| NOTICE
OF PRIVACY PRACTICES
This
Notice describes how your medical information
may be used and/or disclosed, and how you may
access this information
Henderson
Mental Health Center has a legal responsibility
to protect your medical information. Protected
Health Information (PHI) is information about
you that may identify you in that it relates to
your past, present or future physical, mental
health, condition, and/or related health care
services; including demographic information.
Uses and/or Disclosures
of Your PHI
Without Your Authorization:
- Treatment
- Payment
- Healthcare
Operations
- Other
Legally Mandated Uses and/or Disclosures
Any Other Use or Disclosure
of Your PHI
Requires
Your Written Authorization
YOUR
RIGHTS
- To
request restrictions of the uses and/or disclosures
of your PHI
- To
request to receive confidential communications
from HMHC by alternative means, or at an alternative
location
- To
inspect and copy your PHI.
- To
request amendment of your PHI
- To
receive an accounting of disclosures made
by HMHC of your PHI.
- To
obtain a paper copy of this complete Notice.
You
May Object to the Use and/or Disclosure of Your
PHI.
You
also may complain about the privacy practices
at HMHC.
Please contact the Privacy Officer at: 954-777-1674.
You
may also send a written complaint to the United
State Secretary of the Department of Health and
Human Services. If you file a complaint, we will
not take any action
against you or change our treatment of you in
any way.
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