Notice of Privacy Practices

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.
We make a record of the health care we provide and may receive such records from others. We use these records to provide or help other health care providers to provide quality health care, to obtain payment for services provided, and for administrative and operational purposes. The health record is the property of the agency. This notice covers records from North Rock Medication Clinic, Red Rock Behavioral Health Services, and Oklahoma Behavioral Health Pharmacy.

HOW WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION
For Treatment. We use health information about you to provide your health care. We may disclose health information to our employees and others who are involved in providing the care you need. For example, we may share your health information with physicians or other healthcare providers who will provide services. We may share your health information with a pharmacist who needs it to fill a prescription for you or a laboratory that performs testing. We may also disclose health information to members of your family or others who can help you when you are sick or injured.
We may disclose health information related to your treatment at Red Rock to any other health care providers or health information exchanges. You have the right to request in writing a restriction on certain uses and disclosures of your information as provided by law. Such requests restrict your Protected Health Information from being sent to a health exchange. For example, (1) we may send your health information to a physician who needs it to consult in your care or provide follow-up care. (2) We may send your health information to a health information exchange for use by other providers in your medical diagnosis and treatment.

For Payment. We use and disclose health information about you to obtain payment for the services you receive. For example, a bill may be sent to you and/or to a third-party payor, such as an insurance company, health plan or the State.
For Health Care Operations. We may use and disclose health information about you to operate this agency. For example, we may use and disclose this information to review and improve the quality of care we provide, or the competence and qualifications of our professional staff. We may use and disclose health information about you to get your health plan to authorize services or referrals. We may also share your health information with our business associates, such as a billing service, that perform administrative services for us. We have a written contract with each business associate that contains terms requiring them to protect the confidentiality of your health information.
Appointment Reminders. We may use and disclose health information to contact and remind you about appointments. We may phone your home. If you are not home, we may leave the date and time of your appointment on your answering machine or in a message left with the person answering the phone.
Sign-in Sheet. We may use information about you by having you sign in when you arrive at our office. We may also call out your name when we are ready to see you.
Notification and Communication with Family. We may disclose your health information to notify or assist in notifying a family member, your personal representative, or another person responsible for your care about your location, your general condition, or in the event of your death. In the event of a disaster, we may disclose information to a relief organization so they may coordinate these notification efforts. We may also disclose information to someone who is involved with your care. If you are able and available to agree or object, we will give you the opportunity to object prior to making these disclosures, although we may disclose health information in a disaster even over your objection if we believe it is necessary to respond to the emergency circumstances. If you are unable and unavailable to agree or object, our health professionals will use their best judgment in communication with your family and others.
Required by Law. We may use and disclose health information about you as required by law. For example, in certain circumstances, we may be required to disclose information for the following purposes:
To report information related to victims of abuse, neglect or domestic violence;
To assist law enforcement officials in their duties;
To respond to judicial and administrative proceedings or, in the course of judicial proceedings, if you have waived your rights to confidentiality under Oklahoma law; and,
To help health oversight agencies during the course of audits, investigations, inspections, licensure, and other proceedings, subject to the limitations imposed by federal and Oklahoma law.
Lawsuits and Disputes. If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. If the lawsuit is a health negligence action, your health information may be disclosed without a court order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawsuit process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
Public Health and Safety. Your health information may be used or disclosed for public health activities such as assisting public health authorities or other legal authorities prevent or control disease, injury, or disability, or for other health oversight activities. Your health information may be disclosed to appropriate persons in order to prevent or lessen a serious and imminent threat to the health and safety of a particular person or the general public.
Specialized Government Functions. We may disclose your health information for military or national security purposes or to correctional institutions or law enforcement officers that have you in their lawful custody.
Coroners/Funeral Directors. We may disclose your health information to coroners in connection with their investigations of death or to funeral directors to enable them to carry out their lawful duties.
Workers? Compensation. Your health information may be used or disclosed as necessary in order to comply with laws and regulations related to workers? compensation.
Change of Ownership. In the event that this agency is sold or merged with another organization, your health information will become the property of the new owner, although you will maintain the right to request that copies of your health information be transferred to another provider.
Marketing. We may contact you to give you information about products or services related to your treatment, case management or care coordination, or to direct or recommend other treatments or health-related benefits and services that may be of interest to you. We may also encourage you to purchase a product or service when we see you. We will not use or disclose your health information for marketing purposes without your written authorization.
Research. We may use your health information for research purposes when an institutional review board or privacy board has reviewed the research proposal and established protocols to ensure the privacy of your health information and has approved the research.
By Oklahoma law we are required to notify you . . . that your health information used or disclosed as described in this Notice of Privacy Practices may include records which may indicate the presence of a communicable or venereal disease which may include, but are not limited to, diseases such as hepatitis, syphilis, gonorrhea and the human immunodeficiency virus, also known as Acquired Immune Deficiency Syndrome (AIDS).
WHEN WE MAY NOT USE OR DISCLOSE YOUR HEALTH INFORMATION Except as described in this Notice of Privacy Practices, this agency will not use or disclose health information that identifies you without your written authorization. If you do authorize this agency to use or disclose your health information for another purpose, you may revoke your authorization in writing at any time.
YOUR HEALTH INFORMATION RIGHTS
You have the right:
To a paper copy of this Notice of Privacy Practices.
To request restrictions on certain uses and disclosures of your health information by written request specifying what information you want to limit and what limitations on our use or disclosure of that information you wish to have imposed. We reserve the right to accept or reject your request and will notify you of our decision.
To request that you receive health information in a specific way or at a specific location. For example, you may ask that we send information to your work address. We will comply with all reasonable requests submitted.
To obtain access to or a copy of your health information, with limited exceptions. A reasonable fee may be charged for making copies. Under current Oklahoma law, fees of 25› per page are allowed. We may also charge for postage if the copies are to be mailed. If we deny your request for access or copies, you will be informed of your rights to appeal our decision.
To request that we amend your health information you believe is incorrect or incomplete. Your request to amend must be in writing and include the reasons you believe the information is inaccurate or incomplete. We are not required to change your health information and if we do not, we will provide you with information about this agency?s denial and how you can disagree with the denial. You also have the right to request that we add to your record a statement of up to two hundred and fifty (250) words concerning any statement or item you believe to be incomplete or incorrect.
To receive an accounting of disclosures made of your health information by this agency unless the disclosures were for purposes of treatment, payment, health care operations, certain government functions, or pursuant to your written authorization. You have the right to revoke your authorization to use or disclose health information except to the extent that this use or disclosure has already occurred.
IF YOU WOULD LIKE TO HAVE A MORE DETAILED EXPLANATION OF THESE RIGHTS, OR IF YOU WOULD LIKE TO EXERCISE ONE OR MORE OF THESE RIGHTS, CONTACT OUR PRIVACY OFFICER AT THE NUMBER LISTED BELOW.

