The "HIPAA" (Health Insurance Portability and Accountability Act of 1996) Standards for Privacy of Individually Identifiable Health Information establish a set of national standards for the protection of protected health information ("PHI"). The HITECH Act of 2009 bolstered these standards. We have implemented a HIPPA/HITECH compliant privacy program that includes appropriate administrative, technical, and physical safeguards, within our Regulatory Compliance Plan, to monitor and maintain protected health information confidentiality according to the regulatory standards, throughout the Company.
It is our policy not to use or disclose PHI, except as permitted by the HIPAA Privacy Regulations and applicable state laws and regulations. We will reasonably safeguard PHI to limit incidental uses or disclosures made pursuant to an otherwise permitted or required use or disclosure and from any intentional or unintentional use or disclosure that is in violation of the HIPAA and HITECH Acts.
It is our policy to mitigate, to the extent practicable, any harmful effect that is known to us, due to use or disclosure of PHI by us or one of our business associates in violation of our policies and procedures and the relevant statutes. We will apply appropriate sanctions against employees and business associates who fail to comply with our policies and procedures and the relevant statutes for the protection of PHI and the privacy of individuals.
The sections below provide a very brief overview of some of the elements of our policy and the associated forms. Should you have any questions you can contact us for further information.
Authorization for Use & Disclosure of PHI
Our patients frequently require us to make contact with third parties related to their therapy. This contact may be with your physician or with a family member. In order for us to request your health records or talk with anyone about your health information we require your written consent. Please click link below to download.
Notice of Privacy Practices
It is our policy to provide all of our patients with a "Notice of Privacy Practice" in conformance with the requirements of the Privacy Rule. This document provides notice of the uses and disclosures of PHI that may be made by us, notice of your rights, and notice of our legal duties with respect to PHI and your rights. Please click link below to download.
Patient’s Rights to PHI
It is our policy to do all things necessary to ensure our patients are permitted to inspect or obtain a copy of their PHI maintained by us. A request to access your PHI must be in writing, through the use of the Form Request for Access to Protected Health Information. Please click link below to download.
Patient’s Right to Amend PHI
It is our policy to permit a patient request that their PHI be amended in certain circumstances. Any such amendment requests must be only in relation to PHI maintained by us and must be made in writing providing a reason to support the amendment. Please click link below to download.
Accounting for Disclosures
It is our policy to maintain records so as to be able to provide patients an accounting of certain disclosures of their PHI for a six (6) year period, prior to the date on which the accounting is requested. To make a request for an accounting of disclosures you will need to complete and send us a Request for an Accounting of Disclosures. Please click link below to download.
You may also make a request to restrict disclosures of PHI for certain uses or to restrict disclosures (previously approved) to a family member, other relative, a close friend, or any other person identified by you as involved in your care. Please click link below to download.
Complaints Regarding Privacy Practices
It is our policy to document, review and act on, all complaints we receive about our privacy practices, policies, and procedures for protecting the privacy of PHI, regardless of the form in which they are received. If you have a complaint, please download, complete and send us the form Complaint Regarding Privacy Practices, Policies and Procedures. We would encourage you to call us and to speak with our Privacy Officer contemporaneously with sending us the complaint form. You do not need to submit the form in order to make a complaint. Please click link below to download.