Notice of Privacy Practices (NPP)
The following notice describes how medical information about you may be used and disclosed. Please review it carefully.
Our Commitment to Your Privacy
Family Guidance Center is dedicated to maintaining the privacy of your personal health information. We are required by law to do this. These laws are complicated, but we must provide you with important information. This notice is a shorter version of the full, legally required NPP which you can obtain from any of our offices. However, we cannot cover all possible situations so please talk to our Privacy Officer (see the end of this notice) about any questions or problems.
We will use the information about your health which we get from you or from others mainly to provide you with treatment, to arrange payment for our services, or for some other business activities which are called health care operations. After you have read this NPP, we will ask you to sign a Consent Form to let us use and share your information. If you do not consent and sign this form, we will not be able to provide you with any services.
If there is a need to use or disclose (send, share or release) your information for any other purpose, we will discuss this with you and ask you to sign an Authorization to allow this.
Of course we will keep your health information private, but there are also some times when the laws require us to use or share it such as:
- When there is a serious threat to your health and safety, or the health and safety of another individual or the public. We will only share information with a person or organization who is able to help prevent or reduce this threat.
- Some lawsuits and legal court proceedings
- If a law enforcement official requires us to do so
- For Workers Compensation and similar benefit programs
There are other situations like these which don't happen very often. They are described in the longer version of the NPP.
Your Rights Regarding Your Health Information
You can ask us to communicate with you about your health and related issues. For example, you can ask us to call you at home, rather than at work, to schedule or cancel an appointment. We will try our best to honor your request.
You have the right to ask us to limit what we tell certain individuals involved in your care or the payment for your care, such as family members and friends. While we don't have to agree to your request, if we do agree, we will keep our agreement except if it is against the law, an emergency, or when the information is necessary to treat you.
You have the right to look at the health information we have about you such as your medical and billing records. You must request access to your records by filling out a form at the program where you receive services. You may be charged for copying expenses.
If you believe the information in our records is incorrect or incomplete, you may ask us to make some changes to your health information. You have to make this request in writing and send it to our Privacy Officer. You must explain in detail the reasons you want to make the changes.
You have the right to a copy of this notice. If we change this NPP, we will post it in our waiting room and you can always get a copy of the NPP from the Privacy Officer.
You have the right to file a complaint if you believe your privacy rights have been violated. You can file a complaint with our Privacy Officer and with the Secretary of the U.S. Department of Health and Human Services (by aaron at tforge). All complaints must be in writing. Filing a complaint will not affect the health care we provide you in any way.
If you have any questions regarding this notice or our privacy policies, please contact our Privacy Officer, Joleen Benedict, at (609) 587-7044 or email Joleen.email@example.com
The effective date of this notice is April 14, 2003