The purpose of this document is to provide you with information concerning the privacy of you, your family, and the security policies in regard to your child’s healthcare information. This policy is designed and implemented in accordance with the Standards for Privacy of Individually Identifiable Health Information as set forth in the Health Insurance Portability and Accountability Act of 1996, and the regulations at 45 CPR Parts 160 and 164 of the Act and under the terms of Mental Health and Developmental Disabilities Confidentiality Act (MHDDCA), which will, from this point on, be collectively referred to as “HIPAA.”
At Eyas Landing, Inc. we value your privacy and the privacy of your child. Your personal healthcare information, and that of your child, is protected by our associates and administration staff to the fullest extent, as compatible with applicable state and federal law. This includes medical histories and records.
Under HIPAA, your protected healthcare information may be released to designated healthcare providers without specific authorization in order to treat your child, obtain payment, and conduct normal business operations. Eyas Landing, Inc. may release your child’s protected healthcare information to business associates who perform functions or activities on behalf of Eyas Landing, Inc. including but not limited to: claims processing, billing, accounting, legal, or other related functions.
Eyas Landing, Inc. will take all reasonable steps to insure that the minimum necessary information is disclosed to accomplish practice operations, obtain payment for services, and design and provide treatment interventions. This includes: sending claims and records to obtain payment, discussion with therapists or healthcare providers beyond Eyas Landing, Inc. and if necessary, discussion with collection agencies. No more information that is absolutely vital to these processes will be admitted to these parties.
With the exceptions authorized by HIPAA and noted in this policy, you have the right to restrict to whom any portion of your child’s records may be released. These clinical records will not be released to anyone unless specifically authorized by you in writing. An exception to this rule, whereby records could be released without your consent, could be in the course of legal proceedings by local, state, or federal agencies. In addition, if your child has attained the age of twelve years, certain aspects of his or her treatment may be kept confidential from you unless required to be provided to you by law, or unless the child consents to the release of information, or if the information reveals a risk to your child or others.
You have the right to inspect your child’s medical records (in accordance with the foregoing restrictions) with reasonable notice to the Office Manager. You will be able to inspect these records with the Office Manager or Director present. You have the right to augment your child’s clinical records. Information in the clinical record cannot be revised or removed. Please submit your request in writing to amend the record. You also have the right to know when and where your child’s personal healthcare information has been sent.
Our staff and therapists have been trained in the policies and procedures concerning the release of protected healthcare information. Each associate has signed a confidentiality agreement. We will inform you if and when there are any significant changes to this policy statement.
HIPPA Notice of Privacy Practices
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. If you have any questions about this please contact Eyas Landing at (312) 733-0883.
This notice describes the privacy practices at our office. We are required by law to:
- Maintain the privacy of protected health information.
- Give you this notice of our legal duties and privacy practices regarding your health information. i Follow the terms of the notice currently in effect.
Disclosure of Your Health Information: Described below are the ways we may use your health information. Except for the following purposes we will use and disclose your health information only with your written permission. You may cancel this agreement anytime by writing to our office.
- Treatment. We may use and disclose your health information for your treatment and to provide you with treatment-related health care For example, we may disclose your health information to doctors, nurses, or other therapist (s), including people outside of our office, who are involved in your therapy care and need the information to provide you with appropriate services.
- We may use and disclose your health information so that we may bill and receive payment from you, an insurance company, early intervention central billing office, or a third party for the treatment and services you receive.
- Appointment Reminders, Treatment Alternatives, and Health-Related Benefits and Services. We may use and disclose your health information to contact you and remind you of your appointment, to discuss treatment, or service
- As Required by Law. We will disclose your health information when required to do so by international, state, or local law.
- To Avert a Serious Threat to Health or Safety. We may use your health information when necessary to prevent a serious threat to health and safety of you, another person, or the Disclosures will be made only to someone who can prevent the threat.
- Business Associates. We may disclose your health information to our business associates that perform functions on our behalf or provide with services as necessary. For example, we may disclose information to persons who perform billing services on our behalf. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose the information for any other purpose than appears in their contract with us.
- Law Enforcement. We may release your health information request by lay enforcement official if 1) there is a court order, subpoena, warrant, summons or similar process; 2) the information is relevant to criminal conduct on our premises; and 3) it is needed in an emergency to report a crime, the location of a crime or victims, or the identity, description, or location of the person who may have committed the
Your Rights Regarding Your Health Information
- Right to Inspect and Copy. You have the right to inspect and copy your treatment and billing records by written request to Eyas Landing.
- Right to Amend. You have the right to request an amendment to your records by written request to Eyas Landing.
- Right to an Account of Disclosures. You have a right to an accounting of certain disclosures by written request to Eyas Landing.
- Right to Request Restrictions. You have the right to request restriction or limitation on your health information used for treatment, payment or health care operations. You may request use to limit disclosure to someone involved in your care or in payment of your care by written request to Eyas Landing. We are not required to agree with your request, but we will try to comply.
- Right to Request Confidential Communications. You have the right to request that we communicate with you about treatment matters in a certain way or at a certain You can ask, for example, that we contact you only by mail or at work. Your written request must specify how or where you wish to be contacted and be addressed to Eyas Landing.
Changes to this Notice: The terms of this notice apply to all records containing you and your child’s individually identifiable health information that are created or retained by our practice. We reserve the right to amend the Notice of Privacy Practices. Any revision or amendment to this notice will be effective for all of your records that our practice has created or maintained in the past, and for any of your records that we may create or maintain in the future. You may request a copy of our most current Notice at any time.