Notice of Privacy Practices
Effective Date: 7/1/2013
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN OBTAIN ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
At Neurotherapeutic Pediatric Therapies, Inc., we respect the privacy and confidentially of your protected health information in a responsible and professional manner. The law obligates us to give you notice of our privacy practices.
CONFIDENTIALITY AND SECURITY OF CLIENT INFORMATION
Usually, we cannot share your health information with other people unless you give us written permission to do so. In most situations, we will not use or disclose your health information unless you sign a written authorization. However, we are allowed to use your health information and share it with others without your authorization for specific reasons as listed below.
- Scheduling and Appointment Reminders:
- When we set up appointments for you.
- We may call to remind you of scheduled appointments.
- We may call to notify you of other treatments or services available at our office that might help you.
- We may leave voice mail messages, mail postcards, or letters.
- We may use your health information to provide you with the best service possible.
- We may disclose information internally, between members of our employed therapy staff, support staff and other healthcare providers.
- We may use and disclose your health information with outside payers for services rendered.
- Healthcare Operations:
- Healthcare operations include quality assessment and improvement activities.
- Reviewing the competence or qualifications of healthcare professionals.
- Evaluating practitioner and provider performance.
- Conducting training programs, accreditation, certification, and/or licensing or credentialing activities.
- Business Associates:
- Companies or individuals who provide some of the services needed for your care.
- All companies or individuals that are required to sign and comply to the privacy practice.
- Communication with Family:
- We communicate information with our parents or guardians of our minor clients in order to help them to take part in their care. Authorization to release information is required to communicate with any other family or friends.
USES AND DISCLOSURES WITH AN AUTHORIZATION
In some limited situations, the law allows or requires us to use or disclose your health information without your permission. Not all of these situations will apply to us; some may never happen at our office at all. Such uses or disclosures are as follows:
- A state or federal law that mandates certain health information be reported for a specific purpose.
- Disclosure due to a court order or administrative agency to provide information because of a search warrant or subpoena.
- Public health purposes, such as contagious disease reporting, investigation or surveillance; and notices to and from the Food and Drug Administration regarding drugs or medical devices.
- Disclosures to government authorities about victims of suspected abuse, neglect, or domestic violence.
- Uses and disclosures for health oversight activities, such as for the licensing of therapists, audits by Medicaid/Medicare, or investigation of possible violations of healthcare laws.
- Disclosure for law enforcement purposes, such as to provide information about someone who is or is suspected to be the victim of a crime; to provide information about a crime at our office; or to report a crime that happened somewhere else.
- Disclosure to State and Federal agencies who regulate us, such as the U.S. Department of Health and Human Services, Oregon Insurance Division, and the Washington Office of Insurance Commissioner.
If we use or disclose your information for any reasons other than the above, we will first request your written authorization. You do not have to sign such a form. If you do sign an authorization form, you may revoke it at any time unless we have already acted in reliance upon it.*
*Note: If we disclose information as a result of your written permission, it may be re-disclosed by receiving party and may no longer be protected by state and federal privacy rules. However, federal or state law may restrict re-disclosure of additional information: Drug/alcohol diagnosis, HIV/AIDS information, mental health information, genetic information, and treatment or referral information.
- Give you this Notice of Privacy Practices.
- Keep your health information private.
- Abide by the terms of this Notice of Privacy Practices.
- We reserve the right to change this notice at any time in compliance with and as allowed by law. If we change our Notice of Privacy Practices, we will post the new notice in our office and make the new notice available upon request.
WHAT ARE YOUR RIGHTS?
Your health information is kept in your health record (medical record). This includes information about therapy provided, how you are progressing, and the therapy plan. The record itself belongs to us, but the health information in the record belongs to you. You have the following rights:
- You may request us to restrict our uses and disclosures for purposes of treatment, payment, or healthcare operations (except in an emergency). We do not have to agree to do this, but if we agree, we must honor the restrictions. To ask for a restriction it must be submitted to our corporate office’s privacy officer at Neurotherapeutic Pediatric Therapies in writing.
- You may request a copy of your health record. You may be charged a fee to make the copies.
- You may request corrections to be made to your health record if you think there has been a mistake made. Your request must be in writing, explaining why the information should be changed.
- You may request a list of disclosures that we have made of your health information.
- You may request in writing, that your health information be sent to a different address.
- You may revoke any authorization that you may have given us, unless we have already acted in reliance upon your written authorization. All requests must be submitted in writing to the address at the end of this notice.
EXERCISING YOUR RIGHTS
You have a right to receive a paper copy of this notice upon request at any time. If you have any questions regarding this notice, please contact the corporate office privacy officer at Neurotherapeutic Pediatric Therapies. The office is open Monday through Friday from 8 a.m. to 5 p.m.
Address: 610 High Street, Oregon City, OR 97045
If you think that we have not properly respected the privacy of your health information, you may complain to us using the contact information above; either to send a written complaint, discuss your complaint in person or by phone. You also may submit a written complaint to the U.S. Department of Health and Human Services, Office of Civil Rights. We will not retaliate against you if you file a complaint.
IF THERE ARE ANY FUTURE QUESTIONS OR CONCERNS REGARDING THE USE OF YOUR PROTECTED HEALTH INFORMATION, THERE ARE COPIES OF THIS NOTICE AVAILABLE AT EACH OF OUR CLINIC LOCATIONS OR UPON REQUEST.