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PRIVACY POLICY & HIPPA NOTICE

Effective March 3rd, 2022

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MBI Health Services, Inc.

NOTICE OF PRIVACY PRACTICES POLICY

Effective March 3rd, 2022

This privacy policy notice explains how mental, behavioral, and medical health information about you may be used and shared. It also explains how you can acquire a copy of this information. Please read carefully.

If you have any questions about this notice, please e-mail: compliance@mbihsca.com.

WHAT IS REQUIRED OF MBI HEALTH SERVICES, INC.:

By Federal law, we are required to:

  1. Ensure that mental, behavioral, and medical information that identifies you is kept private (with certain exceptions);

  2. Inform you about how we use and share mental, behavioral, and medical about you; and

  3. Follow the terms of the notice that is currently in effect.

HOW WE MAY USE AND SHARE MEDICAL INFORMATION ABOUT YOU:

We use and share mental, behavioral, and medical information for many reasons. Here are some examples:

TREATMENT

We may use mental, behavioral, and medical information about you to make sure you get the right treatment or services. We may share mental, behavioral, and medical information about you with doctors, nurses, medical students, and others, including people outside our clinic, who are taking care of you. But we only share this information with them if they need it to give you medical care.

PAYMENT

We may use and share mental, behavioral, and medical information about you so that the treatment and services you get at MBI Health Services, Inc. may be billed to you, an insurance company, or a third party.

HEALTHCARE OPERATIONS

While healthcare operations are in effect, we must make sure that all of our patients get the best care. For example, we may use mental, behavioral, and medical information to look at how our staff is caring for you. We may also share information with other groups that have a relationship with you (for example, your personal care physician), for their healthcare operations.

APPOINTMENT REMINDERS, TREATMENT CHOICES, AND HEALTH-RELATED PRODUCTS AND SERVICES

We may use and share mental, behavioral, and medical information to remind you of an appointment with us. We may use and share medical information to tell you about treatment choices or health related products or services that may be of interest to you.

INDIVIDUALS HELPING WITH YOUR CARE OR PAYMENT FOR YOUR CARE

We may share mental, behavioral, and medical information about you with a friend or family member who is helping with your medical care. We may also give information to someone who helps pay for your care. We may also share mental, behavioral, and medical information about you in an emergency situation so that your family can be notified about your condition, status and location.

RESEARCH

Under certain circumstances, we may use and share mental, behavioral, and medical information about you for research. For example, a research project may compare the health and recovery of all patients who received one medication to those who received another for the same condition. All research projects must get special approval. We check each research project and how it uses mental, behavioral, and medical information to make sure the research does not take away patients’ need for privacy of their information. Before we use or share mental, behavioral, and medical information for research, the project will have been approved. We may share the aforementioned information about you with people who are planning a research project to help them look for patients with specific mental or behavioral needs, so long as the information they look at does not leave the clinic.

OTHER WAYS WE MAY USE OR SHARE YOUR MEDICAL INFORMATION:

AS REQUIRED BY LAW

We will share mental, behavioral, and medical information about you when we have to under federal, state, or local laws.

WHEN THERE IS A SERIOUS THREAT TO HEALTH OR SAFETY

We may use and share mental, behavioral, and medical information about you when there is a serious threat to your health and safety or the health and safety of the public or another person. The information would only be shared with someone who can help prevent the threat.

BUSINESS REASONS

We may share health information with our business partners that work with us or provide us with services. We will only share the information when it is needed. For example, we may share information with another company who does billing services for us. All of our business partners must protect the privacy of your information. They cannot use or share any information that is not part of our contract.

ORGAN AND TISSUE DONATION

If you are an organ donor, we may share medical information to organizations that help with organ or tissue donation and transplantation.

MILITARY AND VETERANS

If you are a member of the Armed Forces, we may share mental, behavioral, and medical information about you with military command authorities if we are asked to do so. We may also share mental, behavioral, and medical information about foreign military personnel to foreign military authorities.

