Privacy Policy

HAMILTON CENTER FOR CHILD ADVOCACY NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

The Hamilton Center for Child Advocacy respects your privacy. We maintain records containing your personal health information that are protected by law. This Notice of Privacy Practices explains how we may use or disclose your protected health information, your rights, and our legal duties regarding your protected health information. In this Notice, your protected health information is called your "Health Information."

Our Duties Regarding Your Health Information

The Hamilton Center for Child Advocacy is required by law to maintain the privacy of your Health Information and provide you with this Notice of our legal duties and privacy practices with respect to your Health Information. We reserve the right to change our privacy practices and the terms of this Notice and make the provisions of a revised Notice effective for all your Health Information we maintain. If we revise the Notice, we will provide it to you when it is in effect by posting it in a clear and prominent location in our facility, having a copy available for you to request and take with you, and posting it on our website if we maintain one. We must follow the terms of the Notice that is in effect. You may request a copy of the Notice at any time, and we will give you a copy of the Notice that is in effect when you request it.

You may contact our Privacy Official if you have any questions or would like further information about the matters covered by this Notice. You will find our Privacy Official’s contact information at the end of this Notice.

How We May Use and Disclose Your Health Information

Use and Disclosure of Your Health Information for Treatment, Payment, and Health Care Operations

We are permitted to use and disclose your Health Information for purposes of treatment, payment, and health care operations.

• Treatment: We may use or disclose your Health Information to provide you with health care treatment or services.
• Payment: We may use or disclose your Health Information to obtain payment or be reimbursed for the health care treatment and services we provide.
• Health Care Operations: We may use or disclose your Health Information in connection with our health care operations, which are ways we provide health care and manage our organization.

Use and Disclosure of Your Health Information Required or Permitted by Law

We may use or disclose your Health Information in the following situations without first obtaining your written authorization:

• Public Health: To public health authorities for disease prevention, child abuse reporting, or medication safety.
• Health Oversight Activities: To government health oversight agencies for system monitoring.
• Judicial and Administrative Proceedings: In response to legal orders.
• Law Enforcement Purposes: When required by law.
• Required by Law: To comply with federal and state regulations.
• Coroners, Medical Examiners, and Funeral Directors: As necessary for their duties.
• Organ Donation: For donation facilitation.
• Research: With legal and ethical safeguards.
• Disaster Relief Incidents: To authorized disaster relief entities.
• Persons Involved in Your Care: To designated family members or caregivers.
• Workers Compensation: To comply with laws.
• Avert a Serious Threat to Health or Safety: When necessary to prevent harm.
• School Immunization Records: With appropriate consent.
• Military: For service-related health matters.
• Business Associates: If they sign agreements ensuring confidentiality.

Use and Disclosure of Your Health Information Requiring Written Authorization

Your written authorization is required for:

• Marketing: We will not use or disclose your Health Information for marketing without your written consent.
• Sale of Health Information: We will not sell your Health Information.
• Psychotherapy Notes: If maintained, they will only be disclosed with your written authorization.

All other uses and disclosures not described in this Notice require your written authorization. You may revoke your authorization in writing at any time.

Your Rights Regarding Your Health Information

Your Right to Our Notice of Privacy Practices

You have the right to obtain a paper or electronic copy of our Notice at any time.

Your Right to Request Restrictions on Use and Disclosure

You may request restrictions on our use or disclosure of your Health Information. While we are not required to agree, if we do, we will comply unless needed for emergency treatment.

Your Right to Request We Not Disclose Information to Your Health Plan

If you pay out-of-pocket for a service in full, you can request that we not disclose that information to your health plan.

Your Right to Request Confidential Communications

You may request that we communicate with you in a specific way (e.g., only by mail). We will accommodate reasonable requests.

Your Right to Inspect and Copy Your Health Information

You may request access to your Health Information for review or copies, including electronic copies if applicable.

Your Right to Request Amendment

You may request an amendment to your Health Information if you believe it is incorrect or incomplete.

Your Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your Health Information.

Your Right to File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with us or the Secretary of the U.S. Department of Health and Human Services.

Mobile information will not be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.

If you wish to be removed from receiving future communications, you can opt out by texting STOP, QUIT, END, REVOKE, OPT OUT, CANCEL, or UNSUBSCRIBE.

For questions or concerns regarding this Notice, please contact our Privacy Official.

Hamilton Center for Child Advocacy

Contact Information

The Hamilton Center for Child Advocacy

For more information about the matters covered by this Notice, to make a request about any of your health information rights or to make a complaint that your privacy rights have been violated please contact our Privacy Official listed below. If you wish we will provide you with a form to make a complaint in writing to us. We will not retaliate against you for filing a complaint that your privacy rights have been violated.

Privacy Official of The Hamilton Center for Child Advocacy

Telephone: 479-783-1002

Office address:

2713 S. 74th Street

Suite 203

Fort Smith, AR  72903

Secretary, U. S. Department of Health and Human Services

You may make a complaint that your privacy rights have been violated to the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for making a complaint to the Secretary that your privacy rights have been violated. The process to make a complaint to the Secretary is explained on the Internet at HHS.gov. A complaint to the Secretary must be filed within 180 days of when you first knew of the reasons you believe your health information privacy rights were violated although the 180-day period may be extended if you can show “good cause.”

You may file a Health Information Privacy Complaint with the Secretary online through the OCR Complaint Portal or obtain a Health Information Privacy Complaint Form Package to fill out, print and submit by mail, fax or email.

If you have any questions about filing a complaint you may contact the Department of Health and Human Services, Office for Civil Rights by toll-free telephone at 1-800-368-1019, TDD: 1-800-537-7697.