HIPAA Compliance Policy
When it comes to your health information, you have certain rights. This section explains your rights and
some of our responsibilities to help you.
You can Get a copy of your health and claims records:
- You can request a copy of your health and claims records and other health information we have about you.
- We will provide a copy or summary of your health and claims records, usually within 30 days of your request.
You can ask us to correct health and claims records:
- You can ask us to correct your health and claims records if you think they are incorrect or incomplete.
- We may say “no” to your request, but we will tell you why in writing within 60 days.
You can request confidential communications:
- You can ask us to contact you in a specific way or to send mail to different address (for instance, your home or office).
- We will consider all reasonable requests, and must say “yes” if you tell us you would be in danger if we do not.
You can ask us to limit what we use or share:
- You can ask us not to use or share certain health information for treatment, payment or our operations.
- We are not required to agree to your request, we may say “no” if it would affect your care.
You can get a list of those with whom we have shared information:
- You can ask for a list of the times we have shared your health information for six years prior to the date you ask.
- You can request a disclosure of who we shared your information with and why.
- We will include all the disclosures except for those about treatment, payment and health care
operations, and other disclosures that you asked us to make.
- We will provide once per year for free, but may charge a reasonable fee if you ask for another
one within 12 months.
You can get a copy of this privacy notice:
- You can ask for a paper copy of this notice at any time. Even if you have agreed to receive a notice electronically, we will also provide you with a paper copy.
You can choose someone to act for you:
- If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
- Before we take any action, we will make sure the person has this authority and can act for you.
You can file a complaint if you feel your Privacy rights are violated:
- If you feel we have violated your Health Information Privacy rights, you can complain by contacting us and completing a Honey Lake Clinic Grievance Form. This form is available at the Nurse’s Station and in each therapist’s office. By filing a grievance, you will not subject yourself to any form of adverse action, reprimand, retaliation or otherwise negative treatment by Honey Lake Clinic.
- You can file a complaint with the U.S Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W. Washington, D.C.20201,
by calling 1-877-696-6775, or by visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
You can tell us your choices about what we share:
- If you have a clear preference of how we share your information talk to us. Tell us what you want us to do, and we will follow your instructions. We will assist you in completing a Release of Information form which authorizes what information can be released and to whom it may be released.
- You have both the right and choice to tell us to share information with your family, close friends, or others involved in payment for your care.
You have both the right and choice to tell us to share information in a disaster relief situation.
If you are not able to tell us your preference, for example you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
We never share your information unless you give us written permission:
- Never for marketing purposes.
- Never for sale of your information.
Our Uses and Disclosures
We typically use or share your health information in the following ways:
- To help manage the health care treatment you receive; we can use your health information and share it with professionals who are treating you.
- To run our organization; we can use and disclose your information to run our organization and will contact you when necessary.
- We can use and disclose your health information to coordinate payment for our services.
How else can we use or share your health information:
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research.
We do have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html
To help with public health and safety issues we can share health information for situations such as:
- Preventing disease
- Helping with product recalls
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect or domestic violence
- Preventing or reducing a serious threat of anyone’s health or safety
To comply with the law, we will share information about you if state or federal laws require it.
- We will share information about you if the Department of Health and Human Services wants to see if we are complying with federal privacy law,.
- We will share information with a coroner, medical examiner or funeral director when an individual dies
- We can share your health information for:
- Worker’s compensation claims
- Law enforcement purposes or with a law enforcement official
- With health oversight for agencies for activities authorized by law
- For special government functions such as military, national security and presidential protective services.
- A court or administrative order, or in response to a subpoena.
- We are required by law to maintain the privacy and security of your protected health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy of it.
- We will not use or share your information other than as described here unless you tell us, in writing, that we can. If you tell us that we can, you may change your mind at any time, but you must let us know in writing that you changed your mind.
For more information see:
Changes to the Terms of this notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, on our website, and we will mail a copy to you.
This Notice of Privacy Practices applies to the following organizations:
Honey Lake Clinic,
1450 NW Honey Lake Road,
Greenville, FL 32060
Contact: Lisa Stewart, CEO
Phone: (850) 724-1997