WORKERS' COMPENSATION

We may share mental, behavioral, and medical information about you for workers’ compensation or other programs. These programs provide benefits when an injury or illness happens at work or while you are doing your job.

PUBLIC HEALTH RISKS

We may share mental, behavioral, and medical information about you when there may be a public health risk. This is usually to prevent or control disease, injury or disability. It can also be to report births and deaths; report the abuse or neglect of children, elders and dependent adults; report reactions to medications or problems with products; to notify people of recalls of products they may be using; to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and to notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. We will only share this information if you agree to it or when we have to share it under the law.

HEALTH OVERSIGHT ACTIVITIES

We may share mental, behavioral, and medical information to a health oversight agency under the law. These oversight activities can include audits, investigations, inspections, and licensure. This allows the government to monitor the health care system, government programs, and make sure civil rights laws are followed.

LAWSUITS AND DISPUTES

If you are involved in a lawsuit or a dispute, we may share mental, behavioral, and medical information about you if we are given a court or administrative order. We may also share medical information about you in response to a subpoena, discovery request, or other reason. We must first try to contact you to tell you about the request (which may include written notice to you) or to get an order protecting the information requested.

LAW ENFORCEMENT

We may share health information with our business partners that work with us or provide us with services. We will only share the information when it is needed. For example, we may share information with another company who does billing services for us. All of our business partners must protect the privacy of your information. They cannot use or share any information that is not part of our contract.

CORONERS, MEDICAL EXAMINERS, FUNERAL DIRECTORS

We may share medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also share medical information with funeral directors when needed.

NATIONAL SECURITY AND INTELLIGENCE

We may share mental, behavioral, and medical information about you to federal officials for intelligence, counterintelligence, and other national security reasons under the law.

INMATES OR INDIVIDUALS IN CUSTODY

If you are an inmate of a correctional institution or under the custody of law enforcement, we may share mental, behavioral, and medical information about you (1) so you can get health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.

OTHER USES OF HEALTH INFORMATION

Other uses and disclosures of health information not covered by this Notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.

YOUR RIGHTS ABOUT YOUR MEDICAL INFORMATION:

When it comes to the health information we have about you, you have these rights:

RIGHT TO VIEW AND COPY

You have the right to view and copy your health information that may be used to make decisions about your care. Usually, this includes medical, billing records, but may not include some mental health information. You must write us a letter asking to view and copy health information.

RIGHT TO AMEND

If you feel that the health information we have about you is incorrect or incomplete, you may ask us to fix the information. You have the right to ask as long as the information is kept by our agency. You must write us a letter asking to fix your health information.

RIGHT TO KNOW WHO HAS SEEN YOUR INFORMATION

RIGHT TO LIMIT YOUR INFORMATION

RIGHT TO ASK FOR PRIVATE COMMUNICATIONS

You have the right to ask that we communicate with you about mental, behavioral, or medical matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail. You must write us a letter asking for private communications. You must tell us how or where you wish to be contacted. We will try to honor your wishes.

RIGHT TO A PAPER COPY OF THIS NOTICE

You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you can still ask for a paper copy of this notice.

CHANGES TO THIS NOTICE:

We can change this notice at any time. Any changes can be about mental, behavioral, and medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our agency. The notice will have the effective date on the first page.

COMPLAINTS:

If you believe your privacy rights have been violated, you may file a complaint with MBI Health Services, Inc., or with the Secretary of the Department of Health and Human Services. To file a complaint with our agency, please contact us at compliance@mbihsca.com. All complaints must be submitted in writing. If you file a complaint, we will not treat you any differently.

You have the right to ask for a list of all the people and organizations that have seen or used your mental, behavioral, and medical information. You must write us a letter asking for this list.

You have the right to ask us to limit the mental, behavioral, and medical information we use or share about you for treatment, payment or health care operations. You also have the right to limit the mental, behavioral, and medical information about you that we share with someone who is helping with your care or the payment for your care. For example, you could ask that we not share information about a crisis you had. You must write us a letter asking us to limit your mental, behavioral, and medical information. We may not be able to limit your information if it is needed for emergency treatment.