Recovery in the Pines values you as a patient and respects your right to privacy. We pledge our commitment to treating your information responsibly. We restrict access to your health information within Recovery in the Pines to those employees who need to know in order to provide appropriate treatment or services to you or to conduct Recovery in the Pines’ business on your behalf.
The Health Insurance Portability & Accountability Act of 1996 (HIPAA) requires all healthcare records and other individually identifiable health information (protected health information or PHI) used or disclosed to us in any form, whether electronically, on paper, or orally, be kept confidential. The federal law gives you, the patient, significant rights to understand and control how health information is used.
Our Legal Duty
Please be aware that we may be required by Federal Law, state or local law may require us to use or disclose your health information.
Uses and Disclosures of Health Information
The following categories describe different ways that we use and disclose health information about you only under a signed release.
We may use or disclose your health information for your treatment, such as to a doctor or other healthcare provider providing treatment to you.
We may use and disclose your health information to obtain payment for services we provide to you, such as to obtain reimbursement for services we provided.
You may give us a written release to use your health information for any purpose that you deem necessary. If you give us a release, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your release while it was in effect.
With your signed release, your health information may be disclosed to a family member, friend or other person to help with your health care.
We will not use your health-related information for marketing communications.
We do not disclose health information for research purposes without your written consent. Information without patient identifiable data may be used for generic research.
Workers’ Compensation and Disability
With your signed release, health information about you may be disclosed for workers’ compensation, disability or similar programs.
Health Oversight Activities
We may disclose health information to a health oversight agency for activities authorized by law.
Public Health Risks
We may disclose health information about you for public health activities such as to prevent or control disease, injury or disability; or to report reactions to medications or problems with products.
Health Care Operations
We may use and disclose your health information in connection with our healthcare operations. These uses and disclosures are necessary to run Recovery in the Pines and to make sure all of our patients receive quality care.
Secretary of Health and Human Services
We are required to disclose your information to the Secretary of the U.S. Department of Health and Human Services when the secretary is investigating or determining our compliance with the HIPAA Privacy Rules.
Any category not mentioned would require your signed release prior to use and disclosure.
Patient Rights Access
You have the right to request to look at or get copies of your health information. You must submit your request in writing to our privacy official. If you request a copy of the information, we may charge a fee for the costs of copying, mailing, staff time or other supplies associated with your request. We may deny your request to inspect and copy in certain circumstances. If you are denied access to health information, you may request that the denial be reviewed. Another licensed healthcare professional chosen by Recovery in the Pines will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.
You have the right to request that we amend your health information if you feel the information is incorrect or incomplete. To request an amendment, your request must be made in writing, explaining why the information should be amended and submitted to our privacy official. We may deny your request under certain circumstances.
You have the right to request that we place additional restrictions on our use or disclosure of your health information. We are not required to agree to any restriction that you may request. If we do agree to the restriction, we will comply with the restriction unless the information is needed to provide emergency treatment to you, or unless the use or disclosure is otherwise permitted by law.
You have the right to receive a list of instances in which we disclosed your health information during the last year. If you request this accounting more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests.
You have the right to request that we communicate with you about your health information by alternative means or alternative locations. Your request must be made in writing and must specify the alternative means or location, and provide satisfactory explanation of how payments will be handled under the alternative means or location you request.
Paper Copy of Statement
If you requested or agreed to receive this notice electronically, you have the right to a paper copy of this Statement. You may ask us to give you a copy of this notice at any time. You may obtain the statement by contacting us at the information listed below.
Complaints and Questions
If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made regarding your health information, you may express your written complaint to us or the U.S. Department of Health & Human Services at the address below.
We support your right to privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services.
Our Privacy Official
Albert Black, CEO
805 White Spar Rd
Prescott, AZ 86303
Phone: (928) 308-4311