HIPAA Notice of Privacy Practices
Effective Date: 07/31/2023
This Notice of Privacy Practices (“Notice”) describes how medical information about you may be used and disclosed and how you can get access to this information. Please read this Notice carefully.
1. Our Commitment to Privacy:
WARRIORS of CRPS Nonprofit Foundation (“we,” “us,” or “our”) is committed to maintaining the privacy and confidentiality of your protected health information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA) and its implementing regulations. We understand the importance of protecting your PHI and will only use and disclose it as described in this Notice.
2. Uses and Disclosures of PHI:
- Treatment, Payment, and Healthcare Operations: We may use and disclose your PHI for purposes of treatment, payment, and healthcare operations as permitted by law. This may include sharing information with healthcare providers, insurance companies, and other entities involved in your care and the processing of payment for services.
- Required Disclosures: We may be required to disclose your PHI by law, such as reporting certain communicable diseases to public health authorities or responding to court orders or legal proceedings.
- Authorization: We will obtain your written authorization before using or disclosing your PHI for purposes not described in this Notice, except as otherwise permitted by law.
- Marketing and Fundraising: We will not use or disclose your PHI for marketing purposes without your written authorization. If we engage in fundraising activities, we may use limited PHI, such as demographic information, for fundraising communications. You have the right to opt out of receiving fundraising communications.
- Research: In some cases, we may use or disclose your PHI for research purposes with appropriate safeguards and approval.
- Business Associates: We may share your PHI with third-party service providers, known as business associates, who perform functions on our behalf. These business associates are required to protect the privacy and security of your PHI.
3. Your Rights:
- Access: You have the right to access and obtain a copy of your PHI, with limited exceptions. Requests for access should be submitted in writing, and we will respond within the timeframe required by law.
- Amendment: If you believe that your PHI is inaccurate or incomplete, you have the right to request an amendment. Your request must be in writing, and we will respond within the timeframe required by law.
- Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your PHI made by us. The accounting will not include disclosures made for treatment, payment, healthcare operations, or other exceptions as permitted by law.
- Restriction: You have the right to request restrictions on how your PHI is used or disclosed for treatment, payment, or healthcare operations. However, we are not obligated to agree to your request unless it involves the disclosure of PHI to a health plan for payment or healthcare operations purposes and the PHI relates solely to a healthcare item or service for which you have paid out of pocket in full.
- Confidential Communications: You have the right to request that we communicate with you about your PHI in a certain way or at a specific location. We will accommodate reasonable requests.
- Complaints: If you believe that your privacy rights have been violated, you have the right to file a complaint with us and/or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
4. Safeguarding Your PHI:
We are committed to maintaining the privacy and security of your PHI. We have implemented administrative, physical, and technical safeguards to protect your information from unauthorized access, use, or disclosure.
5. Revisions to this Notice:
We reserve the right to revise or amend this Notice at any time. Any
revisions or amendments will be effective for all PHI that we maintain. We will post a copy of the current Notice on our website.
6. Contact Information:
If you have any questions or concerns regarding this Notice or our privacy practices, please contact us at ask@warriorsofcrps.org or phone 747-388-1748.
By using our website, you acknowledge that you have received and understood this HIPAA Notice of Privacy Practices. Thank you for your trust in WARRIORS of CRPS Nonprofit Foundation.
