Resilience Human Services Inc.

Notice of Privacy Policies

14605 Elm Street Ste 365

Upper Marlboro, MD 20772

Phone: 301-385-1235

UNDERSTANDING HEALTH RECORD/INFORMATION:

Each time you and/or your family receive services from Resilience Human Services Inc. a record of your visit is made. Typically, this record contains the reported problems, evaluation, results, diagnosis, treatment, and a plan for future care. This is often referred to as a health/information record.

The health/information record serve as:

§ Basis for planning care and treatment

§ Means of communication among the many health professionals who contribute to you and your family’s care.

§ Legal document describing the care received,

§ Means by which you or a third-party payer can verify that services billed were actually provided,

§ A source of information to public health officials charged with improving the health of the state or nation,

§ A source of data for planning and marketing,

§ A tool with which we can access and continually work to improve the care we provide and the outcomes we achieve.

Inderstanding what is in the record and how health information is used helps you to insure its accuracy, better understand who, what, when, where, and why others may access health information and make more informed decisions when authorized disclosure to others.

Your Rights:

Although the physical record of your treatment information belongs to Resilience Human Services Inc., the information in the record belongs to you.

You have the right to:

§ Obtain a paper copy of this notice of information practice request,

§ Inspect and receive a copy of you and your dependent’s health record as provided for in 45 CFR 164.524,

§ Amend health record (not take away or delete) provided in 45 CFR 164.528,

§ Obtain an accounting of disclosures of health information provided by CFR 164.528

§ Request communication of health information by alternative means or at alternative locations,

§ Request a restriction on certain uses and disclosures of information as provided by CFR 164.522, and

§ Revoke your authorization to use or disclose health information except to the extent action has already been taken.

Our Responsibility:

Resilience Human Services Inc. is required to:

§ Maintain privacy of you and your dependent’s health information

§ Provide you with this notice as our legal duties and privacy practices with respect to information we collect and maintain,

§ Abide by terms of this notice,

§ Notify you if we are unable to agree to a required restriction, and

§ Accommodate reasonable requests you may have to communicate health information by alternative means or alternative locations.

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintained. Should our information practices change, we will mail you a revised notice to the address you supplied to us.

We will not use or disclose you or your dependent’s health information without your authorization, except as described in this notice. We will also discontinue to use or disclose you and your dependent’s health information after we have received a written revocation of the authorization according to procedure included in the authorization.

We will use your health information for treatment,

Information obtained by a counselor, physician, nurse or other members of the health care team will be recorded in you record and used to determine the course of treatment that will work best for you and your family. Your counselor will document in the record his or her expectations, then record actions taken and observations. In this way, the counselor will know if you and/or your family is responding to treatment.

We will provide you and/or your family’s physician, psychiatrist, or subsequent health care providers with copies of various reports that will assist other team members with treatment decisions. This is to include all health care providers residing in the offices of Resilience Human Services Inc. and those assisting in coverage for our practice.

We will use health information for payment,

A bill may be sent to a third-party payer or EAP affiliate management team member. The information on or accompanying the bill may include information that identifies you or your family member, as well as diagnosis treatment planning, attendance at sessions, referrals and outcome of treatment.

We will use health information for regular operations,

Members of the staff, the risk management team, or quality improvement team may use information in the health record to assess the care and outcomes in your and your family’s case and others like it. This information will then be used in the effort to continually improve the quality and effectiveness of the health care and services we provide.

Business Associates:

There may be some services such as accounting, legal representative, after hours phone access, billing services, etc. that may be contracted with business associates. When these services are contracted we may disclose health information to business associates so they can perform the job we asked them to do. To protect health information, however, we require the business associates to appropriately safeguard protected health information.

NOTIFICATION:

We may use or disclose information, such as your location or general condition to notify or assist in notifying a family member, personal representative, or another person responsible for you and your family members care. We may leave a message on your answering machine / voice mail server or use email as a means for communication. We may mail you written communication to your home address.

Communication with family:

We may, using our best judgment, disclose to a family member, other relative, close personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care.

Text Messaging and Email Notification:

By signing up for services with Resilience Human Services Inc., you are agreeing to receive HIPAA-compliant text messaging and email communication for your assigned therapist. You are also agreeing to receive regular updates and information about the company. You are welcome to disable text messaging or email communication features by simply opting out using STOP. Your personal information is protected and will not be shared with third-party entities for marketing purposes. General text messaging and data rates may apply depending on your phone carrier.

Workers Compensation:

We may disclose health information to the extent authorized by and to the extent necessary to comply with laws related to workers compensation or other similar programs established by law.

Public Health:

As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, abuse, or disability.

Law Enforcement:

We may disclose health information for law enforcement purposes as required by law or in response to valid subpoena.

Federal law makes provisions for your health information to be released to an appropriate health oversight agency, public health authority, or attorney. Provided that a work force member or business associate believes in good faith that we have engaged in unlawful conduct or have otherwise violated professional or clinical standards and are potentially endangering one or more clients, workers or the public.

FOR MORE INFORMATION OR TO REPORT A PROBLEM

If you have questions or concerns or would like additional information about privacy of your health records/information you may contact Director of Resilience Human Services Inc. Nailah Cook at 301-385-1235.

If you believe your privacy rights have been violated, you can file a complaint with the privacy officer at Resilience Human Services Inc. or with the office of Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either the privacy officer or with the Office of Civil Rights. Address of the Office of Civil Rights:

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Rm 509F, HHH Building

Washington, D.C. 20201

RHS