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. We are required by law to provide you with this notice of our legal duties and privacy practices with respect to your health information. Please review it carefully.
If you have any questions about this Privacy Notice, please contact us at:
Chelsea, MA 02150
“Protected Health Information (PHI)” means health care information we have collected from you or received from your health care providers, health plans, your employer or a health care clearinghouse. It may include information about your past, present or future physical or mental health or condition; the provision of your health care; and payment for your health care services. PHI includes also any information that identifies you such as name, date of birth, social security number, etc.
We are required by law to maintain the privacy of your PHI. Access to your PHI will be given to staff members and business associates only when there is a legitimate clinical and/or business need for that information. We will attempt to limit the information exchanged to the minimum necessary amount to meet the clinical or business need.
How We Will Use and Disclose Your Health Information
I. Uses and Disclosures For Which Authorization is Not Required
For treatment, payment, health care operation, health related benefits and services
and fundraising activities.
II. Uses and Disclosures Allowed or Required By Law
Emergencies, research, as required by law, to avert a serious threat to health and safety, organ tissue donation, public health activities, health oversight activities, disclosures in legal proceedings, law enforcement activities, medical examiners or funeral directors, military and veterans, national security, inmates, workers compensation.
Uses and Disclosures of Your Health Information with Your Permission
Uses and disclosures not described above in this Notice of Privacy Practice will generally only be made with your written permission, called an “authorization”. You have the right to revoke an authorization in writing, at any time.
Confidentiality of Substance Abuse Records
For individuals who have received treatment, diagnosis or referral to treatment from our drug or alcohol abuse programs, the confidentiality of drug or alcohol abuse records is protected by federal law and regulations.
Your Rights Regarding Your Health Information
You have the right inspect, copy and/or amend your records.
You have the right to an accounting of all disclosures.
You have the right to request confidential communication.
If you believe your privacy rights have been violated, you may file a complaint with us. To file, contact our Compliance Officer at 301 Broadway, Chelsea, MA 02150. All complaints must be submitted in writing. Our Privacy Officer will assist you with writing your complaint, if you require such assistance. We will not retaliate against you for filing a complaint.