Integrated Psychiatric Services


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 to share information with your family, close friends, or others involved in your care.


If you are not able to tell us your preference, for example if 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.


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 the notice electronically. We will provide you with a paper copy promptly.

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.
​We will make sure the person has this authority and can act for you before we take any action.


File a complaint if you feel your rights are violated

You can complain if you feel we have violated your rights by contacting us by phone or in writing.
OUR USES AND DISCLOSURES

How do we typically use or share your health information?
We typically use or share your health information in the following ways.


Treat you
◘ We can use your health information and share it with other professionals who are treating you.


Run our organization
◘ We can use and share your health information to run our practice, improve your care, and contact you when necessary.Example: We use health information about you to manage your treatment and services.


Bill for your service
◘ We can use and share your health information to bill and get payment from health plans or other entities.Example: We give information about you to your health insurance plan so it will pay for your services. 


Help with public health and safety issues
◘ We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
​• Preventing


Comply with the law
◘ We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.


Work with a medical examiner or funeral director
​◘ We can share health information with a coroner, medical examiner, or funeral director when an individual dies.


Address workers’ compensation, law enforcement, and other government requests
​◘ We can use or share health information about you:
• For workers’ compensation claims• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
​• For special government functions such as military, national security, and presidential protective services


Respond to lawsuits and legal actions
◘ We can share health information about you in response to a court or administrative order, or in response to a subpoena.