At Northside Behavioral Health Center, we respect your privacy as it’s a part of our code of ethics. We are required by law to maintain the privacy of “Protected Health Information” (PHI) about you, notify you of our legal duties and your legal rights, and follow the privacy policies described in this notice. “Protected Health Information” means individually identifiable health information about you.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
We typically use or share your health information in the following ways:
Treat you: We can use your health information and share it with other professionals who are treating you. Example: A doctor treating you asks another doctor about your overall health condition.
Run Our Organization: We can use and share your health information to run our practice, improve your care, and contact you when necessary. Example: We use health information about you to manage your treatment and services.
Bill For Your Services: We can use and share your health information to bill and get payment from your health plans or other entities. Example: We give information about you to your health insurance plan, so it will pay for your services.
How else can we use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/
Ask Us to Limit What We Use or Share: Share You can ask us not to use or share certain health information for treatment, payment, or our operations.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations to your health insurer.
Get A Copy Of This Privacy Notice: You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose Someone To Act For You: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information. We will make sure the person has this authority and can act for you before we take any action.
File A Complaint If You Feel Your Rights Are Violated: You can make a complaint if you feel we have violated your rights by contacting us using the information for the Main Campus on our Contact Us page. You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by:
We will never retaliate against you for filing a complaint. We will never ask you to waive or give up your rights to Protected Health Information as a condition of treatment or eligibility.
In these cases, we never share your information without written permission: