Privacy Policy
Family Recovery Solutions website: Privacy Policy
Effective date September 1, 2018
Maintaining your trust is important to us. We take your privacy seriously, and we have created this privacy policy (this “Privacy Policy”) to disclose our information gathering, distribution, storage, and destruction practices for the personally identifiable information (“PII”) we collect on familyrecoverysolutions.net and its related websites (collectively, the “Site”). In addition to this Privacy Policy, you should review the Site’s Terms of Use.
This Privacy Policy only addresses the use and disclosure of information we collect from you because of your use of the Site. You should be aware that when you are on the Site, you can be directed to other websites that are beyond our control, and we are not responsible for the privacy practices of third parties or the content of such linked websites. You should read the posted privacy policy of any website you access.
PLEASE NOTE! FRS’s Notice of Privacy Practices is presented below; it governs how medical information about you may be used and disclosed by FRS if involved with our clinic.
Our Site Security
The Site has security measures in place to reasonably protect against the loss, misuse, and alteration of the information under our control. Firewalls are in place to prevent unauthorized access to our systems. A firewall controls traffic between the Internet and our internal network and protects your information stored within our systems from outsiders. Systems are monitored for suspicious activity to prevent any breaches in security. Any data provided by you sits behind this firewall.
PLEASE NOTE THAT, BY ITS VERY NATURE, A WEBSITE CANNOT BE ABSOLUTELY PROTECTED AGAINST INTENTIONAL OR MALICIOUS INTRUSION ATTEMPTS. FURTHERMORE, FAMILY RECOVERY SOLUTIONS DOES NOT CONTROL THE DEVICES OR COMPUTERS OR THE INTERNET OVER WHICH YOU MAY CHOOSE TO SEND CONFIDENTIAL PII AND CANNOT, THEREFORE, PREVENT SUCH INTERCEPTIONS OF COMPROMISES TO YOUR INFORMATION WHILE IN TRANSIT TO FAMILY RECOVERY SOLUTIONS. BEYOND OUR REASONABLE CARE TO SAFEGUARD YOUR INFORMATION WHILE IN TRANSIT, FAMILY RECOVERY SOLUTIONS CANNOT AND DOES NOT GUARANTEE THE ABSOLUTE SECURITY OF ELECTRONIC COMMUNICATIONS OR TRANSMISSIONS SINCE ANY TRANSMISSION MADE OVER THE INTERNET BY ANY ORGANIZATION OR ANY INDIVIDUAL RUNS THE RISK OF INTERCEPTION.
Types of Information We May Collect
We may collect non-PII of the sort that web browsers and servers typically make available, such as the browser type, language preference, and the date of time of each user request. We do not collect PII unless you choose to provide it. You are generally not required to submit any PII to use the Site.
In addition, we may gather technical information such as:
How We Use the Information We Collect
We may collect and use information in the following way:
How Your Information May Be Shared
If you participate on this Site or our associated sites by writing posts or responses, or importing a blog or other content, you should be aware that any information you choose to disclose using these services can be read, collected, and used by other users of the Site. We are not responsible for the information you choose to submit to the Site and any forums therein. Your contributions may be searchable on the Site and some content on the Site may be public and searchable on the Internet.
Please note: Information you have shared with others or that others have copied may also remain visible after you have closed your account or deleted the information from your own profile. In addition, you may not be able to access, correct, or eliminate any information about you that other Site users copied or exported out of the Site, because this information may not be in Family Recovery Solution’s control.
Third Party Information Sharing
As a routine part of some business processes, we may share some information from the Site with third parties. We may disclose information to such affiliated third parties that perform services for us in the processing of the Site and/or the services made available thereon. While these vendors are contractually obligated to keep your information secure and private, we cannot guarantee the effectiveness of third-party privacy policies and safety measures.
We may retain collected user data for an indefinite period of time. We have reasonable security measures in place to help protect PII that we collect and retain. However, no system can be completely secure, and we make no guarantees as to the safety or security of any information transmitted through our services.