OBLIGATIONS OF THIS AGENCY
We are required to maintain the privacy of your confidential health information, provide you with this notice of our legal duties and privacy practices with respect to your health information, abide by the terms of this notice, notify you if we are unable to agree with a requested restriction on how your information is used or disclosed, accommodate reasonable requests you make to communicate health information by alternative means or alternative locations and obtain your written authorization to use or disclose your health information for reasons other than those listed above and permitted under law. We reserve the right to change or amend this Notice of Privacy Practices at any time in the future. After an amendment is made, the revised Notice of Privacy Practiceswill apply to all health information that we maintain. A copy of any Revised Notice of Privacy Practices will be made available to you at each appointment.
CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE CLIENT RECORDS
The confidentiality of alcohol and drug abuse client records maintained by this program is protected by Federal law and regulations. Generally, the program may not say to a person outside the program that a client attends the program, or disclose any information identifying a client as an alcohol or drug abuser Unless:
(1) The client consents in writing:
(2) The disclosure is allowed by a court order; or
(3) The disclosure is made to healthcare personnel in a healthcare emergency or to qualified personnel for research, audit, or program evaluation.
Violation of the Federal law and regulations by a program is a crime. Suspected violations may be reported to appropriate authorities in accordance with Federal regulations. Federal law and regulations do not protect any information about a crime committed by a client either at the program or against any person who works for the program or about any threat to commit such a crime. Federal laws and regulations do not protect any information about suspected child abuse or neglect from being reported under State law to appropriate State or local authorities.
COMPLAINTS
You will not be penalized for filing a complaint. Complaints about this Notice of Privacy Practices or how this agency handles your health information should be directed to:
Red Rock Behavioral Health Services
Attn: Privacy Officer
4400 North Lincoln Blvd.
Oklahoma City, OK 73105
(405) 424-7711

If you are not satisfied with the manner in which this office handles a complaint, you may submit a formal complaint to:
The Department of Health and Human Services
Office of Civil Rights
Herbert H. Humphrey Building, Room 509 F
200 Independence Avenue, S.W.
Washington, D.C. 20201