The following special circumstances necessitate the use of your information:
As Required By Law - We will disclose information about you when required to do so by federal, state, or local law. For example, we may release information about you in response to a valid court subpoena.
Health Oversight Activities - We may disclose information to a health oversight agency for activities authorized by law. For example, these oversight activities include audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the healthcare system, government programs, and compliance with civil rights laws.
For Judicial or Administrative Proceedings - If you are involved in a court proceeding, and a request is made for information about the professional services that you have received within our practice and the records thereof, such information may be privileged under state law. We will not release information without the written authorization of you or your legal representative or an instance of issuance. This may also be the case in the instance of a court subpoena, which requires the provision of such information, which you have been properly notified. In response, you have not opposed the court subpoena within the legally specified format and time frame, or in the instance of the issuance of a court order compelling us to provide Protected Health Information (PHI). This privilege does not apply when you are being evaluated for a third party or where the evaluation is court-ordered. You will be informed in advance if this is the case.
To Avert Serious Threat to Health or Safety - We may disclose your confidential mental health information to any person without authorization if we reasonably believe that disclosure will avoid or minimize imminent danger to your health or safety or the health or safety of any other individual. These disclosures may be to law enforcement officials to respond to a violent crime or to protect the target of a violent crime. For example, threats of harming another individual may be reported to appropriate authorities.
Worker’s Compensation - If you file a worker's compensation claim with certain exceptions, we must make available at any stage of the proceedings, all PHI information in our possession that is relevant to that particular injury in the opinion of the States of Practice Department of Labor and Industries, to your employer, your representative, and the Department of Labor and Industries upon request.
Public Health Risks - We may disclose information about you for public health activities. These activities generally include but are not limited to, the following: a. To prevent or control disease, injury, or disability. b. To report child abuse or neglect. c. To report adult and domestic abuse. d. To report reactions to medications or problems with products. To notify people of recalls of products they may be using. f. To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition. g. To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence.
Law Enforcement - We may release information about you if asked to do so by a law enforcement official: a. In response to a court order, subpoena, warrant, summons, or similar process b. To identify or locate a suspect, fugitive, material witness, or missing person c. If you are suspected to be a victim of a crime, generally with your permission d. About a death we believe may be the result of criminal conduct e. About criminal conduct at the hospital f. In emergency circumstances involving a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime
Other uses and disclosures of information not covered by this notice or the laws that apply to our practice will be made only with your written permission. If you provide this practice with specific permission to use or disclose information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures that have already been made with your permission and that we are required to retain our records of the care that we provided to you.