HIPPA
Hipaa Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
1. Mckenna Farms Therapy Services, Inc., hereinafter Mckenna Farms, is permitted to make use of and to disclose health care information for the purposes of treatment, payment and health care operations. The following are examples of use or disclosure for each of the listed purposes:
A. Example of use or disclosure for the purpose of treatment: Private health information may be disclosed to gain knowledge about our diagnosis or prognosis to help us treat your condition appropriately.
B. Example of use or disclosure for the purpose of payment: Private health information may be disclosed so that we may collect payment from your insurance company or other healthcare coverage.
C. Example of use or disclosure for the purpose of healthcare operations Mckenna Farms may contact the individual to provide appointment reminders, information about your treatment alternatives or other health related benefits services that may be of interest to the individual.
2. Mckenna Farms is permitted or required to use or disclose protected health information without the individual’s written authorization for the following purposes:
A. To maintain a directory of individuals.
B. To a family member, other relative or a close personal friend of the individual, or any other person identified by the individual, to the extent disclosure is directly relevant to the individual's Qare or payment related to the individual's care.
C. To notify a. family member, a personal representative of the individual or another person responsible for the care of an individual of the individual's location, general condition or death.
D. Where necessary, to assist a public or private entity authorized by law or by its charter, in disaster relief efforts.
E. Where the disclosure or use is required by law.
F. To assist the public health authority that is authorized by law to collect or receive such information for the purpose of preventing or controlling disease, injury or disability.
G. To assist a public health authority or other appropriate government authority authorized by law to receive reports of child abuse or neglect.
H. To provide information regarding a person subject to the jurisdiction of the Food and Drug Administration with respect of an FDA regulated product or activity for which that person has responsibility.
I. Where authorized by law to notify an individual who may have been exposed to a communicable disease or may otherwise by a risk of contracting or spreading a disease or condition.
J. To an employer to conduct an evaluation relating to medical surveillance in the work place or evaluate whether the individual has suffered a work-related illness or injury and where evaluation notice of such disclosure is given to the individual.
K. Where made to a government authority about an individual reasonable believed to be the victim of abuse or neglect.
L. To a health oversight agency for oversight activities authorized by law.
M. Pursuant to a court order or properly restricted subpoena upon notice.
N. To a law enforcement official for the purpose of identifying or locating a suspect, fugitive, material witness or missing person.
O. To a law enforcement official for the purpose of identifying who is or is suspected to be the victim of a crime.
P. To a law enforcement official regarding a death if there is reason to believe the death resulted from criminal conduct
Q. To law enforcement official if the information constitutes evidence that a crime bas occurred on Mckenna Farms premises.
R. To a law enforcement officer in response to a medical emergency, if necessary to alert such officer to aspects of a crime.
S. To a coroner of medical examiner for the purpose of identifying a deceased person, determining the cause of death, or other duties as authorized by law.
T. To funeral directors consistent with applicable law to carry out their duties with respect to the decedent.
U. To organ procurement organizations engaged in the procurement, banking or transplantation of organs, eyes or tissue.
V. To assist, where necessary, for research purposes where adequate restrictions are in place.
W. Where necessary to prevent or lessen a serious and imminent threat to the health or safety of the person or the public.
X. Where the individual is Armed Forces personnel and the information is deemed necessary by military command authorities to assure proper execution of military mission.
Y. Where the individual is foreign military personnel and the information is deemed necessary by foreign Military command authorities to assure proper execution of the military mission.
Z. To authorized federal officials to conduct lawful intelligence gathering, counter-intelligence, and other national security activities authorized by the National Security Act.
AA. To authorized federal officers-for the provision of protective services to the President.
BB. To correctional institutions or authorized law enforcement officers for the provision of care of inmates and the safety and administration of the correctional facility.
CC. To the extent necessary to comply with law relating to workers' compensation or other similar programs and:
DD. Any other. Permitted purposes define in 45 C.F.R. Parts 160 and 164.
3. Other uses and disclosures of information will be made only with the individual's written authorization. The individual may revoke such authorization at any time provided that the revocation is in writing except to the extent that:
A. Mckenna Farms has taken action in reliance thereon, or
B. If the authorization was provided as a condition to obtaining insurance coverage or the law permits the insurer the right to contact regarding the claim under the policy itself.
4. The individual retains the following Tights with respect to protected information:
A. The right to request restrictions on certain uses and disclosures of protected health information. Mckenna Farms is not required to agree to a requested restriction.
B. The individual retains the right to receive confidential communications of protected health information about the individual.
C. The individual retains the right to inspect and copy protected health information about the individual except for the following:
1. Psychotherapy notes
2. Information compiled in reasonable anticipation of, or for use in, a civil, criminal or administrative action or proceeding and
3. Protected health information subject to the Clinical Laboratory Improvements Amendments of 1988, to the extent the provision law or information would prohibit access to the individual exempt from the Clinical Laboratory Amendments of 1988.
D. The individual retains the right to amend protected health information so long as Mckenna Farms retains such information. tvlckenna Farms retains the right to deny an individual's request to amend protected health information if It determines:
1. that the information to be amended was not created by Mckenna Farms, unless the individual provides a reasonable basis to believe that the originator of the protected health information is no longer available to act on the requested amendment:
2. the information sought to be amended is not part of the designated set of the individual's record: Mckenna Farms determines that the record or information sought is accurate and complete.
E. The individual retains the right to receive an accounting of disclosures of protected health information made within six (6) years prior to the date on which the accounting is requested except for disclosures:
1. Made to carry Out treatment, payment and health care operations.
2. Made to an individual upon that individual's request of protected health information about that individual.
3. Made incident to a use or disclosure otherwise permitted or required by law.
4. Made pursuant to an authorization provided but not in the Notice.
5. Made for the facility's directory or to persons, such as an individual's care or otherwise entitled to notification.
6. Made for national security or intelligence purposes.
7 Made to correctional institutions or law enforcement official.
8. Made as part of a limited date set that does not contain identifying information regarding the individual: or
9. Made prior to the effective compliance date of Mckenna Farms original notice.
F. The individual including any individuals who have agreed to receive the Notice electronically, retain the right to obtain a copy of the Notice from Mckenna Farms upon request.
G. Mckenna Farms is required by law to maintain the privacy of protected health information and to provide individuals with notice of its legal duties and privacy practices with respect to protected health information.
H. Mckenna Farms is required to abide by the terms of the Notice urrently in effect.
I. Mckenna Farms reserves the right to change the terms of its notice and to make the new notice and provisions effective for all protected health information that it maintains. In the event that Mckenna Farms seeks to apply a change in a privacy practice that is described in the Notice to protect health information that Mckenna Farms created or received prior to issuing a revised notice, Mckenna Farms shall provide individuals with a revised notice by handout or mail.
J. Individuals may complain to Mckenna Farms and to the Secretary of Health and Human Services if they believe their Privacy rights have been violated. If an individual chooses to file a complaint with Mckenna Farms, he/she may do so in the following manner: written complaint/notice. The individual will not be retaliated against for filing a complaint.
K. If the individual desires further information concerning his/her privacy rights under this Notice, they may contact Mckenna Farms Therapy Services, Inc. at (770) 443-9672 3044 Due West Rd, Dallas GA 30157.
L. This Notice first went into effect on the 1st day of May, 2008. This date is not earlier than the date on which the Notice has been printed or otherwise published.
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