Changes to this Privacy Policy
We reserve the right to change, modify, add or remove portions of this Privacy Policy at any time and without prior notice. Please check the Site regularly for updates to this Privacy Policy.
FRS Notice of Privacy Practices*
FRS Notice of Privacy Practices ("Notice")
Effective date September 1, 2018
This Notice describes how medical information about you which is Protected Health Information (PHI) may be used and disclosed and how you can get access to your PHI. Review it carefully.
This Notice applies to all FRS HIPAA covered entities.
We are required by law to maintain the privacy of PHI, to provide individuals with notice of the legal duties and privacy practices of the covered entities of FRS with respect to PHI, and to notify affected individuals following a breach of unsecured PHI.
If you have any questions about this Notice, you may ask a member of the staff where you receive health care services. You may also contact our Privacy Office at 570-505-3180.
Uses and disclosures we are permitted or required to make
The following is a description of the types of uses and disclosures of your PHI that we are permitted or required to make. Not every use or disclosure possible is listed, but all of the ways that we are permitted to use and disclose your PHI will fall within one of these general categories.
Treatment
We will use and disclose your PHI to provide your health care and any related services. This includes disclosure of your PHI to doctors, hospitals, pharmacies and other third parties who are involved in your care. For example, we will disclose your PHI to another physician to whom you have been referred, to the physician who referred you to us or to a home health agency that will be caring for you. We will use your PHI during continuum of care rounds which may include, without limitation, physicians, nurses, care managers, social workers, pharmacists, physical therapists, spiritual care workers, and nutrition staff who are involved in your care. We may call your name in our waiting room when your doctor or other provider is ready to see you.
Payment
We will use and disclose your PHI so that we may bill for health care services and so that payment may be collected for the health care services you receive. This includes activities such as communicating your PHI to an insurance company.
Health care operations
We will use and disclose your PHI as necessary for health care operations. For instance, our providers may serve the region by participating in medical education programs. We may disclose your PHI to the students and faculty of such programs. We may use your information to evaluate the performance of our staff and for training and education purposes.
Additional rights under Pennsylvania Law
Pennsylvania law may further limit our uses and disclosures in the case of your PHI. This includes HIV-related records, records of alcohol or substance abuse treatment and mental health records. If Pennsylvania law applies to your PHI, we will use and disclose your PHI in compliance with these more restrictive laws.
Appointment reminders
We may call you on the telephone to remind you of an upcoming appointment. We may leave you a message that includes the date, time and general information about an upcoming appointment on your telephone answering device. We may send you an appointment reminder in the mail. You have the right to opt out.
Treatment alternatives/other health-related benefits and services
We may use or disclose your PHI to contact you to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Individuals involved in your care
We may disclose your PHI to those people who are involved in your care, such as family members and friends.
As required by law or legal process
We will disclose your PHI when we are required to do so by local, state or federal law or process of law.
To avert a serious threat to health or safety
We may use or disclose your PHI for reasons which include preventing a serious threat to your health and safety, or the health and safety of others.
Workers' compensation
We may disclose your PHI for purposes of handling your workers' compensation claims in compliance with applicable laws, rules and regulations.
Public health activities
We may disclose your PHI to public health entities as authorized by law. Such disclosures include (but are not limited to) reports of births and deaths, child or elder abuse and neglect, and domestic violence.
Health oversight activities
We may disclose your PHI to agencies of the government for activities authorized by law. These activities include monitoring health care systems and participation in government programs.
Lawsuits and disputes
If you are involved in a lawsuit or other dispute, we may disclose your PHI in response to documents such as a court order or when certain other requirements are met.
Law enforcement
We may disclose your PHI if asked to do so by a law enforcement official for reasons including (but not limited to) identifying or locating a suspect, a witness, or a missing person; or investigating criminal activity.
