PRIVACY PRACTICES
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The Health Insurance Portability and Accountability Act (HIPAA; “Act”) of 1996, revised in 2013, requires us as your health care provider to maintain the privacy of your protected health information, to provide you with notice of our legal duties and privacy practices with respect to protected health information, and to notify affected individuals following a breach of unsecured protected health information. We are required to maintain these records of your health care and to maintain confidentiality of these records.
The Act also allows us to use your information for treatment, payment, and certain health operations unless otherwise prohibited by law and without your authorization.
Treatment: We may disclose your protected health information to you and to our staff or to other health care providers in order to get you the care you need. This includes information that may go to the pharmacy to get your prescription filled, to a diagnostic center to assist with your diagnosis, or to the hospital should you need to be admitted. If necessary to ensure that you get this care, we may also discuss the minimum necessary with friends or family members involved in your care unless you request otherwise.
Payment: We may send information to you or to your health plan in order to receive payment for the service or item we delivered. We may discuss the minimum necessary with friends or family members involved in your payment unless you request otherwise.
Health operations: We are allowed to use or disclose your protected health information to train new health care workers, to evaluate the health care delivered, to improve our business development, or for other internal needs.
We are required to disclose information as required by law, such as public health regulations, health care oversight activities, certain law suits and law enforcement.
Certain ways that your protected health information could be used disclosed require an authorization from you:
Disclosure of psychotherapy notes, use or disclosure of your information for marketing, disclosures or uses that constitute a sale of protected health information, and any uses or disclosures not described in this NPP. We cannot disclose your protected health information to your employer or to your school without your authorization unless required by law. You will receive a copy of your authorization and may revoke the authorization in writing. We will honor that revocation beginning the date we receive the written signed revocation.
You have several rights concerning your protected health information:
When you wish to use one of these rights, please inform our office so that we may give you the correct form for documenting your request.
If you have any questions about our privacy practices, please contact our Privacy Officer at the number below.
You have the right to file a complaint with us or with the Office for Civil Rights. We will not discriminate or retaliate in any way for this action. To file a complaint, please contact the applicable party:
Privacy Officer: Executive Director
Clínica del Buen Pastor Mountain Hope
312 Prince St
Sevierville, TN. 37862
(865) 774-0066
Office for Civil Rights
http://www.hhs.gov/ocr/privacy/hipaa/complaints/index.html
We are required to abide by the policies stated in this Notice of Privacy Practices, which became effective on 11/01/2022
312 Prince Street
Sevierville, TN 37862
416 Ski Mountain Road
Gatlinburg, TN 37738