The terms LONG ISLAND CENTER FOR RECOVERY, LICR, and WE are interchangeably used in this document and all refer to LONG ISLAND CENTER FOR RECOVERY.
We collect information about you and your health information and save it as YOUR MEDICAL RECORD in our system. Your medical record is the property of LICR, and its privacy is governed by HIPAA, The Health Insurance Portability and Accountability Act. By law, you have full access to your medical records. HIPAA generally requires that any uses or disclosures of information in your medical record be limited to the minimally necessary information used for your treatment.
Information relating to your treatment at Long Island Center For Recovery is protected by federal regulations specific to drug and alcohol treatment, which are known as 42 CFR Part 2. These regulations protect the confidentiality of information relating to the identity, diagnosis, prognosis, or treatment of any patient in a drug or alcohol treatment program. Long Island Center For Recovery may not disclose records relating to your treatment without your written consent, except in narrowly limited circumstances. Under 42 CFR Part 2, the terms of written consent to disclose information must specify the scope and types of information to be disclosed, the parties to whom the information may be disclosed, the purpose of the disclosure, and the timeframe of the consent. You have the right to revoke a consent to disclose information relating to drugs and alcohol verbally or in writing at any time.
Long Island Center For Recovery may ask for your written consent to disclose treatment information for certain purposes, including releasing treatment information to or obtaining information from your other medical providers, obtaining payment from insurance or other payors, contacting your family either for treatment purposes or in the case of medical or other emergencies. Your treatment information will not be disclosed without your consent.
Under certain narrow circumstances, as permitted by 42 CFR Part 2, Long Island Center For Recovery may disclose treatment information without your written consent. Your information is permitted to be used and disclosed for treatment purposes internally and to entities with which LICR shares administrative control.
Long Island Center For Recovery may disclose treatment information without your written consent when necessary such as but not limited to, a life-threatening medical emergency or emergency hospitalization, to report when someone is a potential threat to themselves or others, or to report a crime on the premises or against Long Island Center For Recovery personnel. LICR also may disclose your information without consent where the state mandates child abuse and neglect reporting; also when the cause of death is being reported, or when required by a valid court order with specifically required findings. We may contact you to share information about LICR’s treatment services or to send you reminder notices of future appointments for your treatment.
Your treatment information may be disclosed to outside auditors, regulatory agencies, and evaluators and for certain research purposes when permitted by law.
We are also permitted to share your treatment information with qualified service organizations that agree to maintain the confidentiality of the information.
I. Your Health Information Rights
Below are your rights with respect to your medical record and drug or alcohol treatment information according to HIPAA and 42 CFR Part 2:
You have the right to request that Long Island Center For Recovery amend and update your health information that is incorrect or incomplete. If Long Island Center For Recovery determines not to amend or update your health information, an explanation of the reason for the denial and your rights to disagree with the denial will be provided to you.
You have the right to request restrictions on otherwise permitted uses and disclosures of your health information. Even though LICR is not obligated to comply with such requests but we will fully consider your request and inform you of our decision.
You may, up to a period of 7 years, request a written accounting of all disclosures made by us in writing on a form provided by LICR.
The following will be exempt from the accounting that we provide to you.
Payment for health care operations, disclosures made with your written consent for reasons of treatment, disclosures already made to you or your legal representative(s) or individuals involved with your care. There is no cost for any accounting provided to you in any 12-month period, but there will be a reasonable charge for additional requests in that period.
Long Island Center For Recovery
Attention Privacy Administration
320 West Montauk Highway
Hampton Bays, NY 1194
You may submit a formal complaint to agencies below:
U.S Department of Health and Human Services Offices for Civil Rights
Department of Drug and Alcohol Programs
Bureau of Quality Assurance for Prevention and Treatment
State Health and Human Services
Department of Health and Human Services
Office of Civil Rights
200 Independence Avenue, SW Room 509F, HHH Building
Washington, DC 20201
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