Coroners, medical examiners and funeral directors
We may disclose certain PHI to a coroner or medical examiner. We may also disclose certain PHI about deceased patients to funeral directors so that they may carry out their duties.
Inmates
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose your PHI to the respective correctional institution or law enforcement official in accord with applicable laws, rules, regulations, and our policies.
Business associates
Some of the services we provide are performed through contractual relationships with outside parties or business associates. These services may include (but are not limited to) financial, auditing, and legal. We ask our business associates to sign an agreement that restricts the ability of the business associate to use or disclosure your PHI in an effort to make sure that all PHI is appropriately safeguarded.
You have rights regarding your PHI
Your right to inspect and copy
You have the right to inspect and receive a copy (paper or electronic) of your PHI that may be used to make decisions about your care. You may also direct us in writing to transmit your PHI to another entity or individual.
Note that you will be charged a reasonable cost-based fee. Note also that we may deny your request to inspect and receive a copy of your PHI in very limited circumstances. If you are so denied, in some cases, you may request that such denial be reviewed. We will comply with the outcome of such review.
Authorizations
You may also wish to grant another individual or entity the right to access or obtain your PHI. To do so, you must complete an authorization form that complies with the law.
If you provide us with a written authorization to disclose your PHI, you may revoke (cancel) it at any time. Your revocation (cancellation) must be in writing. We are not able to take back any uses or disclosures that we already made with your authorization.
You may also want to grant another individual or entity rights to access your PHI. If you wish to do so, complete the appropriate authorization.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us what to do. We ask patients to sign various releases including:
1) permission to contact your insurance carrier(s) to obtain prior authorization for medications
2) permission to respond to reasonable requests to share information with outside agencies when we are acting on your behalf for medical reasons, emergencies, or other situations including but not limited to sharing information with your family, close friends, or others involved in your care or to share information in a disaster relief situation.
3) permission to open mail or other packages addressed to you at our office locations on your behalf.
Your right to amend
We are required to retain your PHI regarding the care and treatment that we provided to you in accordance with applicable law. You have the right to have us amend PHI or a record about you in a designated record set for so long as your PHI is maintained in the designated record set. However, we may deny such a request if we determine that the PHI or record that is the subject of the request: (i) was not created by us, unless you provide us with a reasonable basis to believe that the originator of PHI is no longer available to act on the requested amendment; (ii) is not part of the designated record set; (iii) would not be available for inspection under 45 CFR 164.524; or (iv) is accurate and complete. Generally, we must respond in writing to your request within sixty (60) days. However, we may extend the time for such action by no more than thirty (30) days as provided under HIPAA. If we do not agree to your request, you have the right to submit a statement of disagreement that we must add to your medical record. Contact our privacy officer at 570-505-3180 to request an amendment.
Your right to an accounting of disclosures
You have the right to an accounting of disclosures. This is a list (accounting) of the times we've disclosed your health information for six years prior to the date you ask, who we've shared it with and why. In compliance with the law, we will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you have asked us to make). We will provide you with an accounting of disclosures if you request it and in accord with the law. Contact our privacy officer at 570-505-3180 to make such a request.
Your right to notification
We are required by law to maintain the privacy and security of your PHI. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. This will be done by mail or by other means if necessary.
Your right to request restrictions
You have the right to request restrictions on the PHI we use or disclose about you for treatment, payment and health care operations. We are not required to agree to your request, and generally, we will not accept requests for such restrictions.
As required by law, if you have paid out of pocket for a health care service or item, you have the right to ask us to not tell your insurance company about such service or item for purposes other than treatment. We will not share the PHI regarding such care with your insurer for purposes of payment or health care operations.
Your right to request confidential communications
You have the right to make a reasonable request that we communicate with you regarding your PHI in a certain way or at a certain location (for example, home or office phone). Such reasonable requests may include, when appropriate, how information as to payment for services we provide to you will be handled. We may require you to make this request in writing to our office.
