You have the right to:

• Get a copy of your paper or electronic medical record
• Correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
  
• Get a list of those with whom we’ve shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated
  

We understand that your health information is personal and we are committed to protecting your privacy. We are required by law to maintain the privacy and security of your protected health information.

• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
• File a complaint if you believe your privacy rights have been violated
  

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

How do we typically use or share your health information? When sharing your health information with third parties, we only share the minimum information necessary to fulfill the purpose of the disclosure. We typically use or share your health information in the following ways:

For treatment

• We use your health information to decide what type of treatment may be helpful.
• We may share your health information with your other treating professionals, such as your primary care provider.
• We use a team model of treatment to ensure the highest level of quality. Any professional on your treatment team may review your health information and provide input on the best treatment approach.
• Example: Your therapist asks another therapist about different treatment approaches for your health condition.
  

To run our organization

• We can use and share your health information to run our practice, improve your care and the quality of our services, improve the efficiency of our organization, and contact you when necessary.
• Example: We might look at the outcomes across all clients who have a certain condition and evaluate how we can better serve this group.
• We may share your health information with our “business associates,” which are service providers or other persons who use or disclose health information to perform services for us. We enter into contracts with business associates requiring them to protect the privacy of your health information, and we share only the minimum amount of health information necessary for business associates to perform their duties.
• Example: We will disclose your health information to our third party billing vendor, that serves as our business associate, in order to bill for our services.
  

To bill for our services

• We can use and share your health information to bill and get payment from health plans or other entities.
• Example: We give information about you to your health insurance plan so it will pay for your services.

What are other ways we may use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

To help with public health and safety issues
We can share health information about you for certain situations such as:

• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a  serious threat to anyone’s health or safety

For research
Subject to certain limitations in the law, we can use and disclose your health information for research purposes with your authorization and, under very limited circumstances, without your authorization.

To comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

When we work with a medical examiner
We can share health information with a medical examiner or coroner when an individual dies.

• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services

In response to lawsuits and legal actions
We can share health information about you in response to a court or administrative order, or in response to a subpoena.