is No Hero in Heroin Foundation, Inc. also may disclose patient information without consent where the state mandates child abuse and neglect reporting; when cause of death is being reported; or when required by a valid court order that contains specific required findings. There is No Hero in Heroin Foundation, Inc. may contact you to share information about There is No Hero in Heroin Foundation, Inc. treatment services or to send you reminder notices of future appointments for your treatment.