This notice briefly describes how medical information about you may be used and shared and how you can get access to this information.  This is a summary; a more complete and detailed version of this can be found in our official “Notice of Privacy Practices” that is available at every NSCS site. It may also be accessed here in English and Spanish.

If you have any questions about the privacy of your information at NSCS, please contact the Privacy Officer:

Privacy Officer
265 Beach St.
Revere, MA  02151
617-912-7736

“Protected Health Information (PHI)” is the technical term for the health care information about you that we collect and maintain as part of your record as a client of NSCS.  It can include any information that can identify you and relates to your past, present, or future health, diagnoses, treatment, or payment for treatment.

Uses and Disclosures of Your Health Information with Your Permission – requires your signed authorization:

• If we were to use your health information for marketing
• If we were to sell your health information
• If we were to share your psychotherapy notes with anyone

Complaints

If you believe we have violated your privacy rights, you may file a complaint with us.  To file a complaint, please contact:

North Suffolk Community Services

Privacy Officer
265 Beach St.
Revere, MA  02151
617-912-7736

We will not retaliate against you for filing a complaint

You may also file a complaint with the federal government through the Department of Health and Human Services. You can file a complaint (and find forms that you can print and mail) at the following web address: http://www.hhs.gov/ocr/privacy/hipaa/complaints. You can also contact them at the phone number and address below:

Office for Civil Rights, DHHS
JFK Federal Building – Room 1875
Boston, MA 02203
(617) 565-1340
(617) 565-1343 (TDD)
(617) 565-3809 FAX