Changes to this Notice
We may change this Notice at any time. We may make the revised or changed Notice effective for PHI we already have as well as any PHI we receive in the future. We will post a current copy of this Notice in our clinics. On the first page of the Notice you will find the effective date of that Notice. If we make a material change to uses and disclosures, your rights, our legal duties or other privacy practices stated in this Notice, we will promptly revise and distribute our changed Notice. Except when required by law, a material change to any term of this Notice may not be implemented prior to the effective date of the revised Notice.
The address for the United States Department of Health and Human Services is:
U.S. Department of Health and Human Services
200 Independence Ave. SW
Washington, DC 20201
877-696-6775
Website: hhs.gov/ocr/privacy/hipaa/complaints
Other Instructions for Notice:
If you have any further questions about this notice, please contact Family Recovery Solutions by email at famiglio@familyrecoverysolution.com, or contact the Compliance Officer or Dr. Gregory Famiglio, MD at 570.505.3180, or write to 1101 East Third Street, Williamsport, Pennsylvania 17701.
Effective date September 1, 2018
Maintaining your trust is important to us. We take your privacy seriously, and we have created this privacy policy (this “Privacy Policy”) to disclose our information gathering, distribution, storage, and destruction practices for the personally identifiable information (“PII”) we collect on familyrecoverysolutions.net and its related websites (collectively, the “Site”). In addition to this Privacy Policy, you should review the Site’s Terms of Use.
This Privacy Policy only addresses the use and disclosure of information we collect from you because of your use of the Site. You should be aware that when you are on the Site, you can be directed to other websites that are beyond our control, and we are not responsible for the privacy practices of third parties or the content of such linked websites. You should read the posted privacy policy of any website you access.
PLEASE NOTE! FRS’s Notice of Privacy Practices is presented below; it governs how medical information about you may be used and disclosed by FRS if involved with our clinic.
Our Site Security
The Site has security measures in place to reasonably protect against the loss, misuse, and alteration of the information under our control. Firewalls are in place to prevent unauthorized access to our systems. A firewall controls traffic between the Internet and our internal network and protects your information stored within our systems from outsiders. Systems are monitored for suspicious activity to prevent any breaches in security. Any data provided by you sits behind this firewall.
PLEASE NOTE THAT, BY ITS VERY NATURE, A WEBSITE CANNOT BE ABSOLUTELY PROTECTED AGAINST INTENTIONAL OR MALICIOUS INTRUSION ATTEMPTS. FURTHERMORE, FAMILY RECOVERY SOLUTIONS DOES NOT CONTROL THE DEVICES OR COMPUTERS OR THE INTERNET OVER WHICH YOU MAY CHOOSE TO SEND CONFIDENTIAL PII AND CANNOT, THEREFORE, PREVENT SUCH INTERCEPTIONS OF COMPROMISES TO YOUR INFORMATION WHILE IN TRANSIT TO FAMILY RECOVERY SOLUTIONS. BEYOND OUR REASONABLE CARE TO SAFEGUARD YOUR INFORMATION WHILE IN TRANSIT, FAMILY RECOVERY SOLUTIONS CANNOT AND DOES NOT GUARANTEE THE ABSOLUTE SECURITY OF ELECTRONIC COMMUNICATIONS OR TRANSMISSIONS SINCE ANY TRANSMISSION MADE OVER THE INTERNET BY ANY ORGANIZATION OR ANY INDIVIDUAL RUNS THE RISK OF INTERCEPTION.
Types of Information We May Collect
We may collect non-PII of the sort that web browsers and servers typically make available, such as the browser type, language preference, and the date of time of each user request. We do not collect PII unless you choose to provide it. You are generally not required to submit any PII to use the Site.
In addition, we may gather technical information such as:
- Computer's IP (Internet Protocol) address or browser type: Our Web server automatically collects the IP address of the computers that access the Site. An IP address is a number that is assigned to your computer when you access the Internet. It is not truly personally identifiable information because many different individuals can access the Internet via the same computer. To help diagnose problems with our servers, collect site usage statistics, and administer our web site, traffic between Family Recovery Solutions and the Internet at times will be recorded for analysis (technical and physical). Our Privacy Policy would apply to this recorded information.
