NOTICE OF PRIVACY PRACTICES
This notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. The privacy of your health insurance is important to us.
OUR LEGAL DUTY
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect 4/1/03 and will remain in effect until we replace it.
We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request.
You may request a copy of our Notice at any time. For more information about our privacy practices, of for additional copies of this Notice, please contact us using the information listed at the end of this Notice.
USES AND DISCLOSURES OF HEALTH INFORMATION
We use and disclose health information about you for healthcare operations. For example:
Treatment: We may use or disclose your health information to a physician, VNA services, home health agencies, and/or other healthcare provider providing treatment to you.
Payment: We may use and disclose your health information to obtain payment for services we provide to you.
Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations include quality assessment and improvement activities, and conducting training programs.
To Your
Family and
Friends:
We must disclose
your health information
to you, as described
in the Consumer
Rights section
of this Notice.
We may disclose
your health information
to a family member,
friend, or other
person to the
extent necessary
to help with
your healthcare
or with payment
for your healthcare,
but only if you
agree in writing
that we may do
so.
Persons
Involved in
Care:
We may use or
disclose health
information to
notify, or assist
in the notification
of (including
identifying or
locating) a family
member, your
personal representative,
or another person
responsible for
your care of
your location,
your general
condition, or
death. If you
are present,
then prior to
use or disclosure
of your health
information,
we will provide
you with an opportunity
to object to
such uses or
disclosures.
In the event
of your incapacity
or emergency
circumstances,
we will disclose
health information
based on a determination
using our professional
judgment disclosing
only health information
that is directly
relevant to the
person's involvement
in your healthcare.
Marketing Health-Related Services: We will not use your health information for marketing communications without your written authorization.
Required by Law: We may use or disclose your health information when we are required to do so by law.
Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, or domestic violence, or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety or the health or safety of others.
National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other national securityactivities. We may disclose to correctional institution or law enforcement officials having lawful custody of protected health information of inmate or consumer under certain circumstances.
Appointment Reminders: We may use or disclose your health information to provide you with appointment reminders (such as voicemail messages, postcards! or letters) .
CONSUMER RIGHTS
Access: You have the right to look at or get copies of your health information, with limited exceptions. You may request that we provide copies in a format other than photocopies. We will use the format you request unless we cannot practicably do so. You must make a request in writing to obtain access to your health information by using the contact information listed at the end of this Notice.
Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency) .
Alternative Communication: You have the right to request that we communicate with you about your health information by alternative means.
Electronic Notice: If you receive this Notice on our Website or by electronic mail (e-mail) f you are entitled to receive this Notice in written form.
QUESTIONS AND COMPLAINTS
If you want more information about our privacy practices or have questions or concerns, please contact us. If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to restrict the use or disclosure of your health information or have us communicate with your by alternative means, you may complain to us using the contact information listed at the end of this Notice. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.
We support your right to the privacy of your health information. We will not retaliate in any way, if you choose to file a complaint with us or with the u.s. Department of Health and Human Services.
Contact Officer:
Nanette Goodwin
Telephone:
978-687 -4288 (V/TTY) Fax: 978-689-4488
E-mail:
Address:
Northeast Independent
Living Program
20 Ba11ard Rd.
Lawrence, MA
01843
