Wolff Child Psychology may use or disclose PHI without your additional written authorization in the following situations:
Contacting You: Unless you tell us otherwise in writing, we may contact you by telephone, e mail, or mail at either your home or your office. We may leave messages for you on your answering machine or voicemail, or with someone who answers the phone. We will try not to leave messages with specific information about you. If you want us to communicate with you in a certain way or at a certain location, let us know so that you may be given a form to make this request.
Appointment Reminders: We may use and disclose medical information about you to remind you of an appointment you have with us. Reminders may be sent through the mail, done over the phone or e-mailed.
Disaster Relief: We may use and disclose medical information about you to a public or private organization authorized by law or by its charter to assist in disaster relief efforts. This will be done to coordinate notifying family members, other relatives, close personal friends, or other people identified by you of your location, general condition, or death.
When Required by Law: We may use and disclose medical information about you when we are required to do so by federal, state, or local law.
Public Health Activities: We may disclose medical information about you for public health activities and purposes. This includes reporting medical information to a public health authority that is authorized by law to collect or receive the information for purposes or preventing or controlling a disease. These activities generally include, but are not limited to, the following: To prevent or control disease, injury or disability; to report child abuse and neglect; to report reactions to medications or problems with products; 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. Victims of Abuse, Neglect, or Domestic Violence: We may disclose medical information about you to a government agency authorized by law to receive reports of abuse, neglect, or domestic violence, if we believe you are a victim of abuse, neglect, or domestic violence. This will occur to the extent the disclosure is: (a) required by law; (b) agreed to by you; or (c) authorized by law and we believe the disclosure is necessary to prevent serious harm to you or to other potential victims. If you are incapacitated and certain other conditions are met, information may be given to a law enforcement officer or other public official if he or she indicates that immediate enforcement activity depends on the disclosure. Health Oversight Activities: We may disclose medical information about you to a health oversight agency for activities authorized by law. These activities are necessary for the government to monitor the health care system, government programs, our compliance with civil rights laws, and to make sure we are complying with various government regulations. For example, the Department of Health and Human Services may come in and review records to make sure we are providing quality care to our clients.
Judicial and Administrative Proceedings, Lawsuits and Disputes: We may disclose medical information about you in the course of any judicial or administrative proceeding in response to an order of the court or administrative tribunal. We also may disclose medical information about you in response to a subpoena, discovery request, or other legal process, but only if efforts have been made to tell you about the request or to obtain an order protecting the information from being disclosed.
Law Enforcement: We may disclose medical information about you if required to do so by a law enforcement official. Such requests generally include, but are not limited to, the following: in response to a court, grand jury, or administrative order, a subpoena, warrant, a summons or similar process; to identify or locate a suspect, fugitive, material witness, or missing person; about an actual or suspected victim of a crime and that person agrees to the disclosure (if we are unable to obtain that person’s agreement, in limited circumstances, the information may still be disclosed); about a death we believe may be the result of criminal conduct; about criminal conduct on the grounds of our office building; in emergency circumstances to report a crime, the location of a crime or victims, or the identity, description, or location of the person who committed the crime; or as required by law.
Coroners, Medical Examiners, and Funeral Directors: We may disclose medical information about you to a coroner, funeral director, or medical examiner as necessary for them to carry out their duties.
Organ, Eye, or Tissue Donation: If you are an organ donor, we may disclose medical information about you to organizations or organ banks that handle organ procurement or organ, eye, or tissue transplantation, as necessary to promote organ or tissue donation and transplantation.
To Prevent a Serious Threat to Health or Safety: We may use or disclose medical information about you if we believe the use or disclosure is necessary to prevent or lessen a serious or imminent threat to the health or safety of a person or the public. Any disclosure would only be to someone able to help prevent the threat. We also may disclose information about you if we believe the disclosure is necessary for law enforcement authorities to identify or apprehend an individual who admitted participation in a violence crime or who is an escapee from a correctional institution or from lawful custody.
Military and Veterans: If you are a member of the Armed Forces, we may use and disclose medical information about you for activities deemed necessary by the appropriate military command authorities to assure the proper execution of the military mission. We may also release information about foreign military personnel to the appropriate foreign military authority for the same purposes.
National Security and Intelligence: We may disclose medical information about you to authorized federal officials for the conduct of intelligence, counter-intelligence, and other national security activities authorized by law.
Protective Services for the President and Others: We may disclose medical information about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.
Inmates and Persons in Custody: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release medical information about you to the correctional institution or law enforcement official having custody of you. This release will be made if it is necessary (l) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.
Workers Compensation: We may disclose medical information about you to the extent necessary to comply with workers' compensation and similar laws that provide benefits for work related injuries or illness.
Food and Drug Administration (FDA): We may disclose to the FDA health information relative to adverse events with respect to food, supplements, product and product defects, medications or injections, to enable product recalls, repairs or replacement.
Business Associates: Some of the functions of Wolff Child Psychology may be provided by contracts with Business Associates. For example, some of the billing, legal, auditing, and practice management services may be provided by contracting with outside entities to perform those services. In those situations, PHI will be provided to those contractors as is needed to perform their contracted tasks. Business Associates are required to enter into an agreement maintaining the privacy of the PHI released to them.
Other Uses and Disclosures: Other uses and disclosures of medical information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose medical information about you, you may revoke that permission, in writing, at any time by writing. If you revoke your permission, we will no longer use or disclose medical information about you for the reasons covered by your written permission. We are unable to take back any disclosures we have already made with your permission.