- Pixel tracking: A tracking pixel is a piece of code embedded on a web page of a website that collects information about a user’s engagement on that page. Tracking pixels may include a command to create cookies that can follow a user across different websites, including non-Family Recovery Solutions sites.
- Cookies: A cookie is a small text file that can be stored on a user's browser (on any type of device). Family Recovery Solutions uses cookies in conjunction with certain applications (for example with our web security application) to allow you to easily move through secured pages once you have logged on. At times we may use cookies to know that you have accessed an online course or to administer certain surveys, for example, to allow a user to reply to a survey only once. Our cookie contains a unique random identifier that enables anonymous tracking activity from a browser.
- Aggregated Statistics: We may collect statistics about the behavior of users on the Site. For instance, we may monitor the most popular forums on the Site. We may display this information publicly or provide it to others.
How We Use the Information We Collect
We may collect and use information in the following way:
- To optimize your web experience
- To improve customer service
- To conduct surveys, research, and analysis
- To promote events
- To establish and manage your accounts
- To operate, evaluate, and improve Family Recovery Solution’s operations
How Your Information May Be Shared
If you participate on this Site or our associated sites by writing posts or responses, or importing a blog or other content, you should be aware that any information you choose to disclose using these services can be read, collected, and used by other users of the Site. We are not responsible for the information you choose to submit to the Site and any forums therein. Your contributions may be searchable on the Site and some content on the Site may be public and searchable on the Internet.
Please note: Information you have shared with others or that others have copied may also remain visible after you have closed your account or deleted the information from your own profile. In addition, you may not be able to access, correct, or eliminate any information about you that other Site users copied or exported out of the Site, because this information may not be in Family Recovery Solution’s control.
Third Party Information Sharing
As a routine part of some business processes, we may share some information from the Site with third parties. We may disclose information to such affiliated third parties that perform services for us in the processing of the Site and/or the services made available thereon. While these vendors are contractually obligated to keep your information secure and private, we cannot guarantee the effectiveness of third-party privacy policies and safety measures.
- Service providers. We may engage trusted third-party companies and individuals to facilitate or provide services on our behalf or to perform Site-related services and analysis. Such engagement will be only to the extent necessary, and we require that such third parties will comply with the principles of this privacy policy.
- Legal orders. We may disclose user data if required by any applicable law or government agency to comply with a legal order. We may also disclose or use user data in order to defend or enforce our legal rights and in accordance to any applicable law.
- Corporate transfers. We may disclose, share or transfer user data in connection with a merger, acquisition, reorganization or sale of our assets.
We may retain collected user data for an indefinite period of time. We have reasonable security measures in place to help protect PII that we collect and retain. However, no system can be completely secure, and we make no guarantees as to the safety or security of any information transmitted through our services.
Changes to this Privacy Policy
We reserve the right to change, modify, add or remove portions of this Privacy Policy at any time and without prior notice. Please check the Site regularly for updates to this Privacy Policy.
FRS Notice of Privacy Practices*
FRS Notice of Privacy Practices ("Notice")
Effective date September 1, 2018
This Notice describes how medical information about you which is Protected Health Information (PHI) may be used and disclosed and how you can get access to your PHI. Review it carefully.
This Notice applies to all FRS HIPAA covered entities.
We are required by law to maintain the privacy of PHI, to provide individuals with notice of the legal duties and privacy practices of the covered entities of FRS with respect to PHI, and to notify affected individuals following a breach of unsecured PHI.
If you have any questions about this Notice, you may ask a member of the staff where you receive health care services. You may also contact our Privacy Office at 570-505-3180.
