Obtain an electronic or paper copy of your medical record
You may ask to see or obtain an electronic or paper copy of your medical record and other health information. If requested, we will provide a copy or a summary of your health information, usually within 30 days of your request.
Ask us to amend your medical record
You may ask us to contact you in a specific confidential manner (for example, home or office phone) or to send mail to a different address. We will comply with reasonable requests.
Ask us to restrict what we use or share
You may ask us not to use or disclose certain health information for treatment, payment, or our health care operations. We are not required to agree to your request, and we may decline if it would affect your care.
If you have given someone medical power of attorney or if someone is your legal guardian, that person may 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.
- We may use or disclose your health information in the following instances, provided you are informed in advance and you do not object:
- For purposes of sharing your information with your family, close friends, or others involved in your care.
- For purposes of sharing your information to assist in disaster relief efforts.
- For purposes of marketing.
- For purposes of selling your information.
- For purposes of disclosing highly sensitive information that pertains to psychotherapy, mental health, and alcohol and drug treatment, sexually transmitted diseases, child abuse, genetics, and other highly confidential and sensitive characteristics.
- For purposes of other uses and disclosures not described in this notice.
OUR USES AND DISCLOSURES
We may use your health information and share it with other professionals who are providing you medical treatment.
We may use and disclose your health information for our health care operations to manage our business and the services we provide to you.
Example: We use health information to conduct quality assessment and improvement activities.
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many legal requirements before we can share your information for these purposes
- Reporting adverse reactions to medications
- Reporting suspected abuse, neglect, or domestic violence
- Preventing or reducing a serious threat to anyone’s health or safety
We will disclose information about you if State or Federal laws require it, including if Department of Health and Human Services, requests proof of compliance with federal privacy and security laws.
Work with a medical examiner or funeral director
We may disclose health information with a coroner, medical examiner, or funeral director in the event of death.
We may disclose your health information in electronic communications which are (a) in our text messages, emails or other electronic communications to you or in response to text messages, emails or electronic communications from you to us; and (b) statements or inquiries that you have posted on our web page, Twitter page, Facebook page, Instagram, or other public domains. Please note that the transmission and/or storage of text messages, emails, social media postings, and other electronic communications may not be encrypted or secure. If you have a specific question regarding your medical condition, we encourage you to contact us directly to discuss.
If you feel your rights are violated; you can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 independence Avenue S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/
In order to resolve a complaint regarding the Site or to receive further information regarding use of the Site, please contact us at:
The Anxiety & Depression Institute
39500 W 10 Mile Rd., Suite #100
Novi, MI 48375, United States
Phone: (248) 617-2058