· Lawsuits and Disputes. If you are involved in a lawsuit or dispute, we may disclose your PHI in response
to a valid court or administrative order. In limited circumstances, we may disclose PHI in response to a subpoena, discovery
request or other lawful process, but only if efforts have been made to inform you about the request or to obtain an order
protecting the information requested.
Public Health: As required by law, we may disclose
your PHI to public health or legal authorities charged with preventing or controlling disease, injury or disability.
For example, we are required to report births, deaths, birth defects, abuse, abortions, tumors, reactions to medications,
device recalls, and various diseases and/or infections to government agencies in charge of collecting that information.
· Judicial and Administrative
Proceedings. We may disclose your PHI in the course of
any administrative or judicial proceeding.
Specific Government Functions. We may disclose your
PHI to military personnel and veterans in certain situations. We may disclose your PHI for national security purposes, such
as protecting the president of the United States or conducting intelligence operations.
· Military/Veterans: We may disclose your PHI as required by military command authorities, if you are a member
of the armed forces.
Inmates: If you are an inmate of a correctional institute
or under the custody of a law enforcement officer, we may release your PHI to the correctional institute or law enforcement
To Avoid Harm. In order to avoid a serious threat
to the health and safety of a person or the public, we may disclose PHI to law enforcement personnel or persons able to prevent
or lessen such harm. We may notify a person who may have been exposed to a disease or may be at risk for contracting or spreading
a disease or condition as ordered by public health authorities or allowed by state law.
· Required by Law: We will disclose your PHI when required to do so by federal, state or law. For example,
we are required to report criminally injurious conduct.
· Coroners, Medical Examiners,
Funeral Directors: We may release your PHI to a coroner
or medical examiner. This may be necessary, for example, to identify a deceased person or to determine a cause of death. We
may also release your PHI to funeral directors as necessary to carry out their duties.
THE INFORMATION AUTHORIZED FOR RELEASE 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).
HEALTH INFORMATION RIGHTS: Although
all records concerning your treatment at The Holloway Group
are the property of The Holloway Group,
you have the following rights concerning your PHI.
Right to Confidential Communications: You have the right to receive confidential communications of
your PHI by alternative means or at alternative locations. For example, you may request that we only contact you at work or
by mail. You must submit your request in writing and identify how or where you wish to be contacted. We will accommodate all
Right to Inspect and Copy (as identified under Oklahoma Statutes Title 43A. Mental
Health, Section 1-109): You have
the right to inspect and copy your PHI as provided by law. This right does not apply to psychotherapy notes. A request must
be made in writing. We have the right to charge you the amounts allowed by state or federal law for such copies. We may deny
your request to inspect and copy in certain circumstances. If you are denied access, you may requested that the denial be
reviewed. A licensed healthcare professional chosen by us will review your request and the denial. The person conducting the
review will not be the person who denied your request. We will comply with the outcome of the review.
Right to Amend (as identified under Oklahoma Statutes Title 43A. Mental Health,
Section 1-109): If
you feel that the PHI we have about you is incorrect or incomplete, you have the right to request an amendment of your PHI.
You must submit your request in writing and state the reason(s) for the amendment. We may deny your request for an amendment
if it is not in writing, does not include a reason to support the request; or the information (i) was not created by us (unless
the person or entity that created the information is not available to make the amendment; (ii) is not part of the medical
record that we maintain; (iii) is not part of the information that you would be permitted to inspect or copy; or (iv) is accurate
Right to an Accounting:
You have the right to obtain a statement
of certain disclosures of your PHI to third parties, except those disclosures made for treatment, payment or healthcare operations
or authorized pursuant to this Notice. To request this list, you must submit your request in writing and state a time period
no longer than six (6) months which may not include dates prior to April 14, 2003. If you request more than one (1) accounting
in a 12-month period, we may charge you for the costs of providing the list. We will notify you of the cost involved and you
may choose to modify or withdraw your request before any costs are incurred.
Right to Request Restrictions: You have the right to request restrictions or limitations on PHI we use or disclose
about you unless our use or disclosure is required by law. We are not required to honor your request. To
request restrictions, you must make your request in writing and tell us (i) what information you want to limit; (ii) whether
you want to limit our use, disclosure or both; and (iii) to whom you want the limits to apply. If we agree, we will comply
with your request unless the information is needed to provide emergency treatment to you.
Receive Copy of this Notice: You
have the right to a paper copy of this notice.
Right to Revoke Authorization: You have the right to revoke your authorization to use or disclose
your PHI, EXCEPT to the extent that we have already taken action in reliance on your authorization.
FOR MORE INFORMATION OR TO REPORT A PROBLEM: If you have questions and would like additional information, you may contact The Holloway Group Privacy/Security Officer. If you believe
your privacy rights have been violated, you may file a complaint with (i) The Holloway Group by contacting
The Holloway Group Privacy/Security Officer; or (ii) the Secretary of the Department of Health and Human
Services. To file a complaint with DHHS the address is 200 Independence Avenue, S.W., Washington, D.C. 20201, HHS.Mail@hhs.gov. All complaints must be in writing and filed within 180 days of when
you knew or should have known that the act or omission complained of occurred. You will not be penalized for filing a complaint.
CHANGES TO THIS NOTICE:
We will abide by the terms of the notice currently in effect. We reserve the right to change the terms of its notice and to
make the new notice provisions effective for all PHI we maintain.
OWNERSHIP CHANGE. In the event that The Holloway Group is sold or merged with another organization, your PHI may become property of
the new owner.
NOTICE EFFECTIVE DATE: April
CONTACT: The Holloway Group Privacy and Security Officer (405) .