Uses and disclosures we are permitted or required to make
The following is a description of the types of uses and disclosures of your PHI that we are permitted or required to make. Not every use or disclosure possible is listed, but all of the ways that we are permitted to use and disclose your PHI will fall within one of these general categories.
Treatment
We will use and disclose your PHI to provide your health care and any related services. This includes disclosure of your PHI to doctors, hospitals, pharmacies and other third parties who are involved in your care. For example, we will disclose your PHI to another physician to whom you have been referred, to the physician who referred you to us or to a home health agency that will be caring for you. We will use your PHI during continuum of care rounds which may include, without limitation, physicians, nurses, care managers, social workers, pharmacists, physical therapists, spiritual care workers, and nutrition staff who are involved in your care. We may call your name in our waiting room when your doctor or other provider is ready to see you.
Payment
We will use and disclose your PHI so that we may bill for health care services and so that payment may be collected for the health care services you receive. This includes activities such as communicating your PHI to an insurance company.
Health care operations
We will use and disclose your PHI as necessary for health care operations. For instance, our providers may serve the region by participating in medical education programs. We may disclose your PHI to the students and faculty of such programs. We may use your information to evaluate the performance of our staff and for training and education purposes.
Additional rights under Pennsylvania Law
Pennsylvania law may further limit our uses and disclosures in the case of your PHI. This includes HIV-related records, records of alcohol or substance abuse treatment and mental health records. If Pennsylvania law applies to your PHI, we will use and disclose your PHI in compliance with these more restrictive laws.
Appointment reminders
We may call you on the telephone to remind you of an upcoming appointment. We may leave you a message that includes the date, time and general information about an upcoming appointment on your telephone answering device. We may send you an appointment reminder in the mail. You have the right to opt out.
Treatment alternatives/other health-related benefits and services
We may use or disclose your PHI to contact you to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Individuals involved in your care
We may disclose your PHI to those people who are involved in your care, such as family members and friends.
As required by law or legal process
We will disclose your PHI when we are required to do so by local, state or federal law or process of law.
To avert a serious threat to health or safety
We may use or disclose your PHI for reasons which include preventing a serious threat to your health and safety, or the health and safety of others.
Workers' compensation
We may disclose your PHI for purposes of handling your workers' compensation claims in compliance with applicable laws, rules and regulations.
Public health activities
We may disclose your PHI to public health entities as authorized by law. Such disclosures include (but are not limited to) reports of births and deaths, child or elder abuse and neglect, and domestic violence.
Health oversight activities
We may disclose your PHI to agencies of the government for activities authorized by law. These activities include monitoring health care systems and participation in government programs.
Lawsuits and disputes
If you are involved in a lawsuit or other dispute, we may disclose your PHI in response to documents such as a court order or when certain other requirements are met.
Law enforcement
We may disclose your PHI if asked to do so by a law enforcement official for reasons including (but not limited to) identifying or locating a suspect, a witness, or a missing person; or investigating criminal activity.
Coroners, medical examiners and funeral directors
We may disclose certain PHI to a coroner or medical examiner. We may also disclose certain PHI about deceased patients to funeral directors so that they may carry out their duties.
Inmates
If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may disclose your PHI to the respective correctional institution or law enforcement official in accord with applicable laws, rules, regulations, and our policies.
Business associates
Some of the services we provide are performed through contractual relationships with outside parties or business associates. These services may include (but are not limited to) financial, auditing, and legal. We ask our business associates to sign an agreement that restricts the ability of the business associate to use or disclosure your PHI in an effort to make sure that all PHI is appropriately safeguarded.
You have rights regarding your PHI
Your right to inspect and copy
You have the right to inspect and receive a copy (paper or electronic) of your PHI that may be used to make decisions about your care. You may also direct us in writing to transmit your PHI to another entity or individual.
Note that you will be charged a reasonable cost-based fee. Note also that we may deny your request to inspect and receive a copy of your PHI in very limited circumstances. If you are so denied, in some cases, you may request that such denial be reviewed. We will comply with the outcome of such review.
