Privacy Practices:
Our Uses & Disclosures

We will not share your mental health treatment records without your written consent unless it is for treatment or another law requires us to share the information.

We may use and share your information as we:

  • Treat you

  • Run our organization

  • Bill for your services

  • Help with public health and safety issues

  • Do research

  • Comply with the law

  • Respond to organ and tissue donation requests

  • Work with a medical examiner or funeral director

  • Address workers’ compensation, law enforcement, and other government requests

  • Respond to lawsuits and legal actions

Other Limitations and Use Disclosure:

Authorization is required for most uses and disclosures of psychotherapy notes (these are the notes that certain professional behavioral health providers maintain that record your appointments with them and are not stored in your medical record), certain substance use disorder information, HIV testing or test results, and certain genetic information even if disclosure is being made for treatment, payment, or health care operations purposes as described above.

Reproductive health information shall not be used or disclosed in any criminal, civil, or
administrative investigation or proceeding against anyone seeking, obtaining, providing,
or facilitating reproductive health care.

To the extent that we have your substance use disorder (SUD) patient records created at a Recovery and Addictions Program (RAD), 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. Specifically:

  • Records, or testimony relaying the content of SUD Records, shall not be used or disclosed in any civil, administrative, criminal, or legislative proceedings against you unless based on specific written authorization or a court order;

  • SUD Records shall only be used or disclosed based on a court order after notice and an opportunity to be heard is provided to you or the holder of the record, where required by 42 U.S.C. 290dd-2 and 42 CFR Part 2; and

  • A court order authorizing use or disclosure must be accompanied by a subpoena or other similar legal mandate compelling disclosure before the record is used or disclosed.

How do we typically use or share your health information?

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 for an injury 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 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 public health and research. We have to meet many
conditions in the law before we can share your information for these purposes.

In all cases, including those listed below, if we have substance use disorder patient records about you, subject to 42 CFR part 2, we cannot use or share information in those records in civil, criminal, administrative, or legislative investigations or proceedings against you without (1) your consent or (2) a court order and a subpoena.

Help with public health and safety issues

  • We can share health information about you for certain situations such as:

  • Preventing disease

  • Helping with product recalls

  • Reporting adverse reactions to medications

  • Reporting suspected abuse, neglect, or domestic violence

  • Preventing or reducing a serious threat to anyone’s health or safety

Do research
We can use or share your information for health research, following strict internal review.

Comply with the law
We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

We will share information about you to law enforcement officials when the person alleged to have committed a crime against you is one of our staff members.

Respond to organ and tissue donation requests
We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director
We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests
We can use or share health information about you:

  • For workers’ compensation claims

  • For law enforcement purposes or with a law enforcement official

  • With health oversight agencies for activities authorized by law

  • For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

  • We can share health information about you in response to a court or administrative order, or in response to a subpoena.

  • If you bring legal action or other proceeding against us or our employees or agents, we may use and disclose PHI to defend ourselves.

Other purposes

  • For guardianship or commitment proceedings when we are a party

  • To persons involved in your care in an emergency situation if certain criteria are met.

  • To correctional institutions if you are an inmate or you are detained by a law enforcement officer if necessary to provide you with health care, or to maintain safety, security and good order at the place where you are being confined.