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Downeast Health Services
Notice of Health Information Privacy PracticesEffective October 17, 2012
This notice describes how health information about you may be used or disclosed by the medical and/or dental programs you use at Downeast Health Services. (DEHS) and how you can access this information. Please review this notice carefully.
We understand that health information about you is very personal. A Federal law called HIPAA, the Health Insurance Portability and Accountability Act, was created to support your privacy and rights surrounding your health information. DEHS takes your privacy very seriously and has created this form to explain our policies.
HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: Health Information is recorded every time you seek treatment from a health care provider or visit a health center. Typically, health information contains your symptoms, examination, test results, diagnoses, treatment and plans for future care. The following three categories:
For Treatment: DEHS general policy is that we may use and disclose health information about you to nurse practitioners, physician assistants, doctors, nurses, health care associates, nursing and medical students, volunteers or other personnel who work within DEHS programs and administrative office network without your written authorization (consent).
We may also disclose health information about you without your written authorization if you are hospitalized under our supervision, sent by us to a lab to perform tests, to a pharmacy to have prescriptions filled, to the hospital for x-rays or for other treatment purposes. However, if we need to refer you to a specialist for treatment or if another healthcare provider calls us for information about you, we will not release any information unless we have your authorization to do so.
For Payment: We may use and disclose health information about you without your written authorization so that the services you received from us may be billed for and payment collected. For example, we may need to give your health insurance plan information about your office visit so they will pay us or reimburse you.
For Healthcare Operations: We may use and disclose health information about you without your written authorization to make sure that all of our patients receive quality care. For example, we may use health information to review our services, to evaluate the performance of our staff, or to review your records if you file a complaint.
OTHER WAYS WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: In addition to the situations listed above, here are more examples of times when DEHS will not release your health information without your written authorization to do so:
There may be times when someone outside of the DEHS network requests your records, and because of a timing conflict, an inability to locate you or an over-riding state or federal law, we are unable to gain your consent, but still need to release health information about you. A few examples of those times are:
Lastly, there may also be times other than those listed in the first section of this Notice (under treatment, payment and operations) when DEHS may release your health information without your written authorization. Some examples of those times are:
YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU
You have the following rights to your health information:
MINORS AND PERSONS WITH GUARDIANS: Minors have all the rights outlined in this Notice with respect to health information relating to reproductive healthcare, except for emergency situations or when the law requires reporting of abuse and neglect. If you are a minor or a person with a guardian obtaining healthcare that is not related to reproductive health, your parent or legal guardian may have the right to access your medical record and make certain decisions regarding the uses and disclosures of your health information.
CHANGES TO THIS NOTICE: We reserve the right to revise or change this Notice. A dated copy of the revised notice will be posted.
OTHER USES OF HEALTH INFORMATION: Other uses and sharing of health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you give us permission you may change your mind, in writing, at any time, and we will no longer use or share that health information in the future. Information already used or shared cannot be taken back. We are required to keep the records of the care that we have given to you.
If you believe your privacy rights have been violated, you may file a complaint with us.
All complaints must be submitted in writing. You will not be penalized for filing a complaint.