Authorizations
You may also wish to grant another individual or entity the right to access or obtain your PHI. To do so, you must complete an authorization form that complies with the law.
If you provide us with a written authorization to disclose your PHI, you may revoke (cancel) it at any time. Your revocation (cancellation) must be in writing. We are not able to take back any uses or disclosures that we already made with your authorization.
You may also want to grant another individual or entity rights to access your PHI. If you wish to do so, complete the appropriate authorization.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us what to do. We ask patients to sign various releases including:
1) permission to contact your insurance carrier(s) to obtain prior authorization for medications
2) permission to respond to reasonable requests to share information with outside agencies when we are acting on your behalf for medical reasons, emergencies, or other situations including but not limited to sharing information with your family, close friends, or others involved in your care or to share information in a disaster relief situation.
3) permission to open mail or other packages addressed to you at our office locations on your behalf.
Your right to amend
We are required to retain your PHI regarding the care and treatment that we provided to you in accordance with applicable law. You have the right to have us amend PHI or a record about you in a designated record set for so long as your PHI is maintained in the designated record set. However, we may deny such a request if we determine that the PHI or record that is the subject of the request: (i) was not created by us, unless you provide us with a reasonable basis to believe that the originator of PHI is no longer available to act on the requested amendment; (ii) is not part of the designated record set; (iii) would not be available for inspection under 45 CFR 164.524; or (iv) is accurate and complete. Generally, we must respond in writing to your request within sixty (60) days. However, we may extend the time for such action by no more than thirty (30) days as provided under HIPAA. If we do not agree to your request, you have the right to submit a statement of disagreement that we must add to your medical record. Contact our privacy officer at 570-505-3180 to request an amendment.
Your right to an accounting of disclosures
You have the right to an accounting of disclosures. This is a list (accounting) of the times we've disclosed your health information for six years prior to the date you ask, who we've shared it with and why. In compliance with the law, we will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you have asked us to make). We will provide you with an accounting of disclosures if you request it and in accord with the law. Contact our privacy officer at 570-505-3180 to make such a request.
Your right to notification
We are required by law to maintain the privacy and security of your PHI. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information. This will be done by mail or by other means if necessary.
Your right to request restrictions
You have the right to request restrictions on the PHI we use or disclose about you for treatment, payment and health care operations. We are not required to agree to your request, and generally, we will not accept requests for such restrictions.
As required by law, if you have paid out of pocket for a health care service or item, you have the right to ask us to not tell your insurance company about such service or item for purposes other than treatment. We will not share the PHI regarding such care with your insurer for purposes of payment or health care operations.
Your right to request confidential communications
You have the right to make a reasonable request that we communicate with you regarding your PHI in a certain way or at a certain location (for example, home or office phone). Such reasonable requests may include, when appropriate, how information as to payment for services we provide to you will be handled. We may require you to make this request in writing to our office.
Changes to this Notice
We may change this Notice at any time. We may make the revised or changed Notice effective for PHI we already have as well as any PHI we receive in the future. We will post a current copy of this Notice in our clinics. On the first page of the Notice you will find the effective date of that Notice. If we make a material change to uses and disclosures, your rights, our legal duties or other privacy practices stated in this Notice, we will promptly revise and distribute our changed Notice. Except when required by law, a material change to any term of this Notice may not be implemented prior to the effective date of the revised Notice.
The address for the United States Department of Health and Human Services is:
U.S. Department of Health and Human Services
200 Independence Ave. SW
Washington, DC 20201
877-696-6775
Website: hhs.gov/ocr/privacy/hipaa/complaints
Other Instructions for Notice:
If you have any further questions about this notice, please contact Family Recovery Solutions by email at famiglio@familyrecoverysolution.com, or contact the Compliance Officer or Dr. Gregory Famiglio, MD at 570.505.3180, or write to 1101 East Third Street, Williamsport, Pennsylvania 17701.