Notice of Privacy Practices for Personal Health Information
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
PLEASE REVIEW THIS CAREFULLY
This is your Health Information Privacy Notice from Farney Healing Arts Center. Please read it carefully. Farney Healing Arts Center and each member of its staff strongly believe in protecting the confidentiality and security of information we collect about you. This notice refers to Farney Healing Arts Center by using the terms "us," "we," or "our."
This notice describes how we protect the personal health information we have about you, and how we may use and disclose this information. Personal Health Information includes individually identifiable information that relates to your past, present, or future health, including treatment or payment for services. This notice also describes your rights with respect to the Personal Health Information and how you can exercise those rights.
This notice aspires to meet compliance with the Health Insurance Portability and Accountability Act ("HIPAA "), of 1996; with particular reference to the Privacy Standards signed into law in December 2000.
We aspire to meet these standards by:
- maintaining the privacy of your Personal Health Information
- providing you this notice of our duties and privacy practices with respect to your Personal Health Information; and
- following the terms of this notice
We protect your Personal Health Information from inappropriate use or disclosure. Our employees, and those of companies that help us service you, are required to comply with our requirements that protect the confidentiality of Personal Health Information. They may look at your Personal Health Information only when there is an appropriate reason to do so, such as to administer our products or services.
We will not disclose your Personal Health Information to any other company for their use in marketing their products to you. However, as described below, we will use and disclose Personal Health Information about you for business purposes.
For Treatment: We may use or disclose your health information to a practitioner or party providing treatment to you.
For Business Operations: We may also use and disclose Personal Health Information for client care. Our operations include quality assessment and improvement activities, reviewing the competence and qualifications of our professionals, evaluating performance, conducting training, certification, and/or credentialing activities. We may also disclose Personal Health Information to Affiliates, and to business associates outside of Farney Healing Arts Center, if they need to receive Personal Health Information to provide a service to us and will agree to abide by specific HIPAA rules relating to the protection of Personal Health Information. Examples of business associates are: outsourced practitioners, instructors, and information systems.
Where Required by Law or for Public Health Activities: We disclose Personal Health Information when required by federal, state, or local law. We may also release Personal Health Information to a coroner or medical examiner to assist in providing client health history.
To Avert a Serious Threat to Health or Safety: We may disclose Personal Health Information to avert a serious threat to someone's health or safety.
For Law Enforcement or Specific Government Functions: We may disclose Personal Health Information in response to a request by a law enforcement official made through a court order, subpoena, warrant, summons or similar process. We may disclose Personal Health Information about you to federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
When Requested as Part of a Regulatory or Legal Proceeding: If you or your estate is involved in a lawsuit or a dispute, we may disclose Personal Health Information about you in response to a court or administrative order. We may also disclose Personal Health Information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the Personal Health Information requested. We may disclose Personal Health Information to any governmental agency or regulator with whom you have filed a complaint or as part of a regulatory agency examination.
Your Authorization: In addition to our use of your health information for treatment or as required by law, you or your legally authorized representative may give us written authorization to use your client information or to disclose it to anyone for any purpose. If we are authorized to use or disclose Personal Health Information about you, you or your legally authorized representative may revoke that authorization, in writing, at any time, except to the extent that we have taken action relying on the authorization. You should understand that we will not be able to take back any disclosures we have already made with authorization.
Your Rights Regarding Personal Health Information We Maintain About You
The following are your rights as a consumer concerning your Personal Health Information. Should you have questions about a specific right, please get in touch with us immediately.
Right to Inspect and Copy Your Personal Health Information: In most cases, you have the right to inspect and obtain a copy of the Personal Health Information that we maintain about you. However, certain types of Personal Health Information will not be made available for inspection and copying. This includes Personal Health Information collected by us in connection with, or in reasonable anticipation of any claim or legal proceeding. In very limited circumstances, we may deny your request to inspect and obtain a copy of your Personal Health Information. If we do, you may request that the denial be reviewed. The review will be conducted by an individual chosen by us who was not involved in the original decision to deny your request. We will comply with the outcome of that review. To inspect or receive copy of Personal Health Information, you must submit your request in writing to Farney Healing Arts Center. To receive a copy of your Personal Health Information, you may be charged a fee for administrative costs, the costs of copying, mailing, and/or other supplies associated with your request. We will notify you of the cost involved and you may choose to withdraw or modify your request before any costs are incurred.
Right to Amend Your Personal Health Information: If you believe that your Personal Health Information is incorrect or that an important part of it is missing, you have the right to ask us to amend your Personal Health Information while it is kept by us. You must provide your request and your reason for the request in writing, and submit it to Farney Healing Arts Center. We may deny your request if it is not in writing or if it does not include a reason that supports the request. In addition, we may deny your request if you ask us to amend Personal Health Information that:
- Is already accurate and complete;
- Was not created by us;
- Is not part of the Personal Health Information kept by us; or
- Is not part of the Personal Health Information which you would be permitted to inspect and copy.
The decision to accept a client’s request for record amendments will be made by the privacy officer who will obtain input from at least one of the following sources:
- Legal counsel
- Business staff
- Risk management staff
Right to a List of Disclosures: You have the right to request a list of the disclosures we have made of Personal Health Information about you. This list will not include disclosures made for treatment, payment, business operations, for purposes of national security, made to law enforcement or to corrections personnel, or made pursuant to your authorization, or made directly to you. To request this list, you must submit your request in writing to Farney Healing Arts Center. Your request must state the time period from which you want to receive a list of disclosures. The time period may not be longer than six years and may not include dates before January 1, 2015. Your request should indicate in what form you want the information (for example, on paper or electronically).
The first list you request will be free. We may charge you for responding to any additional requests. We will notify you of the cost involved and you may choose to withdraw or modify your request before any costs are incurred.
Right to Request Restrictions: You have the right to request a restriction or limitation on Personal Health Information we use or disclose about you for treatment, payment or business operations, or that we disclose to someone who may be involved in your care or payment for your care, like a family member or friend. While we will consider your request, we are not required to agree to it. If we do agree to it, we will comply with your request. To request a restriction, you must make your request in writing to Farney Healing Arts Center. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply (for example, disclosures to your spouse or parent). We will not agree to restrictions on Personal Health Information uses or disclosures that are legally required, or which are necessary to administer our business.
Right to Request Confidential Communications: You have the right to request that we communicate with you about Personal Health Information in a certain way or at a certain location if you tell us that communication in another manner may endanger you. For example, you can ask that we only contact you at work or by mail. To request confidential communications, you must make your request in writing to Farney Healing Arts Center, and specify how or where you wish to be contacted. While we will consider your request, we are not required to agree to it. If we do agree to it, we will comply with your request. We will try to accommodate all reasonable requests.
Right to File a Complaint: If you believe your privacy rights have been violated, you may file a complaint with us. To file a complaint with us, please contact Farney Healing Arts Center Privacy Officer, Michael Farney. All complaints must be submitted in writing. You will not be penalized for filing a complaint. If you have questions as to how to file a complaint please contact us by email or telephone.
Changes to This Notice: We reserve the right to change this notice from time to time. We reserve the right to make a revised or changed notice effective for Personal Health Information we already have about you as well as any Personal Health Information we receive in the future. If you not agree to this notice or any changes to this notice, you will immediately cease your business relationship with us. You can monitor the changes to this notice by periodically checking the modified date. The effective date of this notice and any significant changes to this notice will be found at the end of this notice.
Notice Effective Date: January 1, 2015