Please review this policy carefully.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a Federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, be kept properly confidential. This Act gives you, the client, significant new rights to understand and control how your health information is used. "HIPAA" provides penalties for covered entities that misuse personal health information.
As required by HIPAA, we have prepared this explanation of how we are required to maintain the privacy of your health information and how we may use and disclose your health information.
We may use and disclose your medical records only for the following purposes: treatment, payment, and healthcare operations.
We may also create and distribute health information by removing all references to individually identifiable information.
We may contact you to provide appointment reminders or information about treatment alternatives or other health-relates benefits and services that may be interest to you.
Any other uses and disclosures will be made only with your written authorization. You may revoke such authorization in writing and we are required to honor and abide by that written request, except to the extent that we have already taken actions relying on your authorization.
Below are your rights with respect to your protected health information. You can exercise these rights by presenting a written request to the Site Manager at the VESTA site where you receive services:
We are required by law to maintain the privacy of your protected health information and to provide you with notice of your legal duties and privacy practices with respect to protected health information.
This notice effective April 14, 2003. VESTA is required to abide by the terms of this Notice of Privacy Practices. VESTA reserves the right to change the terms of our Notice of Privacy Practices and to make the new notice provisions effective for all protected health information that we maintain. We will post the Notice of Privacy Practices and you may request a written copy of a revised Notice of Privacy Practices from this office.
You have recourse if you feel that your privacy protections have been violated. You have the right to file a written complaint with the office of compliance at Vesta, Inc., at the following address:
Attention: Office of Compliance
Vesta, Inc.
10123 Senate Drive
Lanham, MD 20706
or, with the Department of Health & Human Services Office of Civil Rights about violations of the provisions of this notice of the polices and procedures of our office. We will not retaliate against you for filling a complaint.For more information on HIPAA or to file a complaint, please contact:
The U.S. Department of Health & Human Services Office of Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
(202) 619-0257
Toll Free: 1-877-696-6775
Providing Mental Health Services Since 1982
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