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.

Your Rights

When it comes to your health information, you have certain rights, and we are responsible to help you understand these rights.

Medical Record Request

You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you.

We will provide a copy or a summary of your health information, usually within 30 days of your request.

We may charge a reasonable, cost-based fee.

Medical Record Corrections

You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “no” to your request, but we’ll tell you why in writing within 60 days. We may extend the time for such action by up to 30-days, if we provide you with a written explanation of the reasons for the delay and the date by which we will complete action on the request.

Confidential Communication

We will arrange for you to receive protected health information by reasonable alternative means or at alternative locations. Your request must be in writing. We do not require an explanation for the request as a condition of providing communications on a confidential basis and will attempt to honor reasonable requests for confidential communications.

Limit Shared Information Requests

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.

If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We agree to any restriction requests, unless a law requires us to share that information.

List of Who We Shared Your Information

You can ask for a list of the times we’ve shared your health information for six years prior to the date you ask about who we shared it with and why. We will include all the disclosures except for those about treatment, payment, health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one list free but may charge a reasonable, cost-based fee for any sequential requests.

Copy of 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.

Notification of Information Breach

You will be notified of the disclosure of any unsecured protected health information by the agency, or business associates and/or subcontractors.

Your Choices

Disclosures not covered in this notice will be made only with your authorization. Authorization may be revoked, in writing, at any time.

You have both the right and choice to tell us to:
Share information with your family, close friends, or others involved in your care
Share information in a disaster relief situation
Contact you for fundraising efforts, but you can at any time ask that we do not contact you again.

If you are not able to tell us your preference, for example, if you are unconscious, we may 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 or if the law requires it.

How We Use and Disclose Your Information

Treatments: We can use your health information and share it with other professionals who are treating you. For example, a doctor treating you for an injury can ask another doctor about your overall health condition.

Organizational Operations: We can use and share your health information to provide our services, improve your care, and contact you when necessary. For example, we use health information about you to manage your treatment and services.

Payment: We can use and share your health information to bill and get payment from health plans or other entities. For example, we give information about you to your health insurance plan so it will pay for your services.

We are permitted to share your information to help with public health and safety concerns, health research, if federal or state laws require it, response to organ/tissue donations, medical examiners, funeral directors, Workers’ Compensation requests or other government requests.

Our Responsibilities

Our agency is required by law to maintain the privacy of protected health information, to provide you adequate notice of your rights and our legal duties and privacy practices with respect to protected health information and to notify affected individuals following a breach of unsecured protected health information. We will use or disclose protected health information in a manner that is consistent with this notice.

The agency maintains a record (papers/electronic file) of the information we receive and collect about you and of the care we provide to you. This record includes physicians’ orders, assessments, medication lists, clinical progress notes, and billing information. The agency maintains policies and procedures about our work practices, including how we coordinate care and services provided to our patients.

Complaints

If you believe your privacy rights have been violated, you may complain to the agency or to the Secretary of the U.S. Department of Health and Human Services. There will be no retaliation against you for filing a complaint. The complaint should be filed in writing, and should state the specific incident(s)in terms of subject, date and other relevant matters. A complaint to the Secretary must be filed in writing within 180 days of when the act or omission complained of occurred, and must describe the acts or omissions believed to be in violation of applicable requirements. For further information regarding filing a complaint or further information about matters covered by this notice, contact us.

Effective Date

This notice is effective July 18, 2013. We are required to abide by the terms of the notice currently in effect, but we reserve the right to change these terms as necessary. If we change the terms of this notice, we will promptly revise and distribute a revised notice to you as soon as practicable and post it on our website.

CONTACT US

7125 Orchard Lake Rd, Suite 222
West Bloomfield, MI 48322
248-865-9418

Ask to speak with the agency Executive Director or Director of Clinical Services.

Oakland Health Affiliates Include

Oakland Home Care, Oakland Hospice, Oakland Therapy, and Oakland Helping Hands