THIS NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED, DISCLOSED, AND HOW YOU CAN GAIN ACCESS TO THE INFORMATION. PLEASE REVIEW IT CAREFULLY.
Your Privacy Rights, Our Responsibilities.
Human Development Company (HDC) is required by law to protect the privacy of your health information and provide you with this Notice of Privacy Practices. This notice describes how we may use and share your health information and explains your privacy rights. HDC will use or disclose your information only as described in this notice. We do, however, reserve the right to change our privacy practices and the terms of this notice and to make new provisions effective for all health information that we maintain. Revisions will be posted in the waiting area, and we will make a copy of revisions available to you upon your request.
Use and Disclosure of Protected Health Information That Requires Your Authorization.
Except as provided in this Notice of Privacy Practices, HDC will not use or disclose your health information without your written authorization. If you sign an authorization form, you may withdraw your authorization at any me, as long as your withdrawal is in writing.
Your Rights Regarding Your Protected Health Information
You have several rights with regard to your health information. Specifically, you have the right to:
• Obtain a paper copy of this notice. You may request a written copy at any time.
• Receive confidential communications. You have the right to request in writing that HDC only communicate to you in a certain format (e.g. in writing) and/or location (e.g. your work address). We will accommodate all reasonable requests.
• Inspect and copy protected information. This right is subject to certain legal restrictions. For example, this right does not apply to psychotherapy notes or information compiled for judicial proceedings. You may be charged a fee for copying or postage.
• Request restrictions on certain uses and disclosures. You have the right to ask for restrictions on how your health information is used or to whom your information is disclosed. We are not required to agree to your requested restriction, but we will consider your request and the possibility of accommodating it.
• Request to amendment. You have a right to request in writing that portions of your records be corrected when you feel information is incorrect or incomplete. We may deny your request if the information was not created by this agency or if we believe the information is accurate.
• Complain. If you believe your health information privacy rights have been violated, you may contact the OCR Regional Manager, Office for Civil Rights, U.S. Department of Health and Human Services, Atlanta Federal Center, Suite 3B70, 61 Forsyth St., S.W., Atlanta, GA 30303-8909, (404) 562-7886. If you file a complaint, we will not take any action against you or change our treatment of you.