HIPAA Rights

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Your Rights

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

 

Your Choices

With your consent, we can use and share your information as we:

• Treat you
• Run our organization
• Bill for our services
• Fulfill your requests to share information with your consent
• Prevent multiple program enrollments
• Report about court-referred treatment
• Report to prescription drug monitoring programs

 

Our Uses and Disclosures

We may use and share your information without your consent as we:

• Communicate within our program and with our contractors
• Help with medical emergencies
• Help with public health
• Report crimes (and threats of crimes) on our premises and suspected child abuse and neglect
• Aid scientific research
• Respond to audits and evaluations of our program
• Assist cause of death inquiries
• Respond to court orders

In all these circumstances, we must protect your information and limit how we use and share it.

To the extent that we have your substance use disorder patient records, subject to 42 CFR part 2, we will not share that information for investigations or legal proceedings against you without (1) your written consent or (2) a court order and a subpoena.

 

Redisclosure According to HIPAA

When you consent to uses and disclosures for all future treatment and payment purposes and to run our business, we may share your information with other substance use disorder treatment programs, doctors’ offices, and health care businesses for those activities. If the person who receives it is subject to HIPAA, then they are allowed to use and share your information again without your consent for the purposes that HIPAA allows. Your information still cannot be used in legal proceedings against you unless (1) you consent or (2) based on a Part 2 court order and a subpoena (or similar legal requirement).

 

Our Responsibilities

• We are required to obtain your consent for most uses and sharing of your information.
• We are required by law to maintain the privacy and security of your information.
• We must 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 in this notice 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.

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

 

Effective Date

This notice is effective as of February 16^th, 2026. If you have any questions about these policies or have a complaint about how your privacy has been handled, contact our HIPAA Compliance Officer, Monica Guilhot-Chartrand, LCSW at 630-357-2456 x127