Privacy Policy


THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSE AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

CLARITY CHILD GUIDANCE CENTER HAS A LEGAL DUTY TO SAFEGUARD YOUR PROTECTED HEALTH INFORMATION

We are required by law to maintain the privacy of your medical information and to provide you with notice of our legal duties and privacy practices. We are required to abide by the terms of the Notice of Privacy Practice currently in effect. We reserve the right to change those terms
and any changes made will be effective for all medical information we maintain. A copy of a revised notice will be available from our web site at www.claritycgc.org.

ACKNOWLEDGMENT OF RECEIPT OF THIS NOTICE

You will be asked to provide a signed acknowledgement of receipt of this notice. Our intent is to make sure you are aware of the possible uses and disclosure of your (PHI) protected health information and your privacy rights. The delivery of your health care services will in no way be conditioned upon your signature acknowledgment. If you decline to provide a signed acknowledgment, we will continue to provide your treatment, and will use and disclose your PHI for treatment, payment and health care operations when necessary.

HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION

We may use and disclose your PHI with your consent for the following reasons:
•    For Treatment – We may disclose your PHI to physicians, nurses, medical students and other health care personnel who provide you and your child with health care services or are involved in the care of you or your child.
•    To obtain Payment for Treatment – We may use and disclose your PHI in order to bill and collect payment for the treatment and services provided to you.
•    For Health Care Operations – We may disclose your PHI in order to operate this hospital. For example, we may use your PHI in order to evaluate the performance of the health care professionals who provide your PHI to our accountants, attorneys, consultants, and others in order to make sure we’re complying with the law that affects us.
•    Exception to Consent Requirement for Treatment, Payment, and Health Care Operations – We may disclose your PHI to others without your consent in certain situations. For example, your consent is not required if you need emergency treatment, as long as we try to get your consent after treatment or we try to get your consent but you are unable to communicate with us and we think you would consent if you were able to.
•    We may use your contact information (name, address, email) to send you news about mental health, our organization and fundraising needs. Clarity Child Guidance Center is a non-profit agency and relies on the help of generous donors.

CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR CONSENT

We may use and disclose your PHI without your consent or authorization for the following reasons:
•    When a disclosure is required by Federal, State, or Local law, Judicial or Administrative proceeding, or Law enforcement – For example, we make disclosures when a law requires that we report information to government agencies and law enforcement personnel about victims of abuse, neglect, or domestic violence; or when ordered in a judicial or administrative proceeding. We are required to report to the state of Texas on every inpatient that is discharged from our facility.
•    For Public Health Activities – For example, we will provide information about various communicable diseases to government officials in charge of collecting that information.
•    For Health Oversight Activities- For example, we will provide information to assist the government when it conducts an investigation or inspection of a health care provider of Organization.
•    For Research Purpose – In certain circumstances, we may provide PHI in order to conduct medical research.
•    To Avoid Harm (Criminal Activity) – In order to avoid a serious threat to the health or safety of a person or the public, we may provide PHI to the law enforcement personnel or persons able to prevent or lessen such harm.
•    For specific Government functions – We may disclose PHI of military personnel in certain situations. And we may also disclose information for national security purposes.
•    For Worker’s Compensation – We may disclose your PHI to comply with laws regarding worker’s compensation.
•    Appointment reminders and health related benefits or services – We may disclose PHI to provide information about referral resources, or give you information about treatment alternatives, or other health benefits we offer.
•    Inmates – We may disclose your PHI if you are an inmate of a correctional facility.

ALL OTHER USES AND DISCLOSURES REQUIRE YOUR PRIOR WRITTEN AUTHORIZATION

In any other situation not described in this notice, we will ask for your written authorization before using or disclosing your PHI. You may revoke your authorization in writing at any time by contacting our Privacy Officer in our facility.

WHAT RIGHTS YOU HAVE REGARDING YOUR PHI

•    Requesting Restrictions – You have the right to ask us to limit our use or disclose your PHI. We will consider your request, but are not legally required to accept it. If we accept your request, we will put any limits in writing and abide by them, except in emergency situation. You may revoke your restriction at any time, by contacting the facility’s Privacy Officer.
•    Inspect and get copies – In most cases, you have the right to inspect and/or get copies of your PHI that we have created in our facility, including billing. You must put in a written request to either inspect or receive copies. We will respond to your written request for copies within 15 business days and 30 business days to inspect your PHI, unless stored in another location it will be 60 days. We may charge for copies.
•    Confidential Communication – You may ask that we communicate with you in a particular way. Or at a certain location, to maintain your confidentiality. Your request must be in writing to specify an alternate way that we can contact you confidentially. You may revoke your request at any time, by contacting the facility’s Privacy Officer. 
•    Amendment – You may request us to amend your PHI if you believe that it is incorrect or incomplete. Your request must be in writing and must include a reason to support the amendment. We will respond within 60 days of receiving your request. Your request may be denied if we believe that the information is complete and accurate, if not created by CLARITY CHILD GUIDANCE CENTER, or not part of our records.
•    Accounting of Disclosures – You may request a list of non-routine disclosures that we have made of your PHI over the previous 6yrs. This does not include disclosures we make for your treatment, to receive payment for our services, or for our normal business operations as noted in this notice. Your request must be in writing, you may not request an accounting for dates of services prior to April 14, 2003. Your first request within 12 month period is free, but we may charge for additional material within the same 12-month period.
•    File a Complaint – If you feel that we have violated your privacy rights, you may file complaint directly with the facility’s Privacy Officer. You may also file a complaint with the Secretary of the Department of Health and Human Services; go to http://www.hhs.gov/privacyhowtofile.htm for how to file a privacy complaint with Office of Civil Rights. We cannot retaliate against you or refuse you treatment.

PERSON TO CONTACT FOR INFORMATION ABOUT THIS NOTICE OR COMPLAINT ABOUT OUR PRIVACY PRACTICES

If you have any questions about this notice or any complaints about our privacy practice, you may contact our Privacy Officer at 8535 Tom Slick, San Antonio, Tx, 78229 or you can call 210-616-0300. You may also e-mail your questions or complaints to This e-mail address is being protected from spambots. You need JavaScript enabled to view it .


 
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