Examples of disclosures for treatment, payment and health operations

We will use your health information for treatment (for example):

Information obtained by a doctor, nurse or other mental health professional will be recorded in your record and used to determine the course of treatment that will work best for you. Any service provided to you will be documented in the record.

We will use your health information for payment (for example):

A bill may be sent to you or a third-party payer. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis.

We will use your health information for regular health operations (for example):

Members of the medical staff, the risk or quality improvement teams may use information in your health record to assess the care and outcomes in your case and others like it.

Other ways we may or may not share your health information:

Business Associates − We provide some services through contracts with business associates. (Example: certain diagnostic tests).

Directory − We do not have a directory that provides any information concerning your treatment here.

Notification − We will not disclose any information to anyone about you without your written consent/authorization.

Communication with Family − Only with your written authorization/consent will we disclose to a family member, another relative, a close friend, or any other person that you identify, health information relevant to that person’s involvement in your care or payment related to your care.

Research − We may disclose information to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your information.

Funeral Directors − We may disclose health information to funeral directors consistent with applicable law to enable them to carry out their duties.

Marketing/Continuity of Care − We may contact you to provide appointment reminders or information about treatment alternatives that may be of interest to you.

Fund raising − We will not contact you concerning any fund-raising activities.

Food and Drug Administration (FDA) − We may disclose to the FDA health information relative to adverse effects/events with respect to food, drugs, supplements, product or product defects, or postmarking surveillance information to enable product recalls, repairs, or replacements.

Workers Compensation − We may disclose information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.
Public Health − We may disclose your health information as required by law.

Correctional institution − If you are an inmate of a correctional institution, we may disclose to the institution health information necessary for your health and the health and safety of other individuals.

Law Enforcement − We may disclose your health information for law enforcement purposes as required by law or in response to a court order.

Health Oversight Agencies & Public Health Authorities − By Federal law, provisions your health information may be released provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more consumers, workers or the public.

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