Privacy Policy

• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say “no” to your request, and we will tell you why in writing within 60 days.

• You can ask us to contact you in a specific way, such as at a different address or phone number.
• We will say “yes” to all reasonable requests.

• You can ask us not to use or share certain information for treatment, payment, or operations. We are not required to agree if it would affect your care.
• If you pay in full for a service out of pocket, you can ask us not to share that information with your health insurer unless we must by law.

• You can ask for a list of the times we shared your health information in the past six years, who we shared it with, and why.
• We include all disclosures except those for treatment, payment, operations, and certain other disclosures you asked us to make. One accounting per year is free. Additional requests within 12 months may have a reasonable fee.

• You can ask for a paper copy of this notice at any time. We will provide it promptly, even if you agreed to receive it electronically.

• If you have given someone medical power of attorney or have a legal guardian, that person can exercise your rights and make choices about your health information.
• We will confirm the person’s authority before any action.

• Share information with family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory

If you are unable to tell us your preference, for example if you are unconscious, we may share information if we believe it is in your best interest. We may also share information when needed to lessen a serious and imminent threat to health or safety.

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

For fundraising, we may contact you. You can ask us not to contact you again.

Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Example: We use information about you to manage your treatment and services.

Example: We give information to your health plan so it will pay for your services.

• Help with public health and safety issues such as preventing disease, product recalls, adverse drug reactions, suspected abuse or neglect, and preventing or reducing a serious threat to health or safety
• Do research
• Comply with state or federal law, including requests from the Department of Health and Human Services
• Respond to organ and tissue donation requests
• Work with a coroner, medical examiner, or funeral director
• Address workers’ compensation, law enforcement needs, and other government requests including military, national security, and protective services
• Respond to court orders, administrative orders, or subpoenas